OPP Test 2 Fall 2011
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132 terms
Terms | Definitions |
|---|---|
 An osteopathic system of diagnosis and indirect treatment in which the patients somatic dysfunction, diagnosed by an associated myofascial tender point, is treated by using a position of spontaneous tissue release while simultaneously monitoring the tender point | counterstrain |
| Indication is acute or chronic somatic dysfunction | counterstrain |
| Indication is somatic dysfunctions with a neural component like a hypershortened muscle | counterstrain |
| Indication is primary treatment or in conjunction with other approaches | counterstrain |
| Indication is somatic dysfunction in any area of the body | counterstrain |
| Relative contraindication are patients who cannot voluntarily relax | counterstrain |
| Relative contraindication are severely ill patients` | counterstrain |
| Relative contraindication are patients with vertebral artery disease | counterstrain |
| Relative contraindication is severe osteoporosis | counterstrain |
| Safety and efficacy is pain, most often in antagonist muscles, several hours after treatment, usually self limited and well-tolerated by patients | counterstrain |
| Safety and efficacy reactions associated with patient position and avoid positions that cause discomfort, dizziness, panic, or neurogenic pain such as upper cervical hyper rotation and hyperextension | counterstrain |
| Safety and efficacy are to avoid extreme forward bending of the thoracolumbar spine in osteoporotic patients | counterstrain |
| Safety and efficacy are to use caution when treating the cervical spine in a patient with RA or any R conditions, segmental, or ligamentous instability | counterstrain |
| Special consideration is to use indirect positioning to shorten the tissues/muscles associated with the tender point | counterstrain |
| Special consideration is the tissues being treated may or may not be located directly beneath the tender point being treated | counterstrain |
| Special consideration is to normalize neurophysiologic functioning, correct a SD, and reduce pain | counterstrain |
| An osteopathic technique employing a rapid, therapeutic, force of brief duration that travels a short distance within the anatomic range of motion of a joint, and that engages the restrictive barrier in one or more planes of motion to elicit release of restriction. Also known as thrust technique | HVLA |
| Indication is articular SD | HVLA |
| Indication is firm distinct articular barrier | HVLA |
| Absolute contraindication is RA | HVLA |
| Absolute contraindication is down syndrome | HVLA |
| Absolute contraindication is achondroplastic dwarfism | HVLA |
| Absolute contraindication is chiari malformation | HVLA |
| Absolute contraindication is fracture, dislocation, spinal or joint instability | HVLA |
| Absolute contraindication is ankylosis, spondylosis with fusion | HVLA |
| Absolute contraindication is surgical fusion | HVLA |
| Absolute contraindication is klippel-feil syndrome | HVLA |
| Absolute contraindication is vertobrobasilar insufficiency | HVLA |
| Absolute contraindication is inflammatory joint disease | HVLA |
| Absolute contraindication is bony malignancy | HVLA |
| Absolute contraindication is patient refusal | HVLA |
| Relative contraindication is acute herniated disc | HVLA |
| Relative contraindication is acute radiculopathy | HVLA |
| Relative contraindication is acute whiplash. muscle spasm, strain, sprain | HVLA |
| Relative contraindication is osteopenia, osteoporosis | HVLA |
| Relative contraindication is spondylolisthesis | HVLA |
| Relative contraindication is metabolic bone disease | HVLA |
| Relative contraindication is hypermobility syndrome | HVLA |
| Safety and efficacy is cervical spine consensous and position paper research | HVLA |
| Indication is edema | lymphatic |
| Indication is tissue congestion | lymphatic |
| Indication is lymphatic stasis | lymphatic |
| Indication is infection | lymphatic |
| Indication is inflammation | lymphatic |
| Absolute contraindication is aneuresis if not dialysis | lymphatic |
| Absolute contraindication is necrotizing fasciitis | lymphatic |
| Relative contraindication is pregnancy (uterus, deep abdominal work) | lymphatic |
| Relative contraindication is cancer | lymphatic |
| Relative contraindication is osseous fracture or crushed bone | lymphatic |
| Relative contraindication is bacterial infection with risk of dissemination | lymphatic |
| Relative contraindication is chronic infection with risk of reactivation (abcess, chronic osteomyelitis) | lymphatic |
| Relative contraindication is diseased organ (thyroid in hyperthyroidism) | lymphatic |
| Relative contraindication is circulatory disorders (embolism) | lymphatic |
| Relative contraindication is coagulopathies | lymphatic |
| Relative contraindication is unstable cardiac conditions | lymphatic |
| Relative contraindication is CHF | lymphatic |
| Relative contraindication is COPD | lymphatic |
| A form of osteopathic manipulative diagnosis and treatment in which the patients muscles are actively used on request, from a precisely controlled position, in a specific direction, and against a distinctly executed physician counterforce | ME |
| Absolute contraindications are absence of somatic dysfunction and lack of patient consent or cooperation | ME, myofascial release, counterstain |
| Relative contraindication infection, or tear in involved muscle | ME |
| Relative contraindication fracture or dislocation of involved joint | ME |
| Relative contraindication rheumatologic conditions causing instability of the cervical spine | ME |
| Relative contraindication undiagnosed joint swelling of involved joint | ME |
| Relative contraindication positioning that compromises vasculature | ME |
| Safety and efficacy include inherent safety due to the corrective force being applied by the patient. Too vigorous a contraction on the part of the patient can render the technique less effective and result in post treatment soreness or muscle spasm | ME |
| Principal mechanism for promoting lymphatic and venous circulation | ME |
| System of diagnosis and treatment, first described by AT Still and his early students, which engages continual palpatory feedback to achieve release of myofascial tissues | myofascial release |
| Relative contraindication fracture or open wound | myofascial release |
| Relative contraindication acute thermal injury | myofascial release |
| Relative contraindication soft tissue or bony infection | myofascial release |
| Relative contraindication abscesses, DVT | myofascial release |
| Relative contraindication anticoagulation | myofascial release |
| Relative contraindication disseminated of focal neoplasm | myofascial release |
| Relative contraindication recent post operative states over proposed treatment | myofascial release |
| aortic aneurysm | myofascial release |
| Safety and efficacy treatment of carpal tunnel | myofascial release |
| May be performed on various tissues including fascia, tendons, cicatrices, internal organs or visceral organs, suspensory ligaments | myofascial release |
| A system of diagnosis and treatment by an osteopathic physician using the primary respiratory mechanism and balanced membranous tension | osteopathy in the cranial field |
| Indication cranial neuropathy-nerve entrapment | osteopathy in the cranial field |
| Indication bells palsy | osteopathy in the cranial field |
| Indication trigeminal neuralgia | osteopathy in the cranial field |
| Indication atypical facial pain | osteopathy in the cranial field |
| Indication HA, sinusitis, orofacial pai | osteopathy in the cranial field |
| Indication vertigo, tinnitus, visual disturbances, strabismus | osteopathy in the cranial field |
| Indication TMJ, malocclusions, strain patterns of sacrum or axial and appendicular skeleton | osteopathy in the cranial field |
| Absolute contraindication increased intracranial pressure, acute intracranial bleeding, skull fracture, acute cerobrovascular accident | osteopathy in the cranial field |
| Relative contraindication coagulopathies, space occupying lesion in cranium | osteopathy in the cranial field |
| Special considerations in newborns | osteopathy in the cranial field |
| The maintenance of a pool of neurons in a state of partial or subthreshold excitation; in this state, less afferent stimulation is required to trigger the discharge of impulses | Facilitation |
| A vertebral segment or spinal cord level that exhibits facilitation | Facilitation segment |
| Due to abnormal bombardment of spinal cord segments from somatic and visceral afferent impulses to the spinal cord | Facilitation segment |
| Viscero-somatic reflex t1-t4 | HEENT |
| Viscero-somatic reflex t1-t5 left | Heart |
| Viscero-somatic reflex t1-t5/6 | Lungs |
| Viscero-somatic reflex t5-t6 | Esophagus |
| Viscero-somatic reflex t5-t9 left | Stomach |
| Viscero-somatic reflex t7-t9 left | Spleen/Pancreas |
| Viscero-somatic reflex t6/7-t9 right | Liver/Gallbladder |
| Viscero-somatic reflex t8-t10 | Adernal |
| Viscero-somatic reflex t9-t10 | Small intestine |
| Viscero-somatic reflex t10-L1 | Kidneys |
| Viscero-somatic reflex t12-L1/2 | Uterus |
| Viscero-somatic reflex t10-t11 right | Right colon |
| Viscero-somatic reflex t12-L2 left | Left colon |
| Viscero-somatic reflex t11-t12/L2 | Bladder/Ureters/Prostate |
| Viscero-somatic reflex L1-L2 left | Rectum/Sigmoid |
| Viscero-somatic reflex t2-t7 | Upper extremity |
| Viscero-somatic reflex t11-L2 | Lower extremity |
| Myofascial clues to visceral dysfunction | Chapmans |
| Anatomically fixed ganglioform nodules or contractures | Chapmans |
| Dense, firm, smooth, one half the size of a BB | Chapmans |
| Neuro-lymphatic reflex, hypercongestion due to increased sympathetic tone | Chapmans |
| Produce sharp, pinpoint, non-radiating pain | Chapmans |
| Paired, anterior tender points more sensitive than posterior tender points | Chapmans |
| Lie in deep fascia or in periosteum | Chapmans |
| Chapmans point top of clavicle | Middle ear |
| Chapmans point top of 1st rib | Pharynx |
| Chapmans point top of 2nd rib | Sinuses |
| Chapmans point ICS2 | Esophagus/Bronchus?Myocardium |
| Chapmans point ICS3 | Upper lung |
| Chapmans point ICS4 | Lower lung |
| Chapmans point ICS5 left | Stomach (acidity) |
| Chapmans point ICS6 right | Liver/Gallbladder |
| Chapmans point ICS7 left | Spleen |
| Chapmans point ICS7 right | Pancreas |
| Chapmans point tip of 12th rib | Appendix |
| Chapmans point belly button | Bladder |
| Chapmans point pubic symphysis | Ovaries/Urethra |
| Chapmans point IT band | Prostate |
| Axis responsible for respiratory flexion/extension of the sacrum | Superior transverse axis (S1) |
| Axis responsible for postural flexion/extension of the sacrum | Middle transverse axis (S2) |
| Axis responsible for rotation of the ilia on the sacrum during walking. Iliosacral motion | Inferior transverse axis |
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