Somatic Dysfunction Flashcards

(50 cards)

1
Q

Allopathy

A

Giving a drug that induces an environment in which the disease cannot handle

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2
Q

Osteopathy

A

Seeing the body having an inherent ability to heal itself. Fixing mechanical impediments allows for restoration of health

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3
Q

Somatic Dysfunction

A

Impaired or altered function in related components of skeletal, arthrodial, and myofascial (SOMA) compartments and their related vascular, lymphatic, and neural elements

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4
Q

Osteopathic Lesion

A

Palpatory cues and signs indicating a function disturbance that could predispose the body to disease

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5
Q

How do we define R in TART?

A

Abnormal restriction

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6
Q

Is tenderness subjective or objective?

A

Subjective (personal, emotions involved)

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7
Q

How do we categorize somatic dysfunction?

A

By tissue or structure most responsible for motion restriction

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8
Q

Types of Somatic Dysfunction

A
  1. Fascial-ligamentous restriction
  2. Arthrodial restriction
  3. Muscle restriction
  4. Edema-causing restriction
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9
Q

What maintains arthrodial dysfunction?

A

Facet structure itself

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10
Q

What often accompanies an arthrodial dysfunction?

A

Reflex muscle that guards and will not relax until articular restriction is released

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11
Q

5 things that can cause arthrodial dysfunction

A
  1. Acute trauma
  2. Repetitive motion injury (microtrauma)
  3. Sustained muscle hypertonicity
  4. Fascial or ligamentous contracture
  5. Poor posture
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12
Q

2 types of muscle restriction

A
  1. Short - 1 vertebral segment and 1 joint in peripheral skeleton
  2. Long - more than 1 vertebral segment and more than 1 joint in peripheral skeleton (groups)
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13
Q

Example of short muscle restriction

A
  1. Rotators

2. Interspinals

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14
Q

What determines the direction a vertebral segment can and cannot move? (fascial-ligamentous restriction)

A

Which ligaments shortened or lost elasticity

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15
Q

What is in the fascial envelope?

A

Contractile elements of muscles

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16
Q

When relaxed, what does static investing fascia do?

A

Stay shortened

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17
Q

What causes edema-causing restriction?

A

Pain produced from fascial stretching and compartment distension as well as presence of fluid

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18
Q

Articular dysfunction “end feel” is described as?

A

More solid

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19
Q

Muscle dysfunction “end feel” is described as?

A

Stretchy/rubbery

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20
Q

Ligamentous-fascial “end feel” is described as?

A

Very hard, abrupt w/ near total loss of tissue elasticity

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21
Q

Edema “end feel” is described as?

A

Mushy or fluid-filled sponge

22
Q

What is the “key lesion”?

A

Somatic dysfunction that causes and maintains a whole pattern of dysfunction including secondary SD’s

23
Q

If a function is corrected but keeps returning, what do you do next?

A

Determine whether or not it is caused by a reflex

24
Q

How do we name?

A

For the FREEDOM of motion

25
Out of 2 adjacent vertebrae, which one exhibits the restriction and bears the name?
Upper vertebrae
26
Fryette Type 1 vertebrae rotate how and into what?
Opposite and into convexity
27
How many vertebrae for a group in Type 1?
3 or more
28
Where does maximum rotation occur in Type 1?
At the APEX
29
Which is a group segment?
Type 1
30
Which is neutral and opposite?
Type 1
31
In type 2, what does the segment rotate into?
Concavity
32
How does rotation and sidebending occur in type 2?
To the SAME side
33
What is Fryette Type 3?
Initiating motion of a vertebral segment in any plane of motion (flexion/extension, sidebending, or rotation) will reduce the movement of that segment in other planes of motion
34
What can be classfied as Type 1 or Type 2?
ONLY thoracic or lumbar
35
C2-C7 is what?
Type 2 like
36
What is C1 on C2? (atlas on axis)
Pure ROTATION
37
What could cause type 1? (group)
Habitual posture/activity, may be caused by trauma
38
What 3 methods are for motion testing?
1. Gross motion testing and AGR 2. Segmental testing 3. Fascial pattern
39
Do you rescreen if AGR finds it to be above diaphragm?
Yes, to T12
40
Tell where to treat a vertical band in each region from AGR
1. Cervical - treat the head 2. Thoracic - treat UE 3. Lumbar - treat LE
41
If it's not a vertical band in the lumbars, what do we do?
Compare deviation on standing and seated flexion test
42
Horizontal band in the lower lumbars?
Treat that segment
43
No horizontal band in lower lumbars?
Treat sacrum
44
Do you repeat the screening after?
Yes
45
What are the 3 segmental motion testing planes?
1. Coronal 2. Transverse 3. Sagittal
46
What is a common compensatory pattern?
Alternating patterns of fascia preferences
47
What can treating the compnesatory pattern do?
Affect 4 major diaphragms of the body
48
What did Zink find?
People with the common compensatory fascial pattern were "healthy" and those who did not have them non-compensated and traumatic in origin or seen in chronic illness
49
Where is greatest trauma often found?
Transition zones (OA, CT, TL, LS)
50
4 things that addressing CCP does?
1. Relieve myofascial torsions in body 2. Affect ANS 3. Improve diaphragmatic function 4. Improve venous/lymphatic flow