Indications/Contradictions in the Usage of OMT Flashcards
What are the different aspects of manipulative treatment
Risks,
Absolute Contraindications
Relative contraindications
What are the indications of using counterstrain?
- acute or chronic somatic dysfunctions
- somatic dysfunctions with a neural component like a hyper-shortened muscle
- Use as primary treatment or in conjunction with other approaches
- Somatic dysfunctions in any area of the body
What are the indications of using HVLA?
- articular somatic dysfunction (TART)
- firm distinct articular barrier.
What are the indications of lymphatic techniques?
- Edema, tissue congestion, or lymphatic stasis
- Infection
- Inflammation
What are the indications of muscle energy techniques?
Clinically relevant somatic dysfunction
What are the indications of myofascial release techniques?
Treat somatic dysfunctions involving myofascial or other connective tissues.
What are indications for using osteopathy in the cranial field? What are some examples?
treat Somatic Dysfunction.
Examples: Cranial Neuropathy-nerve entrapment Bell’s palsy Trigeminal neuralgia Atypical facial pain Headache Sinusitis Orofacial pain
What non-somatic dysfunction areas are osteopathy in the cranial field useful for?
Vertigo Visual disturbances Tinnitus Temporomandibular Joint Dysfunction Malocclusions Strabismus Strain patterns of the sacrum Strain patterns of the axial and appendicular skeleton
True or false: The counterstrain model is an indirect technique.
True
For counterstrain techniques, what are absolute contraindications vs. relative contraindications?
Absolute:
- Absence of somatic dysfunction
- lack of patient consent/cooperation
Relative:
- patient cannot voluntarily relax
- severely ill patient
- Vertebral artery disease
- Sever osteoporosis.
What safety and efficacy considerations needed to be made for counterstrain?
- Complications and precautions
- Post-treatment reaction
- Pain, most often in antagonist muscles, several hours after treatment, usually self limited and well-tolerated by patients
- Reactions associated with patient position
- Avoid positions that do not relieve pain
- Avoid positions that cause discomfort, dizziness, panic and/or neurogenic pain such as upper cervical hyper rotation and hyperextension
- Avoid extreme forward bending of the thoracolumbar spine in osteoporotic patients
- Use caution when treating the cervical spine in a patient with rheumatoid arthritis or any other rheumatological conditions, segmental or ligamentous instability.
What are some special considerations when using a counterstrain technique?
- Use indirect positioning to shorten the tissues/muscles associated with the tender point
- The tissues being treated may or may not be located directly beneath the tender point being treated.
- Normalize neurophysiologic functioning.
- Correct a somatic dysfunction
- Reduce/minimize pain
What is a counterstrain model?
An osteopathic system of diagnosis and indirect treatment in which the patient’s somatic dysfunction, diagnosed by an associated myofascial tender point, is treated by using a position of spontaneous tissue release while simultaneously monitoring the tender point
What is a High Velocity/Low Amplitude Model?
An osteopathic technique employing a rapid, therapeutic force of brief duration that travels a short distance within the anatomic range of motion of a joint, and that engages the restrictive barrier in one or more planes of motion to elicit release of restriction. Also known as thrust technique.
What are absolute contraindications for HVLA?
- Regionally or segmentally specific: Surgical fusion, Klippel-Feil syndrome, Vertebrobasilar insufficiency, Inflammatory joint disease, Joint infection, Bony malignancy, Lack of patient consent and/or cooperation
- Upper cervical: Rheumatoid arthritis. Down syndrome. Achondroplastic. dwarfism. Chiari malformation.
Fracture / dislocation / spinal or joint instability Ankylosis / Spondylosis with fusion
