Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
|
20-35% of patients seeking care in primary care setting are for ____ induced somatic complaints
|
stress
|
|
|
what is somatization?
* |
the conversion of anxiety into physical symptoms
|
|
|
Superficial tenderness
Non-anatomical tenderness (eg. pushing lightly on patient’s head causes low back pain) Pain out of proportion to exam Overt pain behavior (grimacing, guarding, crying, pulling away) are signs of what? |
Behavioral signs of malingering
|
|
|
what are 2 key points about stress?
** |
1. Stress is a built in, hard wired mechanism and everyone is susceptible to stress
2. It’s not just psychological, it effects the entire body. |
|
|
what primitive function in humans helps drive the stress response?
|
fight or flight
|
|
|
"facilitation" is a key concept in somatic dysfunction...what is it?
* |
a state of spinal cord neuronal partial or sub-threshold excitation that results in less stimulus being required to trigger an impulse
|
|
|
the relaxation response of Dr. Herbert Benson consists of:
-decreased blood pressure -decreased pulse -decreased respiratory rate -increased skin temperature -decreased muscle tension what is the goal? |
to restore autonomic balance
|
|
|
heart rate variability is beat to beat variability...what does this reflect?
|
parasympathetic activity of the vagus nerve to the heart
note: strong predictor of death (acute MI patients) |
|
|
here are some of the benefits of the mind-body approach, flip for limitations:
patient focused values thoughts and feelings patient participates natural & generally safe |
Limitations
training motivation & encouragement continued practice & lifestyle change some MBTs take time for full benefits |
|
|
this technique is used to:
-elicit relaxation response -stimulate energy (with modifications & practice) -decrease tension -promote sense of well-being |
Abdominal (aka Diaphragmatic) Breathing
Place one hand on abdomen, other on chest Inhale through nose, making abdomen rise more than chest Hold breath up to 7 counts Exhale through mouth, taking twice as long as inhalation Gently contract abdominal muscles near end of exhalation Repeat cycle for total of 5-6 breaths |
|
|
the following technique can treat problems such as:
migraine/tension headaches peripheral neuropathy (minimum: six 1-hour sessions at one week intervals) recurrent abdominal pain (RAP) in children benign palpitations (decrease frequency and symptom severity) |
Biofeedback
self monitor physiologic responses like BP and HR |
|
|
the following technique can treat problems such as:
reduce stress and post-operative pain of cardiovascular procedures reduce hypertension, tachycardia, onset of dysrhythmia, or onset of arrhythmia in defibrillator patients pediatric asthma (improve after a few sessions) cancer patients (when combined with hypnosis) |
Guided Imagery/Visualization
The use of mental imagery to relax, reduce pain, guide perception, improve performance, or induce other bodily changes |
|
|
the following technique can treat problems such as:
cancer (pain, nausea, appetite, immune function) burn victims (wound depth, pain control, healing, self-image) pediatric migraine: when combined with guided imagery in RCTs, as effective as beta-blockers eczema (very useful; so is guided imagery) irritable bowel syndrome |
Hypnosis
The use of verbal suggestions and/or mental imagery to induce a relaxed state of mind and body Focused attention and altered awareness Mind more suggestible Highly individualized response |
|
|
the following technique can treat problems such as:
-cardiovascular disease -substance abuse -chronic pain -psoriasis -anxiety/panic disorders -cancer -attention deficit disorder -early Alzheimer’s disease -health promotion -sickle cell crisis |
Meditation
The conscious regulation of attention to promote relaxation and promote mental clarity Attending to your attention requires discipline Various forms |
|
|
the following technique can treat problems such as:
general relaxation muscle tension and pain 4 sessions combined with guided imagery useful for pediatric recurrent abdominal pain improved diabetic control (Dr.Surwit at Duke University Medical Center) |
Progressive Muscle Relaxation
The sequential contracting and relaxing of muscles to induce generalized relaxation Easy, immediate, convenient |
|
|
Making the Mind-Body Connection in your clinical practice
Above all: |
it’s not enough to tell your patients to relax, you need to arm them with techniques on how reach a relaxed state.
|
|
|
just remember that autonomic balance and homeostasis are keys to integrating OMM with the mind-body approach
|
Address autonomic balance & homeostasis
cranial osteopathy soft tissue techniques address diaphragms rib raising parasympathetics |
