M5 | OMT Flashcards
(54 cards)
OSTEOPATHIC MANIPULATIVE TREATMENT
comes from Latin prefix ____
osteo - bone
pathos - disease (initially meant knowledge)
OSTEOPATHIC MANIPULATIVE TREATMENT
pathos INITIALLY meant ____
knowledge
OSTEOPATHIC MANIPULATIVE TREATMENT
OSTEOPATHY was termed by ____
Andrew Taylor Still, MD
OSTEOPATHIC MANIPULATIVE TREATMENT
the STARTING POINT for which a pathological condition may arise
bone / osteon
a WHOLISTIC, HANDS-ON care performed by an osteopathic physician. Using the hands, the doctor diagnoses, treats, and works to prevent injury or illness
OSTEOPATHIC MANIPULATIVE TREATMENT
OSTEOPATHIC MANIPULATIVE TREATMENT | 4 PRINCIPLES
- osteopathic medicine believes that the human being is a dynamic functional unit in which ALL the parts are interrelated
- there is a unit on the body, the mind, and the spirit
THE BODY IS A UNIT
OSTEOPATHIC MANIPULATIVE TREATMENT | 4 PRINCIPLES
- it can NATURALLY heal itself without the application of medication or surgery
THE BODY POSSESSES SELF-REGULATORY, SELF-HEALING, and HEALTH MAINTENANCE MECHANISMS
OSTEOPATHIC MANIPULATIVE TREATMENT | 4 PRINCIPLES
- every part of the body is UNIFIED, they are connected to one another
STRUCTURE AND FUNCTIONAL ARE RECIPROCALLY INTERRELATED
OSTEOPATHIC MANIPULATIVE TREATMENT | 4 PRINCIPLES
- Based on the understanding on the unity of the body, mind, and spirit. Therefore, when these body structures are disturbed or imbalanced it can lead to disease. However, when these body structures are in balance or in harmony, a state of health may exist
RATIONAL THERAPY
OSTEOPATHIC PLAN
Osteopathy focuses on
SOMATIC DYSFUNCTION
OSTEOPATHIC MANIPULATIVE TREATMENT
- CENTRAL CONCEPT of osteopathy
- marker of indicator of disease for osteopathy
- impaired or altered function of related components of the somatic (body framework) system
SOMATIC DYSFUNCTION
OSTEOPATHIC MANIPULATIVE TREATMENT
4 CRITERIA OF SOMATIC DYSFUNCTION
Tenderness
Asymmetry
Restriction of motion
Tissue texture changes
OSTEOPATHIC MANIPULATIVE TREATMENT
- form of physical examination using the hands
- skin, temperature, fluid status/status of hydration, oil/dry measure of autonomous nervous tone, hyperesthesia, trigger points, tender points
PALPATION-INFORMATION
OSTEOPATHIC MANIPULATIVE TREATMENT
PALPATION-INFORMATION:
* can usually be assessed by PINCHING the skin
* when you pinch the skin and it springs back in LESS THAN 3 secs — NORMAL
* when you pinch the skin and it moves back SLOWLY — DISORDER/ABNORMALITY
FLUID STATUS / STATUS OF HYDRATION
OSTEOPATHIC MANIPULATIVE TREATMENT
PALPATION-INFORMATION:
hypersensitivity to EVERYTHING
HYPERSTHESIA
OSTEOPATHIC MANIPULATIVE TREATMENT
PALPATION-INFORMATION:
* hyper irritable spots
* usually located at or in muscular layers (produces pain LOCALLY)
* reproduce a referred pain with pressure (pain may SPREAD to other areas)
TRIGGER POINTS
OSTEOPATHIC MANIPULATIVE TREATMENT
PALPATION-INFORMATION:
* pain is only felt on the side of palpation
TENDER POINTS
OSTEOPATHIC MANIPULATIVE TREATMENT
- can be classified as direct or indirect
- addresses the muscular and fascial structures of the body with their associated neural and vascular elements
SOFT TISSUE OR MYOFASCIAL
OSTEOPATHIC MANIPULATIVE TREATMENT
SOFT TISSUE/MYOFASCIAL:
* if an individual feels pain when she turns her body to the right, the manipulation or the direction of manipulation is to the right
DIRECT
OSTEOPATHIC MANIPULATIVE TREATMENT
SOFT TISSUE/MYOFASCIAL:
* when you turn your body to the right, your manipulation is to the left
* OPPOSITE
INDIRECT
OSTEOPATHIC MANIPULATIVE TREATMENT
SOFT TISSUE/MYOFASCIAL:
* STRETCHING
* origin and insertion of a myofascial structure is separated LONGITUDINALLY
* can be both therapeutic and diagnostic
TRADITIONAL TECHNIQUE
OSTEOPATHIC MANIPULATIVE TREATMENT
SOFT TISSUE/MYOFASCIAL:
* a rhythmic, LATERAL stretching of a myofascial structure, in which the origin and insertion are held stationary and the central portion is stretched like a BOWSTRING
KNEADING
OSTEOPATHIC MANIPULATIVE TREATMENT
SOFT TISSUE/MYOFASCIAL:
* sustained DEEP pressure over a hypertonic myofascial structure
* can be gentle or not
INHIBITION
OSTEOPATHIC MANIPULATIVE TREATMENT
for
* KYPHOSIS
* prep for HVLA (high velocity, low amplitude)
* treat hypertonicity of thoracic visceral disease (asthma, COPD, HTN, CAD)
THORACIC PRONE TRACTION