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"Body is a unit" involved what?
mine, body, spirit
relationship of structure and function
reciprocally interrelated which means if structure is off then function is off
anatomic barrier
Final barrier imposed by anatomic structure
physiologic barrier
Limit by active Full ROM
restrictive barrier
- Functional limit within anatomic range
- Abnormality diminishes Physiologic Barrier
elastic barrier
Passive Ligamentous stretching between Anatomic and Physiologic barriers
what is somatic dysfunction
- Impaired or altered function of related components of the somatic system
- Positional and motion aspects - Position of the element as determined by palpation, Direction in which motion is freer, Direction in which motion is restricted
how to describe somatic dysfunction
- tenderness
- asymmetry
- restricted ROM
- tissue texture change (Ropy/string (chronic), Boggy (acute), Temperature difference- Warm (acute)- Cool (chronic))
Strain counterstrain does what
- Resetting of the Golgi tendon organ
- Passive release in position of ease
advantages of strain counterstrain
passive, effective
disadvantages of strain counterstrain
time (hold 90 normally and 120 sec ribs), only treating 6 spots/tx
common strain counterstrain points
- Cervical: anterior and posterior cervical change
- Vertebral: both anterior and posterior tender points
- Extremities: Levator scapulae, pectoralis, piriformis, plantar fascia, psoas (inside ASIS)
fascial distortion model how many patterns are learned?
6
when doing anterior cervical change what are movements one can do
flex, rotate, sidebend away
when doing posterior cervical change what are movements one can do
ext when further from skull, flexion when close to skull rotate and sidebend away
when doing levator scapulae what are movements one can do
shoulder flexion, adduction, ER/IR
when doing piriformis what is something to check
sacral alignment/dysfunction
when doing anterior trapezius what are movements one can do
traction, IR
when doing mid trapezius what are movements one can do
traction, abd
when doing posterior trapezius what are movements one can do
IR/ER
what is the improvement rate that you want a pt to have when doing strain counterstrain
3/10 or less
75-100% improvement
FDM what to do and what to avoid
ice and drink water
avoid hot shower and heat
name the osteopathic techniques
HVLA, muscle energy, soft tissue, cranial, counterstrain, myofascial release, springing, articulatory, FDM
which osteopathic technique(s) are indirect
counterstrain
which osteopathic technique(s) are both indirect and direct
cranial, myofascial relsease
which osteopathic technique(s) are active
muscle energy
which osteopathic technique(s) are intrinsic
counterstrain
which osteopathic technique(s) are extrainsic
HVLA, springing