Treatments Flashcards

1
Q

What is OMM?

A

Application of osteopathic philosophy, structural diagnosis, and use of OMT

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2
Q

What is OMT?

A

Theraputic application of manually guided forces by an osteopathic physician to improve physiologic function or support homeostasis

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3
Q

How do you name a SD?

A

By the direction in which the motion is freer (position at rest)

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4
Q

What are the three causes of SDs?

A

Macrotraumas
Microtraumas
Congenital

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5
Q

Do all SD need to be addressed?

A

No–if congenital especially

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6
Q

How many aspects of TART are needed to Dx a SD?

A

One

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7
Q

Sidebending is named for which side?

A

The side of concavity

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8
Q

What is the anatomic barrier?

A

Limit of passive ROM

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9
Q

What is the physiologic barrier?

A

Limit of active ROM

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10
Q

What are restrictive barriers?

A

The functional limit within anatomic ROM which abnormally diminishes the normal physiologic ROM

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11
Q

What is the elastic barrier?

A

Difference between anatomic and physiologic

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12
Q

What are the forces utilized in OMT?

A

Extrinsic
Intrinsic
Active
Passive

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13
Q

What is extrinsic forces?

A

treatment forces which are not supplied by pt

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14
Q

What are intrinsic forces?

A

Voluntary or involuntary forces from within the pt that assist in manipulation

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15
Q

What are passive forces utilized by OMM?

A

Pt refraining from voluntary muscle contraction

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16
Q

What is an active force in OMM?

A

One in which the pt voluntarily performs a Dr direction

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17
Q

What is direct motion in OMM?

A

Engagement of restrictive barrier toward or through barrier

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18
Q

What is indirect motion in OMM?

A

SD is moved away from the restrictive barrier

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19
Q

What is the goal of direct/indirect motion?

A

Increased ROM

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20
Q

What are the six factors that determine modalities of treatment?

A
  1. Size of pt
  2. Size of Dr
  3. Age of pt
  4. Health of pt
  5. acute vs chronic
  6. location of treatment
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21
Q

What are the four transition points in the body?

A
  1. Head/neck
  2. Neck/thorax
  3. Thorax/lumbar
  4. Lumbar/sacral
22
Q

Why are the four transition areas important?

A

Where most SDs occur

23
Q

What is HV/LA?

A

Direct engagement of an end point or barrier using a quick motion over a short distance

24
Q

Is HV/LA a direct or indirect technique? Passive or active? Intrinsic or extrinsic? Are results in tissue texture change fast or slow?

A

Passive
Direct
Extrinsic

Fast tissue texture change

25
Q

Which OMM technique has the highest injury potential? What is this due to?

A

HV/LA due to muscle spasms

26
Q

How often is HV/LA performed?

A

Once or twice a week

27
Q

What produces the pop in joints?

A

Nitrogen gas release

28
Q

How does the thrust used in HV/LA change the neural activity of muscles?

A

Alters the afferent output of mechanoreceptors, resulting in release of the muscle hypertonicity

29
Q

What are the contraindications to HV/LA?

A
osteoporosis
Bony metastases spondylolisthesis
Osteomyelitis
RA
Fractures
Down's
Vertebral artery stenosis
30
Q

Is muscle energy direct or indirect? Active or passive? Extrinsic or intrinsic?

A

Direct
Active
Extrinsic and intrinsic

31
Q

What type of muscle energy involves a chaning in tension of a muscle, without approximation of its origin and insertion?

A

Isometric

32
Q

What type of muscle energy is an approximation of the muscle origin and insertion without chancing its tension?

A

Isotonic

33
Q

Which type of muscle energy is a contraction of a muscle against resistance, while forcing the muscle to lengthen?

A

Isolytic

34
Q

Which type of ME corrects SDs?

A

Isometric

35
Q

Which type of ME is used to tone muscles, or strengthen a physiologic weak muscle?

A

Isotonic

36
Q

Which type of ME is used to break up scar tissue, adhesions, or fibrous tissue

A

Isolytic

37
Q

What are golgi tendon organs?

A

Organs present in the extrafusal muscle fibers, and measure tension in the muscle

38
Q

What are gamma-motor neurons?

A

Neurons that regulate the gain of the stretch reflex (how fast it is moving) by adjusting the level of tension in the intrafusal muscle fibers of the muscle spindle

39
Q

What is the principle behind ME?

A

reset the intrafusal and extrafusal muscle fibers during the post-contraction relaxation phase

40
Q

What are the contraindications to ME?

A

low vitality

Fractures

Severe neuromuscular injuries

Cannot follow directions

Proper pt positioning cannot be achieved

41
Q

Are soft tissue techniques direct or indirect? Passive or active? Extrinsic or intrinsic?

A

Direct
Passive
Extrinsic and intrinsic

42
Q

What are the contraindications to soft tissue techniques?

A

Cellulitis

43
Q

Is strain/counterstrain a direct or indirect technique? Passive or active? Extrinsic or intrinsic?

A

Indirect
Passive
Extrinsic and intrinsic

44
Q

How does strain/counter strain relieve pain?

A

Reduces and arrests the continuing inappropriate proproceptor activity

45
Q

Muscle spindles are very sensitive to changes in what dimension (length, width, height)?

A

Length

46
Q

What are the contraindications to strain/counterstrain?

A

Position that cause dizziness or radicular pain

Extreme forward bending of the thoracolumbar spine is osteoporotic pts

47
Q

Are cranial techniques direct or indirect? Passive or active? Extrinsic or intrinsic?

A

Direct and indirect
Passive
Extrinsic and intrinsic

48
Q

What are the contraindications to cranial techniques?

A

Acute head trauma

49
Q

Are myofascial release techniques direct or indirect? Passive or active? Extrinsic or intrinsic?

A

Direct and indirect
Passive
Extrinsic and intrinsic

50
Q

What are the contraindications to myofasical release?

A

Flare-up of symptoms with immunological disorders

51
Q

Are springing techniques direct or indirect? Passive or active? Extrinsic or intrinsic?

A

Direct
Passive
Extrinsic

52
Q

Are articulatory techniques direct or indirect? Passive or active? Extrinsic or intrinsic?

A

Direct
Passive
Extrinsic