Flashcards in Treatments Deck (52)
What is OMM?
Application of osteopathic philosophy, structural diagnosis, and use of OMT
What is OMT?
Theraputic application of manually guided forces by an osteopathic physician to improve physiologic function or support homeostasis
How do you name a SD?
By the direction in which the motion is freer (position at rest)
What are the three causes of SDs?
Do all SD need to be addressed?
No--if congenital especially
How many aspects of TART are needed to Dx a SD?
Sidebending is named for which side?
The side of concavity
What is the anatomic barrier?
Limit of passive ROM
What is the physiologic barrier?
Limit of active ROM
What are restrictive barriers?
The functional limit within anatomic ROM which abnormally diminishes the normal physiologic ROM
What is the elastic barrier?
Difference between anatomic and physiologic
What are the forces utilized in OMT?
What is extrinsic forces?
treatment forces which are not supplied by pt
What are intrinsic forces?
Voluntary or involuntary forces from within the pt that assist in manipulation
What are passive forces utilized by OMM?
Pt refraining from voluntary muscle contraction
What is an active force in OMM?
One in which the pt voluntarily performs a Dr direction
What is direct motion in OMM?
Engagement of restrictive barrier toward or through barrier
What is indirect motion in OMM?
SD is moved away from the restrictive barrier
What is the goal of direct/indirect motion?
What are the six factors that determine modalities of treatment?
1. Size of pt
2. Size of Dr
3. Age of pt
4. Health of pt
5. acute vs chronic
6. location of treatment
What are the four transition points in the body?
Why are the four transition areas important?
Where most SDs occur
What is HV/LA?
Direct engagement of an end point or barrier using a quick motion over a short distance
Is HV/LA a direct or indirect technique? Passive or active? Intrinsic or extrinsic? Are results in tissue texture change fast or slow?
Fast tissue texture change
Which OMM technique has the highest injury potential? What is this due to?
HV/LA due to muscle spasms
How often is HV/LA performed?
Once or twice a week
What produces the pop in joints?
Nitrogen gas release
How does the thrust used in HV/LA change the neural activity of muscles?
Alters the afferent output of mechanoreceptors, resulting in release of the muscle hypertonicity
What are the contraindications to HV/LA?
Bony metastases spondylolisthesis
Vertebral artery stenosis