Flashcards in Session #3: Philosophy of Osteopathic Medicine Deck (12)
living organisms have unity of their structure and function. Considers multiple systems when treating the patient. Aims to establish and maintain health, and prevent and alleviate disease.
how was osteopathic medicine taught in the beginning?
A.T. Still never wrote his own book
Hazzard (DO) wrote a book about techniques and credited them to Still
a fundamental truth that others depend on
questioning about the nature of things based on logical reasoning
general instruction or rule for action
a doctrine or principle that's held by a group or person
what is emphasized in osteopathic learning?
Wanted people to understand the mechanism, not just memorize an array of techniques (like "engine wipers" would do)
Wanted students to picture normal anatomy in their heads when treating sick patients
Wanted students to know a lot of facts and do their own reasoning
4 main tenets of osteopathic philosophy
1. the human is a unit, the person is a whole with their body, mind and spirit (example: fascia surrounds all muscles and organs)
2. structure related to function (example: interstitial pneumonia leads to decreased gas exchange, clinical issues affect structure)
3. self-healing, self-regulation (example: neck receptors monitoring BP, immune system and healing)
4. rational treatment is based on previous principles (recognize the somatic component of the disease, then treat with manipulation)
what year did A.T. Still announce his philosophy?
1874, then started using manipulation techniques 5 years later
corollary principles of osteopathic philosophy
1. if normal adaptability disrupted or environmental changes overcome the body's capacity for self-maintenance, disease may ensue
2. movement of body fluids essential for maintenance of health (ex. arteries carry nutrients and wastes)
3. the nervous system plays a crucial part in controlling the body (autonomic NS influences vascular changes)
4. some somatic symptoms of the disease are symptoms but also contribute to the disease state
somatic dysfunction definition
an impaired or altered function of the somatic (body framework) system: skeletal, arthrodial, myofascial structures, and related vascular, lympathic and neural elements
can be identified by palpation (and compared to adjacent parts) and movement testing (seeing which directions have free or restricted movement)
use TART to find physical signs of somatic dysfunction