Flashcards in Board Review I Deck (83):
What is the technical definition of a SD?
impaired or altered function of any part of the soma
What is the only way to diagnose SDs?
What are the components of TART? Which are the two most important?
*Tissue texture changes*
How many components of TART are needed for a SD diagnosis?
2 or more, but if TTP, then need 3
Acute or chronic tissue texture changes:
How does asymmetry found in acute SDs compare to those found in chronic?
-Acute = single one present
-Chronic = present with other compensatory changes
Which has painful RROM acute or chronic SDs?
Acute--chronic has painless RROM
Which has sharp pain, and which has dull/achy pain: acute or chronic SDs?
Sharp = acute
Chronic = dull/achy
When naming vertebrals SDs, how are they named: with respect to the segment above or below?
What is elastic deformation?
The quality of the tissue to return to its resting state after being deformed
What is hysteresis?
The time between elasticity and creep
What is creep?
The capacity of fascia to lengthen when subjected to a constant tension load, resulting in less resistance to a second load application
What is an elastic barrier?
The difference between anatomic and physiologic
What is a restrictive barrier?
the functional limit within the anatomic ROM which abnormally diminishes the normal physiologic ROM
What are the muscles that maintain type I SDs? Type II?
Type I = Long restrictors
Type II = Short restrictors
How does rotation occur with type I vs type II SD in regard to the rotation into the convexity/concavity
Type I = rotation into the convexity
Type II = rotation into the concavity
Which is caused by postural problems, and which traumatic problems: type I vs Type II SDs?
Type I = postural
Type II = traumatic
What is the third law of physiologic motion?
Inducing motion in one plane reduces the motion in the other two planes
How are the superior facets oriented in the cervical, thoracic, and lumbar spinal vertebrae?
What are the four major CNs that are a part of the PNS?
True or false: manipulation of the organ will cause nerves to travel back up into the brain
What are the components of the plumb line?
-Posterior aspect of the coronal suture
-External auditory meatus
-Posterior aspect of the hip
-Anterior axis of knee
-Anterior to lateral malleolus
What sacral axis is being utilized with the walking cycle?
Oblique axis on the ipsilateral side of the planted foot
What way does the lumbar spine side bend to with a stride?
Ipsilateral to the planted side
What is the goal of the biomechanical model of osteopathic care?
Attempt to prevent/relieve pain
What is the goal of the neurological model of osteopathic care?
Attempt to normalize the nervous system
What is the goal of the behavioral model of osteopathic care?
Attempt to break the pain-anxiety-pain cycle
What is the goal of the bioenergetic (metabolic) model of osteopathic care?
Attempt to balance the inherent energies of the body
What is the goal of the RC model of osteopathic care?
-Improve thoracic diaphragm and cage motion
Review 12 CCP points
What are the components of the V-FIRST mnemonic?
What are indirect techniques?
barrier is disengaged and moved to a *point of balance*
Direct or indirect: HVLA
Direct or indirect: ME
Direct or indirect: S/CS
Direct or indirect: articulatory
Direct or indirect: LVMA
Direct or indirect: Cranial
Direct or indirect: Still
Direct or indirect: BLT
Direct or indirect: Visceral
Direct or indirect: FPR
Direct or indirect: soft tissue
Intrinsic or extrinsic: HV/LA
Intrinsic or extrinsic: ME
Intrinsic or extrinsic: Still
Intrinsic or extrinsic: S/CS
Intrinsic or extrinsic: Cranial
Intrinsic or extrinsic: Myofascial
Intrinsic or extrinsic: Springing
Intrinsic or extrinsic: articulatory
What is the only technique that is has no passive component to it?
True or false: there are specific joint corrections with soft tissue techniques
What is Dalyrmple treatment?
What is the technique that uses: stroking movement to move fluids
What is the technique that uses: deep kneading or squeezing to express swelling
What is the technique that uses: striking of a belly muscle to increase its tone/arterial perfusion
What is the technique that uses: Striking of the skin with cupped hands to loosen material
What is the part of the ME technique that actually corrects the SD: the active part of the patient, or the passive part of the osteopath
Passive part of the osteopath
What is isometric, isotonic, and isolytic ME?
-Isometric= same length
-Isotonic = same tension
-Isolytic = Broken
What is concentric contraction?
Contraction where the O and I of a muscle approximate
What is eccentric contraction?
Contraction where the O and I of a muscle separate or lengthen
What is the oculocephalogyric reflex?
Functional muscle groups are contracted in response to the voluntary eye motion to reflexively affect the cervical and truncal musculature
Why is OMT contraindicated with Down syndrome pts?
Laxity of the transverse alar ligaments of the atlas
What area should not have HV/LA performed on in with RA pts?
Why is it that ribs tender points need to be held for 120 seconds, as opposed to the usual 90 seconds for everyone else?
Ribs are never truly fully relaxed d/t need to breathe
What is the general S/CS movement that is done with the cervicals?
What is the purpose of treating Chapman's points?
Reduce adverse sympathetic influences on particular organs
Are the collateral ganglia a part of the SNS or the PNS?
Which abdominal ganglion does the pancreas belong to: celiac, superior, or inferior mesenteric ganglion?
Celiac and the superior
What is the definition of a Myofascial trigger points?
Hypersensitive area of focus
Flexion of the SBS causes what movement of the sacrum?
Base moves posterior/superior
Extension of the SBS causes what movement of the sacrum?
Base moves anterior/inferior
Inhalation is paired with flexion or extension of the midline cranial bones? What happens to the paired bones with this?
Does flexion or extension increase the transverse diameter of the skull?
Does flexion or extension increase the A-P diameter of the skull?
What are the 5 components of the PRI?
1. Inherent motility of the CNS
2. Fluctuation of the CSF
3. Mobility of the reciprocal tension membrane
4. Articular mobility of the cranial bones
5. Mobility of the sacrum between the ilia
Where is the 2nd and 5th finger in the vault hold?
2nd = greater wing of the sphenoid
5th = lateral angle of the occiput
High pitched and low pitched tinnitus is paired with which type or rotation respectively?
High = internal
Low = external
HAs are generally on which side of the head compared to the wing of the sphenoid?
Low wing of the sphenoid
What is the Wagon-=tongue vomer used to treat?
What is the "core link" of cranial?
Dural connection of occiput and sacrum