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43 Cards in this Set

  • Front
  • Back
1. Bind—
a. Palpable resistance to motion of an articulation or tissue. Synonym: resistance. Antonyms: ease, compliance, resilience.
1. Compliance—
a. The ease with which a tissue may be deformed.
b. Direction ofease in motion testing.
1. Compression—
a. 1. Somatic dysfunction in which two structures are forced together.
b. A force that approximates two structures.
1. Creep—
a. The capacity of fascia and other tissue to lengthen when subjected to a constant tension load resulting in less resistance to a second load application
1. Ease—
a. Relative palpable freedom of motion of an articulation or tissue. Synonyms: compliance, resilience. Antonyms:bind, resistance.
1. Effleurage—
a. Stroking movement used tomove fluids.
1. Elastic deformation—
a. Any recoverable deformation. See also plastic deformation
1. Elasticity—
a. Ability of a strained body or tissue to recover its original shape after deformation. See also plasticity and viscosity.
1. Guiding—
a. Gentle movement by theoperator following the path of leastresistance in the movement of a bodypart within its normal range.
1. Habituation –
a. Decreased physiologicresponse to repeated stimulation.
1. Hysteresis—
a. During the loading and unloading of connective tissue, the restoration of the final length of the tissue occurs at a rate and to an extent less than during deformation (loading).These differences represent energy loss in the connective tissue system. This difference in viscoelastic behavior (andenergy loss) is known as hysteresis (or“stress-strain”). (Foundations, SecondEdition, page 1158).
1. Inhibition reflex—
a. 1. In osteopathic usage,a term that describes the application of steady pressure to soft tissues to effect relaxation and normalize reflex activity.
b. 2. Effect on antagonist muscles due to reciprocal inhibition when the agonist is stimulated. See also law, Sherrington’s. See alsoosteopathic manipulative treatment,inhibitory pressure technique.
1. Klapping—
a. Striking the skin with cupped palms to produce vibrations with the intention of loosening material in the lumen of hollow tubes or sacs within the body, particularly the lungs.
1. Kyphoscoliosis—
a. A spinal curve pattern combining kyphosis and scoliosis. See also kyphosis. See also scoliosis Wolff Law
1. Chapman reflex combined method—
a. 1. A treatment strategy where the initial movements are indirect; as the technique is completed the movements change to direct forces.
b. 2. A manipulative sequence involving two or more different osteopathic manipulative treatment systems (e.g.,Spence rtechnique combined with muscle energy technique).
c. 3. A concept described by Paul Kimberly, DO.
1. Facilitated oscillatory release technique (FOR)—
a. 1. A technique intended to normalize neuromuscular function by applying a manual oscillatory force, which may be combined with any other ligamentous or myofascial technique.
b. 2. A refinement of a long-standing use of oscillatory force in osteopathic diagnosis and treatment as published in early osteopathic literature.
c. 3. A technique developed by Zachary Comeaux, DO.
1. Fascial unwinding—
a. a manual techniqueinvolving constant feedback to the osteopathic practitioner who is passively moving a portion of the patient’s body in response to the sensation of movement. Its forces are localized using the sensations of ease and bind over wider regions.
1. Functional method—
a. an indirect treatment approach that involves finding the dynamic balance point and one of the following: applying an indirect guiding force, holding the position or adding compression to exaggerate position and allow for spontaneous readjustment. The osteopathic practitioner guides the manipulative procedure while the dysfunctional area is being palpated in order to obtain a continuous feedback of the physiologic response to induced motion. The osteopathic practitioner guides the dysfunctional part so as tocreate a decreasing sense of tissueresistance (increased compliance).
1. Integrated neuromusculoskeletal—
a. a treatment system in which combined procedures are designed to stretch and reflexly release patterned soft tissue and joint-related restrictions. Both direct and indirect methods are used interactively.
1. Ligamentous articular strain technique (LAS)—
a. 1. A manipulative technique in which the goal of treatment is to balance the tension in opposing ligaments where there is abnormal tension present.
b. 2. A set of myofascial release techniques described by Howard Lippincott, DO, and Rebecca Lippincott, DO.
c. 3. Title of reference work by Conrad Speece, DO, and William Thomas Crow, DO.
1. Myofascial release (MFR)—
a. a system of diagnosis and treatment first described by Andrew Taylor Still and his early students, which engages continual palpatory feedback to achieve release of myofascial tissues.
1. direct MFR,
a. a myofascial tissue restrictive barrier is engaged for the myofascial tissues and the tissue isloaded with a constant force until tissue release occurs.
1. indirect MFR,
a. the dysfunctional tissues are guided along the path of least resistance until free movement is achieved
1. Myofascial technique—
a. any technique directed at the muscles and fascia. See also osteopathic manipulative treatment, myofascial release. See alsoosteopathic manipulative treatment,soft tissue technique
1. Pétrissage—
a. Deep kneading or squeezing action to express swelling.
1. Plastic deformation—
a. A non-recoverable deformation. See also elastic cdeformation.
1. Plasticity—
a. Ability to retain a shape attained by deformation. See also elasticity. See also viscosity.
1. Resilience—
a. Property of returning to the former shape or size after mechanical distortion. See also elasticity. See also plasticity.
1. Still technique—
a. 1. Characterized as a specific non-repetitive articulatory method that is indirect then direct.
b. 2.Attributed to A.T. Still.
c. 3. A term coined by Richard Van Buskirk, DO,PhD.
1. Scoliosis—
a. 1. Pathological or functional lateral curvature of the spine.
b. 2. An appreciable lateral deviation in the normally straight vertical line of thes pine (Dorland’s. (Fig. 55)
1. Tapotement—
a. Striking the belly of a muscle with the hypothenar edge of the open hand in rapid succession in an attempt to increase its tone and arterial perfusion.
1. Manual medicine—
a. The skillful use of the hands to diagnose and treat structural and functional abnormalities in various tissues and organs throughout the body,including bones, joints, muscles and other soft tissues as an integral part of complete medical care.
b. 1. This term originated from the German ManuelleMedizin (manual medicine) and has been used interchangeably with the term manipulation.
c. 2. This term is notidentical to manual therapy, which has been used by non-physician practitioners (e.g. physical therapists).
1. Mirror-image motion asymmetries—
a. A grouping of primary and secondary sites of somatic dysfunction describing a three-segment complex fundamental to dysfunction in a mobile system. Each adjacent segment, above and below the primary locus, demonstrates opposing asymmetries to that locus. For example, if the primary locus resists rotation right, the segments above and below resist rotation left.
1. Mobile segment—
a. A term in functional methods to describe a bony structure with its articular surfaces and adnexal tissues (neuromuscular and connective)for segmental motion which affects movement, stabilizes position and allows coordinated participation in passive movement.
1. Mobile system—
a. An osteopathic construct associated with functional methods in which the body as a whole is viewed as a centrally integrated system in which all of the individual elements (e.g. mobile segments) have coordinated and specific motion characteristics. See also functional methods.
1. Myogenic tonus—
a. 1. Tonic contraction of muscle dependent on some property of the muscle itself or of its intrinsic nerve cells.
b. 2. Contraction of a muscle caused by intrinsic properties of the muscle or by its intrinsic innervations (Stedman’s).
1. Active method—
a. technique in which the person voluntarily performs an osteopathic practitioner-directed motion.
1. Facilitated positional release (FPR)—
a. a system of indirect myofascial release treatment. The component region of the body is placed into a neutral position, diminishing tissue and joint tension in all planes, and an activating force(compression or torsion) is added.
b. 2. A technique developed by Stanley Schiowitz, DO
1. Myotension—
a. a system of diagnosis and treatment that uses muscular contractions and relaxations under resistance of the osteopathic practitioner to relax, strengthen or stretch muscles, or mobilize joints
1. Passive method—
a. based on techniques in which the patient refrains from voluntary muscle contraction.
1. Positional technique—
a. a direct segmental technique in which a combination of leverage, patient ventilatory movements and a fulcrum are used to achieve mobilization of the dysfunctional segment. May be combined with springing or thrust technique.
1. Progressive inhibition of neuromuscular structures (PINS)—
a. 1.A system of diagnosis and treatment inwhich the osteopathic practitioner locates two related points and sequentially applies inhibitory pressure along a series of related points.
b. 2.Developed by Dennis Dowling, DO.
1. Traction technique—
a. a procedure of high or low amplitude in which the parts are stretched or separated along a longitudinal axis with continuous or intermittent force.