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19 Cards in this Set
- Front
- Back
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What is visceral dysfunction?
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"Impaired or altered mobility or motility of the visceral system and related fascial, neurological, vascular, skeletal, and lymphatic elements."
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What is the fascia generally composed of?
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1 - collagen
2 - elastin - maintains the tensile strength and this is the main point of manipulation 3 - fibroblasts |
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What type of circulation is the focus of osteopathy?
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lymph, interstitia, micro perfusion
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If a ligament is purely elastic, then what is a visceral ligament in contrast?
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it is viscoelastic, which means that it can act as a fluid and/or a solid. this manifest as heat dissipation per the fluid friction creation and release.
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Recall the difference between elastic, pathologic, physiologic, anatomic, and restrictive barriers.
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1 - physiologic - barrier with active motion
2 - anatomic - barrier per anatomy 3 - pathologic - permanent barrier caused by pathologic conditions 4 - restrictive barrier - any reduction in normal ROM 5 - elastic - between physiologic and anatomic barriers where passive ligamentous stretching occurs. |
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What is the difference between stress and strain?
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strain - elongation
stress - force applied a stress larger than the yield strength causes permanent/plastic deformation |
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How does the speed of the force applied affect the change that the tissue undergoes?
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speed of tissue change is individualistic. keep it in mind while manipulating.
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What goal changes occur with visceral manipulation?
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dissipation of heat, movement of fluid, and restructuring of elasticity curve.
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What is facilitation?
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agitated ganglia that cause restricted motion of a "facilitated" spinal segment. the transverse process actively, rhythmically side bends and rotates.
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What planes must one consider with fascial palpation?
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AP, rotation, sidebending
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What does a dysfunction feel like when viscerally palpated?
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it feels like the fascia is pulling inward toward the point of greatest dysfunction
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With inhalation, in what direction does the pericardium move?
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inferior and medial
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How is visceral dysfunction described clinically?
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based on position upon respiration:
inhalation/exhalation dysfunction where an inhalation dysfunction is when a visceral component is stuck in inhalation. it's described by what it CAN do. |
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What ligamentous finding is associated with GERD and is used for a treatment target?
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excessive tension in the paraesophageal ligament
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What is the Sutherland technique?
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release of the GE junction to help with GERD symptoms by lateral traction of the 12th rib => 12th rib, crus, diaphragm, GE junction traction and release
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What kind of motion does the kidney experience physiologically?
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up to 10 cm with respiration. recall right is lower than left
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What can be caused by an inferior kidney?
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could kink the ureter, irritate the 12th intercostal nerve, ileohypogastric nerve, ileoinginal nerve, lateral femoral cutaneous nerve, genitofemoral nerve, or femoral nerve
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What is Grynfelt's space?
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the space bordered by the illiac crest, spine, and 12th rib that is palpated through in order to engage the posterior kidney
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What is ptosis?
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renal drop/inhalation dysfunction causing recurrent UTI, renal lithiasis, low back pain, knee pain, flank pain, or groin pain.
significant resolution with OPP manipulation |
