OPP Test 2 Fall 2011

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OPP Test 2 Fall 2011

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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