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15 Cards in this Set
- Front
- Back
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What is a concern regarding how you approach a "disabled" patient depending on how they are defined as disabled?
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many different organizations use the word disabled to mean different things. SS, WC, ADA, VA, other federal programs could all define a condition and whether it's disabled or not differently. be aware. so no matter what, YOU establish and confirm a dx and then have a clear tx goal.
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What is the prevalence of disability in the US?
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1 in 4 and rising
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What are good general goals to have for OMM therapy for the disabled patient?
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restore function and independence, encourage physical activity, improve self-confidence
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What is the significance of losing proprioception and balance with any (but specifically) a neurologically specific disability?
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falling. 50% of people who fall die in a year if they are > 60 y/o.
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What are most specific goals of OMM?
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1. /\ flexibility, ROM
2. \/ spasticity, discomfort 3. /\ proper postures, gait 4. \/ nerve entrapment |
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How can we resolve spasticity?
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OMM, botox, valium, bactofen, dantrium, phenol starting most conservatively and working from there.
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How can we resolve osteoporosis?
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\/ risk of fx by Ca, vit D, fosamax, evista, \/ pain, swelling
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What is an articulatory technique?
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LVHA, direct technique
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Is myofascial release direct or indirect?
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it can be either, yo
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What's the difference between spasticity and muscle spasm?
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spasm - not hyperreflexic, veloctiy independent
spasticity - hyperreflexia, velocity dependent resistance to stretch |
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What are the complications of OMT?
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HVLA where it's contraindicated. most commonly cervical with hyper-extension or another absolute contraindications in the neck
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What are the absolute contraindicates for OMT?
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inadequate dx, severe infection or inflammation, myelopathy, cauda equina syndrome, spinal vertebral malignancy, local cervical rheumatoid dz, fracture or local dislocation, pregnancy with known threat of miscarriage
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*What are physical manifestations of myelopathy?
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spinal cord injury that manifests any number of ways: UMN, LMN signs, babinski, abnormal reflexes, fasciculations, weakness, balance/gait problems, wide stance gait, wobbly gait, muscle wasting, sensory lost like 2 point discrimination
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*How does cauda equina syndrome present?
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diminished rectal tone and sensation from impingement of the cauda equina. this is a surgical emergency.
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What are the relative contraindications of OMT?
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inadequate skill, dx, advanced DJD or RA, osteoporosis, radicular signs
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