DSA15 - OMM: Osteopathic Diagnosis and Treatment Approaches (Original from SchneiderAlyssa)

What are INDICATIONS for utilizing OMT?

- To treat somatic dysfunction to remove impediments to the body's natural ability to heal itself

- To optimize biomechanics, fluid and gas exchange, function of the nerves, and the removal of waste products

Define "Key Lesion"

Primary problem affecting the body that is creating multiple other secondary complaints and dysfunctions (treating this area will reduce issues in secondary areas)

What is the purpose of using AGR for screening for dysfunction?

Views the body as a tensegrity structure where the combination of muscles, bones, and fascia creates a three-dimensional structure that is constantly adapting (areas even FAR from the site of pain may be found contributing to overall dysfunction)

Define Tensegrity (Tensional Integrity)

Provides the ability of structure to yield increasingly without ultimately breaking or coming asunder; structures are mechanically stable because of the way the entire structure distributes and balances mechanical stresses

How to screen with AGR

- standing AGR

- standing flexion test

- seated flexion test

- seated AGR

If AGR is ________ or above, focus on upper half of body (and lower half if below this level)

T12

How to treat using AGR

treat one key dysfunction, then go back and rescreen entire body

If AGR is in upper cervical spine, screen/treat what?

screen OA and AA and treat worst

If AGR is in cervical spine, what do you treat?

diagnose C2-C7 and treat

If AGR is in thoracic spine, what do you screen/treat?

- if restriction is near facet, diagnose and treat throacic spine

- if restriction is more lateral, screen entire rib cage and treat the key rib

- if there is a UL band medial to the scapula, then screen the upper extremity and treat the worst dysfunction

If seated flexion is more positive than standing flexion, then think __________

sacrum

If standing flexion is more positive than seated flexion, then think __________

innominate or lower extremity

What would make you suspicious of a lower extremity problem?

UL tightness in lumbar area on standing AGR that improves with sitting

LIPLSIP

- Lower Extremity

- Innominate shears

- Pubic shears

- Lumbar (non-compensated L5)

- Sacrum

- Ilia Rotations and flares

- Psoas

If treating a major restriction/treat a "key lesion", then at least _____% of the other dysfunctions should improve. What does this mean?

20%; You should be able to treat the majority of dysfunctions by addressing around 2-5 areas of restriction

For what scenarios might using INDIRECT techniques be best?

For acute injuries

What is the best treatment if you feel the primary restriction is articular?

HVLA or other articular technique

What is the best treatment if you feel the primary restriction is muscular?

Muscle Energy, Counterstrain, Soft Tissue

What is the best treatment if you feel the primary restriction is ligamentous?

BLT/LAS

What will happen if you are out of sequence during treatment?

•ONLY the area treated improves OR doesn't improve with appropriate technique

•Diagnostic patterns don't match the book

•Same somatic dysfunctions keep recurring

What are MAIN CONTRAINDICATIONS for utilizing OMT?

- The refusal of the patient to consent to OMM,

- Delaying definitive care (usually in life threatening situations)

- Doing a particular technique on a particular region that may worsen their condition