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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
A term used to refer those
holding a Doctor of Medicine (MD)
degree, a non-osteopathic medical
degree.
allopath
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:
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
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:
An imaginary line about which
motion occurs. 2. The second cervical
vertebra. 3. One component of an axis
system.
axis
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:
The limit to
motion; in defining barriers, the
palpatory end-feel characteristics are
useful
barrier (motion barrier):
the limit of motion
imposed by anatomic structure; the
limit of passive motion
anatomic barrier
the range between the
physiologic and anatomic barrier of
motion in which passive ligamentous
stretching occurs before tissue
disruption.
elastic barrier
a restriction of joint
motion associated with pathologic
change of tissues (example:
osteophytes). See also barrier,
restrictive b.
pathologic barrier
Two adjacent vertebrae--
Shared ligaments--
Monoarticular muscles--
Joints --
Functional Spinal Unit (FSU)
Flexion (forward bending)
Spinous processes move apart. OPENING OF FACETS
Extension (backward bending)
Spinous processes move closer. CLOSING FACETS
Rotation
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
Sidebending (lateral flexion)
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
Translation - right
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
Translation - left
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
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
Facets (zygapophysis) becomes engaged
Engaged facet acts as a pivot for motion at that segment
Automatically couples sidebending and rotation
Non-neutral
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
Sidebending and rotation will occur in opposite directions
Involves a group of vertebra
Law I (neutral mechanics)
In neutral position, when sidebending is introduced, rotation occurs to the opposite side.
Fryette’s 1st Law (Principle)
Law I =Type I mechanics
Law I =Type I mechanics
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)
In the non-neutral position, when rotation is introduced, sidebending occurs to the same side.
Fryette’s 2nd Law (Principle)
Law II =Type II mechanics
Law II =Type II mechanics
Introducing motion to a vertebral joint in one plane automatically reduces its mobility in the other two planes
Law III (actually added in 1948 by C.R. Nelson, D.O.)
One of the basic tenets of the
osteopathic philosophy; the human
being is a dynamic unit of function;
See also osteopathic philosophy.
Body unity
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
Toward the tail or inferiorly.
Caudad
Toward the head.
Cephalad
Perceived quality of motion as
an anatomic or physiologic restrictive
barrier is approached.
End feel
A suffix describing status, position, or
condition (e.g., extended, flexed,
rotated, restricted).
-ed
Adaptive and optimal attainment
of physical, mental, emotional,
spiritual and environmental well-being.
Health
A suffix describing a process or
movement (e.g., extension, flexion,
rotation, restriction).
-ion
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
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
Pertaining to or characterized by
lordosis.
Lordotic
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
movement produced
voluntarily by the patient.
Active motion
motion induced by the
osteopathic practitioner while the
patient remains passive or relaxed.
Passive m.
changes in position of
body structures within the normal
range.
Physiologic motion
motion of a body part
along an axis.
Translatory m.
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
Sensory skills used in
performing palpatory diagnosis and
osteopathic manipulative treatment
palpatory skills
The
three major principles of physiologic
motion are
Physiologic motion of the spine
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
A resistance or impediment to
movement. For joint restriction
Restriction
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
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)
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
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)
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
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
Movement in a coronal
(frontal) plane about an anteriorposterior
(x) axis. Also called lateral
flexion, lateroflexion, or flexion right
(or left).
Sidebending
The position of any one or
several vertebral bodies after
sidebending has occurred.
Sidebent
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
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.
Separation of the origin and
insertion of a muscle and/or
attachments of fascia and ligaments
Stretching
A palpable tissue texture
abnormality characterized by fine or
stringlike myofascial structures.
Stringiness
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.
1. Discomfort or pain elicited
by the osteopathic practitioner through
palpation. 2. A state of unusual
sensitivity to touch or pressure
(Dorland’s).
Tenderness
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
A linear force acting to draw
structures apart.
Traction
Projects laterally
from the region of each pedicle. The
pedicle connects the posterior elements
to the vertebral body.
Transverse process
Two adjacent vertebrae
with their associated intervertebral
disk, arthrodial, ligamentous, muscular,
vascular, lymphatic and neural
elements.
Vertebral unit
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):
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),
the
application of steady pressure to soft
tissues to reduce reflex activity and
produce relaxation.
inhibitory pressure technique
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
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:
Sensory skills used in
performing palpatory diagnosis and
osteopathic manipulative treatment.
palpatory skills:
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
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
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
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),
plane passing horizontally through the
body perpendicular to the sagittal and
frontal planes, dividing the body into
upper and lower portions
horizontal plane,
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,
a plane passing
longitudinally through the body from
front to back and dividing it into right
sagittal plane
Andrew Taylor Still born when?
Aug 6, 1828
The “Rule of the Artery is Supreme”!
Remember
Still opened the first college of osteopathy in what year?
1892
What was the first state to grant licensure and what year?
Vermont 1896
When did the Flexner Report - “Medical Education in the United States and Canada” published?
1910
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)
What was the last state to grant full licensure to DO’s and when?
Mississippi 1973
Osteopathy was founded in ?
1874
flung to the breeze, the banner of Osteopathy!”
1874