5-Models Questions Flashcards
5 Models for community acquired pneumonia
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, percussion hammer to break up consolidation
Respiratory/circulatory — rib raising, lymphatics
Neurologic — paraspinal inhibition T1-7, CV4
Metabolic/energetic — Antibiotics, tapotement
Behavioral — hydration, proper nutrition
5 Models for low back pain in pregnancy
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OCMM, OMT, NSAIDs
Respiratory/circulatory — lymphatics, warm compress
Neurologic — paraspinal inhibition, sacrum OMT
Metabolic/energetic — NSAIDs, address possible constipation
Behavioral — sleep hygiene, lower back support
5 Models for rotator cuff injury
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, imaging
Respiratory/circulatory — ice/heat, hydration
Neurologic — sympathetics T2-7, EMG to r/o plexopathy
Metabolic/energetic — NSAIDs, lymphatics
Behavioral — stretching/strengthening exercises, splint/sling
5 Models for lateral or medial epicondylitis
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, immobilization brace
Respiratory/circulatory — lymphatics, hydration
Neurologic — sympathetics T2-7, CV4
Metabolic/energetic — NSAIDs, steroid injections
Behavioral — rest, exercise modifications
5 Models for short leg syndrome
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — shoe lift, OMT, imaging
Respiratory/circulatory — lymphatics, hydration
Neurologic — paraspinal inhibition, sacral OMT
Metabolic/energetic — NSAIDs, eat a healthy diet
Behavioral — shoe lifts, arch supports, gait training
5 Models for TMJ
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, botox
Respiratory/circulatory — hydration, lymphatics
Neurologic — ANS OMT, CV4
Metabolic/energetic — NSAIDs, lymphatics
Behavioral — anxiety/depression screening, CBT
5 Models for psoas syndrome
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, stretching
Respiratory/circulatory — lymphatics, hydration
Neurologic — ST direct inhibition, paraspinal inhibition
Metabolic/energetic — NSAIDs, muscle relaxants, consider visceral causes (constipation, nephrolithiasis, etc)
Behavioral — address ergonomics, home stretching
5 Models for thoracic outlet syndrome
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, imaging
Respiratory/circulatory — lymphatics, hydration
Neurologic — EMG, sympathetics T2-7
Metabolic/energetic — NSAIDs, muscle relaxants
Behavioral — postural training, home stretching
5 Models for nephrolithiasis
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, patient positioning, NSAIDs
Respiratory/circulatory — lymphatics, hydration
Neurologic — ANS OMT, collateral ganglia
Metabolic/energetic — address constipation if present, lymphatics
Behavioral — increase fluid fluid intake, dietary modifications as needed
5 Models for otitis media
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, consider tympanostomy tubes if recurrent
Respiratory/circulatory — hydration, lymphatics
Neurologic — ANS T1-5, OA/AA, CV4
Metabolic/energetic — antibiotics, NSAIDs
Behavioral — daily antihistamine, hand hygiene
5 Models for postop ileus
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, PT or OT
Respiratory/circulatory — hydration, lymphatics
Neurologic — paraspinal inhibition, OA/AA
Metabolic/energetic — rib raising, avoid opioids for pain management
Behavioral — dietary adjustments as needed, exercise as tolerated
5 Models for sinusitis
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, netipot
Respiratory/circulatory — hydration, lymphatics
Neurologic — ANS T1-5, OA/AA, CV4
Metabolic/energetic — antibiotics, NSAIDs
Behavioral — daily antihistamine, hand hygiene
5 Models for GERD
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, barium swallow
Respiratory/circulatory — hydration, rib raising
Neurologic — viscerosomatics T5-9, sympathetic ganglia tx (celiac)
Metabolic/energetic — lymphatics, vitamin supplements
Behavioral — identify and avoid triggers (i.e., smoking, alcohol), meditation to decrease stress
5 Models for lumbar degenerative disc disease (osteoarthritis or herniated disc)
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT (HVLA relatively contraindicated), consider surgery, imaging
Respiratory/circulatory — lymphatics, hydration
Neurologic — refer for pain management, NSAIDs, paraspinal inhibition
Metabolic/energetic — TCAs, steroid injections, vitamin D and calcium supplementation
Behavioral — screen for anxiety/depression, stretching/strength exercises
5 Models for common fibular nerve entrapment neuropathy
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, accupuncture
Respiratory/circulatory — hydration, rib raising
Neurologic — EMG, T11-L2 sympathetics
Metabolic/energetic — NSAIDs, lower extremity effleurage
Behavioral — train sitting posture, heat/ice
5 Models for piriformis syndrome
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — radiographs, OMT, physical therapy
Respiratory/circulatory — lymphatics, innominate OMT, hydration
Neurologic — EMG, botox, paraspinal inhibition
Metabolic/energetic — NSAIDs, consider visceral causes, muscle relaxants
Behavioral — stretching, address ergonomics (wallet in back pocket, long drives, etc)
5 Models for degenerative knee osteoarthritis
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, imaging
Respiratory/circulatory — hydration, lymphatics
Neurologic — sympathetics T11-L2, CV4
Metabolic/energetic — NSAIDs, vitamin D and calcium supplementation
Behavioral — exercise modifications, screen for anxiety/depression
5 Models for tension headache
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, accupuncture
Respiratory/circulatory — hydration, rib OMT
Neurologic — analgesics and NSAIDs, ANS OMT
Metabolic/energetic — sleep hygiene counseling, lymphatic OMT
Behavioral: identify and address triggers, biofeedback
5 Models for ankle sprain
Biomechanical Respiratory/circulatory Neurologic Metabolic/energetic Behavioral
Biomechanical — OMT, imaging, splint
Respiratory/circulatory — hydration, lymphatics
Neurologic — T11-L2 sympathetics, CV4
Metabolic/energetic — NSAIDs, LE effleurage
Behavioral — splint, exercise restriction, ice
