Osteopathic Basics

Front 1

somatic dysfunction definition

Back 1

change in function diagnosed by texture, asymmetry, restriction of motion,and tenderness (TART)

Front 2

what is required to move the restiction of barrier from the physiologic barrier to the anatomic barrier

Back 2

passive ligamentous stretch

Front 3

How do you name a somatic dysfunction?

Back 3

by its freedom of motion

Front 4

A lesion is C3 F Sl Rl. What does this mean?

Back 4

C3 is flexed, sidebent to the left, and rotated to the left on C4

Front 5

Fryette's Type I dysfunction- definition

Back 5

group curves of more than one vertebra - rotation is opposite to the side bending

Front 6

Fryette's Type II dysfunction- definition

Back 6

dysfunction of one vertebra -
rotation is the same direction as side bending

Front 7

Cervical spine lesions are Type I or II

Back 7

type II

Front 8

myofascial technique - definition

Back 8

gentle stretching or use of physiologic muscle reflexes through guided patient muscle contraction

Front 9

counterstrain technique - definition

Back 9

"tender points" are identified and eliminated by positioning of the body part

Front 10

facilitated positional - definition release

Back 10

joint or muscle is placed into its ease-of-motion position, held, and then released

Front 11

High velocity, low amplitude technique - definition

Back 11

joint is placed agaist restrictive barrier and a thrust moves the barrier

Front 12

myofascia release - definition

Back 12

placed against or away from barrier until release of tension or restriction

Front 13

Right vertebral rotation and sidebending - palpation finding

Back 13

the right transverse process becomes more prominent posteriorly

Front 14

Vertebra flexion causes right vertebral rotation and sidebending - why

Back 14

the vertebra turns away from a flexion restriction to allowable freedom of motion -right SB, and right rotation

Front 15

Name the dysfunction when the left transverse process of T3 is most prominent in flexion

Back 15

T3 E Rl Sl

Front 16

In muscle energy technique, what are the restriction barriers in a C4 E Sr Rr lesion

Back 16

flexion, and L SB and L Rot

Front 17

Muscle energy technique for C4 E Sr Rr lesion

Back 17

Patient is placed into C4 flexion, L SB & L Rot. Patient moves in the opposite direction of the restrictions against operator's resistance.

Front 18

Direct technique - definition

Back 18

Direct technique moves into the restrictive barrier

Front 19

Indirect technique - definition

Back 19

Indirect technique moves away from the restrictive barrier

Front 20

Spinal levels with distinct intersegmental evalation operator positions

Back 20

OA to C2-7, T1-4, T5-T12, Lumbar, etc

Front 21

OA to C2-7 intersegmental evalation operator position

Back 21

Operator seated at head of table, elbows on table palpating and cupping neck

Front 22

T1-4 intersegmental evalation operator position

Back 22

Operator behind and to one side. Hand on head. Fingers span vertebra.

Front 23

T5-T12 intersegmental evalation operator position

Back 23

Operator behind and to one side. Hand on opposite shoulder. Fingers span vertebra.

Front 24

Thoracolumbar regional testing patient and operator position

Back 24

Patient standing. Operator behind patient introducing flexion extension, SB, rotation. Add hip drop.

Front 25

Lumbar intersegmental evalation patient and operator position

Back 25

Patient lateral recumbent. Operator facing patient. Palpates transverse processers.

Front 26

Cervical spine gross motor testing

Back 26

Operator standing introducing flexion extension, SB, & rotation.

Front 27

OA dysfunction technique. OA F Sr Rl

Back 27

Operator standing introducing
extension, L SB, & R rotation. Patient moves against resistance at these restrictive barriers.

Front 28

AA joint dysfunction treatment. Joint is pure rotation.

Back 28

Operator seated palpating AA. Carry head to rotation restrictive barrier and have patient resist.

Front 29

Cervical Vertebral Dysfunction C2-7 - ex. C4 E Sr Rr - treatment? gets worse more prominent with extension then it is an extension lesion

Back 29

Operator seated palpating C4. Introduces flex, L SB, L Rot. Patient moves against operator's malar hand resistance away from this barrier.

Front 30

Thoracic Spine Vertebral Dysfunction T1-4 ex. T4 E Sr Rr - treatment?

Back 30

Operator standing behind and to side. Hand on chin. Palpating T4. Introduces flex, L SB, L Rot. Patient moves against operator's hand on chin resistance away from this barrier.

Front 31

Thoracic Spine Vertebral Dysfunction T1-4 ex. T4 E Sr Rr - treatment?

Back 31

Sit on the side you want to rotate towards “listening hand” on transverse processes Stabilizing hand across chest to opposite shoulder Sidebend towards you Rotate towards you

Front 32

Thoracic Spine Vertebral Dysfunction T5-12 ex. T12 E Sr Rr - treatment?

Back 32

Operator standing behind and to side. Arm spans shoulder on side of motion barrier. Palpating T12. Introduces flex, L SB, L Rot. Patient moves against operator's shoulder resistance away from this barrier.

Front 33

Lumbosacral examination for intersegmental dysfunction.

Back 33

Patient prone. Operator applies firm, equal pressure in a ventral direction. Ex. ease of R. ventral motion means R restrictive barrier.

Front 34

Lumbosacral examination for intersegmental dysfunction.

Back 34

Patient lateral recumbent, Operater facing. Palpates lumbar vertebrae. Introduces flexion. Introduces SB by raising upper leg.

Front 35

Lumbosacral Spine Vertebral Flexion Dysfunction ex. L3 F SL RL - flexed, prominent transverse process on left - lat recumbent with prominence ( left ) to table

treatment?

Back 35

L lateral recumbent. (L posterior transverse process to table.) R shoulder back. Operator facing. Palpates L3. Introduces L SB by raising R leg. Patient moves R ankle to floor against operator's resistance.

Front 36

Lumbosacral Spine Vertebral Extension Dysfunction ex. L3 E Sl Rl - treatment?

Back 36

L lateral SIMS position. (R posterior transverse process away from table.) Upper shoulder flexed forward. Operater facing. Palpates L3. Introduces R SB by raising ankle. Patient moves ankle to ceiling against operator's resistance.

Front 37

Lumbosacral Spine Vertebral FLEXION Dysfunction - treatment

Back 37

Posterior transverse process DOWN to table. R shoulder BACK. Patient moves legs DOWN against resistance

Front 38

Lumbosacral Spine Vertebral EXTENSION Dysfunction- treatment

Back 38

Posterior transverse process UP away from table. R shoulder FORWARD. Patient moves legs UP against resistance

Front 39

Lumbosacral Group Curve Dysfuction - tx

Back 39

lateral recumbent with concavity to floor. flex, SB to apex. Patient pushes his feet to floor against resistance.

Front 40

Thoracic Treatment

Back 40

Patient inhales then exhales. Operator presses down on rib as the patient takes a breath.