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132 terms

OPP Test 2 Fall 2011

OPP Test 2 Fall 2011
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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