Omm History And Test 1 Lecom Oms1

Front 1

Date of birth of Dr. Andrew Still

Back 1

August 6 1828

Front 2

A T Still medical education

Back 2

one session at College of Physicians and Surgeons in Kansas City
Father was a physician

Front 3

birth of osteopathy

Back 3

banner flung to the wind
June 22, 1874

Front 4

where did Dr. Still look to teach osteopathic medicine?

Back 4

Baker University in Baldwin Kansas - 1874

Front 5

Who was dr. william smith?

Back 5

surgeon from edinburgh
sold surgical instruments
met A T Still in Kirksville missouri in 1892

Front 6

What is TART?

Back 6

TIssue texture changes
Asymmetry
Restriction
Tenderness

Front 7

what is somatic dysfunction

Back 7

impairment or altered function of somatic system
ie. skeletal, myofascial, vascular, lymphatic, and neural elements

Front 8

what is a physiological barrier

Back 8

the endpoint for a patient to actively move a joint

Front 9

what is an anatomical barrier

Back 9

end point a physician can passively move a joint to

Front 10

restrictive barrier is what?

Back 10

caused by a somatic dysfunction
lies before a physiological barrier
prevents full rotation of a joint

Front 11

what is the subjective component of TART?

Back 11

Tenderness - pain response in the pt

Front 12

Acute texture change

Back 12

eematous, erythematous, boggy, increased moisture, hypertonic muscle

Front 13

chronic texture change

Back 13

cool, dry skin
no edema
slight tension
decrease muscle tone
flaccid
ropy
fibrotic

Front 14

assymetry in acute SD

Back 14

present

Front 15

assymetry in chronic SD

Back 15

present with compensation from other areas of body

Front 16

Restriction in acute SD

Back 16

present
painful with movement

Front 17

Restriction in chronic SD

Back 17

present
decreased/ no pain

Front 18

Tenderness in Acute Sd

Back 18

severe
Sharp

Front 19

tenderness in Chronic SD

Back 19

Dull
Achy
Burning

Front 20

summary of Fryette's Law I

Back 20

neutral position
sidebending precedes rotation
sidebending and rotation occur oppositely
Applies to a GROUP of vertebrae

Front 21

Fryette's law II summary

Back 21

non-neutral (flexed or extended)
Rotation precedes sidebending
sidebending and rotation occur on the same side
Applies to a single vertebrae

Front 22

what is a pathalogic barrier?

Back 22

more permanent change in tissue
related to contractures within soft tissues
ostyophytic development
ex. osteoarthritis

Front 23

can a physiological barrier be moved?

Back 23

YES
warm up the muscle and stretch
warming up the joint

Front 24

myofascial shortening

Back 24

increases passive ROM
decreases active ROM

Front 25

Elastic barrier

Back 25

where ligamentous stretching occurs
between physiologic barrier and anatomical barrier

Front 26

restrictive barrier

Back 26

range of motion is limited

Front 27

with a restrictive barrier, where is the new neutral midline?

Back 27

shifted away from the restrictive barrier

Front 28

types of synovial joints

Back 28

plane
hinge
pivot
condyloid
saddle
ball and socket

Front 29

plane synovial joint examples

Back 29

tibiofibular
acromioclavicular
sacroiliac

Front 30

hinge joint examples
(ginglymus)

Back 30

humeroulnar joint
interphylangeal
femorotibial
temporomandibular

Front 31

Cervical spine general movement

Back 31

C2- C7
F/E
R
S

Front 32

T spine general movement

Back 32

R>F/E>SB

Front 33

L spine general movement

Back 33

F/E > SB > Rotation

Front 34

Fryette's 3rd principle

Back 34

movement in one plane limits and modifies motion in other planes
True for C, T, and L spine

Front 35

neutral position for Fryette's

Back 35

occurs with Fryette's Law I
motion is dependent upon vertebral body
not facets

Front 36

occipitoatlantic joint generality in motion

Back 36

sidebend one way and rotate the other
like fryette I

Front 37

AA joint motion generalities

Back 37

odontiod process fixed against anterior arch of atlas by transverse ligament of atlas
Rotates R or L
AA Rx or AA Ry
normal range for rotation in C spine - 45 deg R and 45 deg L
AA accounts for 50% of the total rotation in C spine

Front 38

What are we palpating in diagnosing C spine?

Back 38

Articular pillars

Front 39

Coupled motion of Cervical spine refers to what?

Back 39

motion of superior vertebral body on the inferior one
Rotate and Sidebend to the same side

Front 40

Normal mechanics of C spine

Back 40

F/E combined range 180 deg
R and SB to same side
ex. C2 RLSL
C7 RrSr

Front 41

what is a vertebral unit?

Back 41

Two adjacent vertebrae, their joints, and the
intervertebral discs between them.
The vertebral unit is given the name of the superior
member of the unit.
Ex: motion or somatic dysfunction of “C2” means
the motion of C2 on C3.
Ex: motion or somatic dysfunction of “L3” means
the motion of L3 on L4.

Front 42

spinal unit?

Back 42

two vert. and associated soft tissues

Front 43

rotation occurs on the convexity is what type of SD?

Back 43

Type I

Front 44

rotation occurs on the concavity is what type of SD?

Back 44

Type II

Front 45

what is a somatic reflex arc?

Back 45

Afferent and Efferent fibers pass in the same nerve
An afferent stimulus causes a reflex response via
somatic efferent fibers
Responsible for all aspects of T.A.R.T

Front 46

what is a visceral reflex arc responsible for?

Back 46

responsible for visceral dysfunction; same reflex
pattern as a somatic reflex arc