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89 Cards in this Set
- Front
- Back
A therapeutic system in
which a disease is treated by producing a second condition that is incompatible with or antagonistic to the first. |
allopathy
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A term used to refer those
holding a Doctor of Medicine (MD) degree, a non-osteopathic medical degree. |
allopath
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A positional
descriptor used to identify the side of reference when rotation of a vertebra has occurred; in a condition of right rotation, the left side is the anterior component; usually refers to the less prominent transverse process |
anterior component:
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The place of union or
junction between two or more bones of the skeleton. 2. The active or passive process of moving a joint through its permitted anatomic range of motion. See also osteopathic manipulative treatment, articulatory treatment (ART) |
articulation
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Absence of symmetry of
position or motion; dissimilarity in corresponding parts or organs on opposite sides of the body that are normally alike; of particular use when describing position or motion alteration resulting from somatic dysfunction. |
asymmetry:
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An imaginary line about which
motion occurs. 2. The second cervical vertebra. 3. One component of an axis system. |
axis
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Accepted universal term for
backward motion of the spine in a sagittal plane about a transverse axis; in a vertebral unit when the superior part moves backward. 2. In extremities, it is the straightening of a curve or angle (biomechanics). 3. Separation of the ends of a curve in a spinal region; See extension, regional extension. Opposite of forward bending. |
backward bending:
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The limit to
motion; in defining barriers, the palpatory end-feel characteristics are useful |
barrier (motion barrier):
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the limit of motion
imposed by anatomic structure; the limit of passive motion |
anatomic barrier
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the range between the
physiologic and anatomic barrier of motion in which passive ligamentous stretching occurs before tissue disruption. |
elastic barrier
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a restriction of joint
motion associated with pathologic change of tissues (example: osteophytes). See also barrier, restrictive b. |
pathologic barrier
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Two adjacent vertebrae--
Shared ligaments-- Monoarticular muscles-- Joints -- |
Functional Spinal Unit (FSU)
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Flexion (forward bending)
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Spinous processes move apart. OPENING OF FACETS
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Extension (backward bending)
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Spinous processes move closer. CLOSING FACETS
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Rotation
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Right or left named for facing of anterior surface of the vertebral body
Transverse processes follow body by moving posterior on the side of rotation (think about bicycle handles) Usually coupled with sidebending |
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Sidebending (lateral flexion)
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Left or right refers to direction of movement of superior surface of superior vertebra
Right sidebending=closing of right facets; opening of left facets Left sidebending=closing of left facets; opening of right facets Usually coupled with rotation |
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Translation - right
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Named by direction of movement
Eg: right translation – movement of vertebra to right, along x axis, creates a right convexity; left concavity Useful in localizing motion |
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Translation - left
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Named by direction of movement
Eg: left translation – movement of vertebra to left along x axis, creates a left convexity; right concavity Useful in localizing motion |
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Normal condition
Facets are not engaged Weight bearing is on the body of the vertebra Facets not in contact so not controlling segmental motion |
Neutral
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Facets (zygapophysis) becomes engaged
Engaged facet acts as a pivot for motion at that segment Automatically couples sidebending and rotation |
Non-neutral
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A set of three laws pertaining to axial skeleton
Harrison Fryette, D.O. Paper presented 1918 |
FRYETTE’S LAWS OF PHYSIOLOGIC MOTION OF THE SPINE
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Sidebending and rotation will occur in opposite directions
Involves a group of vertebra |
Law I (neutral mechanics)
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In neutral position, when sidebending is introduced, rotation occurs to the opposite side.
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Fryette’s 1st Law (Principle)
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Law I =Type I mechanics
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Law I =Type I mechanics
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Facets are engaged, particularly in flexion or extension
Sidebending and rotation occur in same direction Involves single Function Spinal Unit (FSU) Pivot created by engaged facet |
Law II (non-neutral mechanics)
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In the non-neutral position, when rotation is introduced, sidebending occurs to the same side.
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Fryette’s 2nd Law (Principle)
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Law II =Type II mechanics
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Law II =Type II mechanics
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Introducing motion to a vertebral joint in one plane automatically reduces its mobility in the other two planes
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Law III(actually added in 1948 by C.R. Nelson, D.O.)
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One of the basic tenets of the
osteopathic philosophy; the human being is a dynamic unit of function; See also osteopathic philosophy. |
Body unity
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A tissue texture abnormality
characterized principally by a palpable sense of sponginess in the tissue, interpreted as resulting from congestion due to increased fluid content. |
Bogginess
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Toward the tail or inferiorly.
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Caudad
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Toward the head.
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Cephalad
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Perceived quality of motion as
an anatomic or physiologic restrictive barrier is approached. |
End feel
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A suffix describing status, position, or
condition (e.g., extended, flexed, rotated, restricted). |
-ed
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Adaptive and optimal attainment
of physical, mental, emotional, spiritual and environmental well-being. |
Health
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A suffix describing a process or
movement (e.g., extension, flexion, rotation, restriction). |
-ion
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1. The exaggerated (pathologic)
A-P curve of the thoracic spine with concavity anteriorly. 2. Abnormally increased convexity in the curvature of the thoracic spine as viewed from the side (Dorland’s). |
Kyphosis
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1. The anterior convexity in the
curvature of the lumbar and cervical spine as viewed from the side. The term is used to refer to abnormally increased curvature (hollow back, saddle back, sway back) and to thenormal curvature (normal lordosis). (Dorland’s). 2. Hollow back or saddle back; an abnormal extension deformity; anteroposterior curvature of the spine, generally lumbar with the convexity looking anteriorly (Stedman’s). |
Lordosis
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Pertaining to or characterized by
lordosis. |
Lordotic
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1. A change of position (rotation,
and/or translation) with respect to a fixed system; 2. An act or process of a body changing position in terms of direction, course and velocity. |
Motion
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movement produced
voluntarily by the patient. |
Active motion
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motion induced by the
osteopathic practitioner while the patient remains passive or relaxed. |
Passive m.
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changes in position of
body structures within the normal range. |
Physiologic motion
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motion of a body part
along an axis. |
Translatory m.
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A term used by
osteopathic practitioners to denote the process of palpating the patient to evaluate the structure and function of the neuromusculoskeletal and visceral systems. |
palpatory diagnosis
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Sensory skills used in
performing palpatory diagnosis and osteopathic manipulative treatment |
palpatory skills
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The
three major principles of physiologic motion are |
Physiologic motion of the spine
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A flat surface determined by the
position of three points in space. Any of a number of imaginary surfaces passing through the body and dividing it into segments. |
Plane
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A resistance or impediment to
movement. For joint restriction |
Restriction
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A method to locate the
approximate position of the transverse process (TP) of a thoracic segment by using the location of the spinous process (SP) of that same vertebra. The relationship is as follows: T1 to T3, TP is at the same level as tip of the SP T4 to T6, TP is one half vertebral level above the tip of the SP T7 to T9, TP is one full vertebral level above the tip of the SP T10, TP is one full vertebral level above the tip of the SP T11, TP is one half vertebral level above the tip of the SP T12, TP is at the same level as tip of the SP. |
Rule of threes
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a plane
passing longitudinally through the body from one side to the other, and dividing the body into anterior and posterior portions. |
Coronal plane (frontal plane)
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a plane passing
longitudinally through the body from front to back and dividing it into right and left portions. The median or midsagittal plane divides the body into approximately equal right and left portions. |
Sagittal plane
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a
plane passing horizontally through the body perpendicular to the sagittal and frontal planes, dividing the body into upper and lower portions. |
transverse plane (horizontal plane)
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1. A portion of a larger body or
structure set off by natural or arbitrarily established boundaries, often equated with spinal segment. 2. To describe a single vertebrae or a vertebral segment. corresponding to the sites of origin ofrootlets of individual spinal nerves. 3. A portion of the spinal cord |
Segment
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Movement within a
vertebral unit described by displacement of a point at the anteriorsuperior aspect of the superior vertebral body with respect to the segment below. |
Segmental motion
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Movement in a coronal
(frontal) plane about an anteriorposterior (x) axis. Also called lateral flexion, lateroflexion, or flexion right (or left). |
Sidebending
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The position of any one or
several vertebral bodies after sidebending has occurred. |
Sidebent
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Sense of resistance to light
traction applied to the skin. Related to the degree of moisture and degree of sympathetic nervous system activity. |
Skin drag
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A mnemonic for four diagnostic
criteria of somatic dysfunction: sensitivity changes, tissue texture abnormality, asymmetry and alteration of the quality and quantity of range of motion. |
S.T.A.R.
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Separation of the origin and
insertion of a muscle and/or attachments of fascia and ligaments |
Stretching
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A palpable tissue texture
abnormality characterized by fine or stringlike myofascial structures. |
Stringiness
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A mnemonic for four
diagnostic criteria of somatic dysfunction: tissue texture abnormality, asymmetry, restriction of motion and tenderness, any one of which must be present for the diagnosis |
T.A.R.T.
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1. Discomfort or pain elicited
by the osteopathic practitioner through palpation. 2. A state of unusual sensitivity to touch or pressure (Dorland’s). |
Tenderness
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A
palpable change in tissues from skin to periarticular structures that represents any combination of the following signs: vasodilation, edema, flaccidity, hypertonicity, contracture, fibrosis, as well as the following symptoms: itching, pain, tenderness, paresthesias. Types of TTA’s include: bogginess, thickening, stringiness, ropiness, firmness (hardening), increased/decreased temperature and increased/decreased moisture. |
Tissue texture abnormality
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A linear force acting to draw
structures apart. |
Traction
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Projects laterally
from the region of each pedicle. The pedicle connects the posterior elements to the vertebral body. |
Transverse process
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Two adjacent vertebrae
with their associated intervertebral disk, arthrodial, ligamentous, muscular, vascular, lymphatic and neural elements. |
Vertebral unit
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an
osteopathic treatment strategy by which the restrictive barrier is engaged and a final activating force is applied to correct somatic dysfunction. |
direct method (technique):
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a
manipulative technique where the restrictive barrier is disengaged and the dysfunctional body part is moved away from the restrictive barrier until tissue tension is equal in one or all planes and directions. |
indirect method (I/IND),
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the
application of steady pressure to soft tissues to reduce reflex activity and produce relaxation. |
inhibitory pressure technique
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active or
passive movement of a body part to its physiologic or anatomic limit in any or all planes of motion. |
range of motion technique
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A term used by
osteopathic practitioners to denote the process of palpating the patient to evaluate the structure and function of the neuromusculoskeletal and visceral systems. |
palpatory diagnosis:
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Sensory skills used in
performing palpatory diagnosis and osteopathic manipulative treatment. |
palpatory skills:
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The
three major principles of physiologic motion are: I. When the thoracic and lumbar spine are in a neutral position (easy normal; See neutral Fig. 23), the coupled motions of sidebending and rotation for a group of vertebrae are such that sidebending and rotation occur in |
physiologic motion of the spine: first
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When the thoracic and lumbar spine
are sufficiently forward or backward bent (non-neutral), the coupled motions of sidebending and rotation in a single vertebral unit occur in the same direction. |
physiologic motion of the spine: second
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III. 1. Initiating motion of a vertebral
segment in any plane of motion will modify the movement of that segment in other planes of motion. 2. Principles I and II of thoracic and lumbar spinal motion described by Harrison H. Fryette, DO (1918), Principle III was described by C.R. Nelson, DO (1948). |
physiologic motion of the spine: third
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a plane
passing longitudinally through the body from one side to the other, and dividing the body into anterior and posterior portions. |
coronal plane (frontal plane),
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plane passing horizontally through the
body perpendicular to the sagittal and frontal planes, dividing the body into upper and lower portions |
horizontal plane,
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a plane passing
longitudinally through the body from front to back and dividing it into right and left portions. The median or midsagittal plane divides the body into approximately equal right and left portions. |
sagittal plane,
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a plane passing
longitudinally through the body from front to back and dividing it into right |
sagittal plane
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Andrew Taylor Still born when?
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Aug 6, 1828
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The “Rule of the Artery is Supreme”!
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Remember
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Still opened the first college of osteopathy in what year?
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1892
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What was the first state to grant licensure and what year?
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Vermont 1896
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When did the Flexner Report - “Medical Education in the United States and Canada” published?
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1910
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Six Foundation Schools
When and where? |
1892 – Kirksville
1896 – Los Angeles 1898 – Des Moines 1899 – Philadelphia 1900 – Chicago 1916 – Kansas City (the only osteopathic college opened after the Flexner Report until 1969) |
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What was the last state to grant full licensure to DO’s and when?
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Mississippi 1973
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Osteopathy was founded in ?
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1874
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flung to the breeze, the banner of Osteopathy!”
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1874
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