What are the osteopathic tenets?
L1 S4-8
- The body is a unit
- The body possesses self-regulatory mechanisms
- Structure and function are reciprocally interrelated
- Rational therapy is based off understanding the first three tenets
What is somatic dysfunction?
L1 S9-11
Impaired or altered function of:
- skeletal
- arthrodial
- myofascial
And assocaited:
- vascular
- lymphatic
- neural elements
How is somatic dysfunction diagnosed?
L1 S15-19
TART
- Tissue texture changes
- Asymmetry
- Restriction of motion
- Tenderness
What are tissue characteristics of acute somatic dysfunction?
L1 S24
- erythema
- increased warmth
- bogginess
- edema
- spasm
- tissue contraction
What are tissue characteristics of chronic somatic dysfunction?
L1 S24
- pale
- cool
- ropey
- stringy
- scar
- doughy
What is the difference between passive and active range of motion?
What bounds each and what is the region between the two?
L1 S28
Active:
- ROM that the patient can achieve
- bound by physiologic barrier
Passive:
- ROM that is achieved with outside assistance
- bound by anatomic barrier
Elastic range is between physiologic and anatomic barrier
What is a restrictive barrier?
L1 S31-32
Barrier that occurs before normal physiologic barrier and results in motion loss
When is OMT indicated (2) and contraindicated (3)?
L1 S34;37
Indicated:
- somatic dysfunction
- visceral dysfunction
Contraindicated:
- no somatic dysfunction
- no consent
- inappropriate clinical situation
What are the different levels of evidence for OMT?
L1 S35
A - randomized clinical trial or systematic reviews
B - case-control or cohort studies, retrospective studies
C - consensus statements, expert guidelines and usual practice
