History of OMM
What was the first lesson in osteopathy?
A.T. Still used a rope and a tree root to treat his headache.
Acute signs of dysfunction?
Increased temp, boggy rough texture, increased moisture, increased tension, increased tenderness, edema, and lasting red reflex.
Chronic signs of dysfunction?
Cool temperature, ropey stringy texture and tension, dry, quickly fading red reflex.
How to properly engage muscle layer?
push slowly to avoid spasming the muscle
Describe skin feeling
Balanced, little stretch, not moist
What led to Dr Still creating Osteopathic medicine?
Death of 3 children to meningitis. Seeing how traditional Md's were treating patients at the time. Over use of medications.
Biomechanical: Muscle and Bones
Respiratory/Circulatory: Arteries, Veins, Lymphatic system, lungs
Neurological: Nervous system, decrease autonomic nervous system response
Metabolic: Cellular and body metabolism.
Behavioral: Psychological stressors
What does TART stand for?
Tissue texture
Asymmetry
Restriction of motion
Tenderness
Anterior Landmarks
Mandible, Coracoid, Clavicles, Sternal Notch, Angle of Louis, umbilicus, ASIS
Describe Fascia Feeling
Smooth glide between adipose and muscle layer
When was A.T. Still born?
August 6, 1828
1. The body is a unit
2. The body is capable of self-regulation, healing and maintenance.
3. Structure and function are interrelated
4. Understanding the first three tenets are required for rational treatment.
Define "Palpation"
Application of manual pressure to the body for the purpose of determining shape size consistency, position and inherent health of the tissue.
Feel to see to think to know to treat
Posterior Landmarks
Occipital protuberance, mastoid process(C1), vertebra prominins(C7/T1), acromion, spine of scapula (T3), inferior angle of scapula (T7), iliac crest (L4), PSIS, Greater Trochanter, Lateral Malleolus
Describe Muscle feeling
Elastic firm tissue, softer than bone. Should be able to feel direction of fibers
When did Dr Still "fling to the breeze the banner of Osteopathy"?
June 22, 1874
Define Somatic dysfunction and what are the components of somatic dysfunction?
Impaired or altered function of the body framework
SAMVLAN
BONUS AT STILL QUESTION!!!!
Where was he born?
Jonesville Virginia
How to find dominant eye?
Identify a structure in the distance and make a loop with your fingers around the object with both eyes open. Close your eyes one at a time. If object stays in your finger loop then open eye is dominant. If object leaves finger loop, this is weaker eye.
ST Bowstringing of Thoracic and Lumbar paraspinal muscles (Catwalk)
Ask for permission to palpate. Add anterior pressure to paravertebral muscles. Apply lateral pressure with one hand while correctly positioning the other hand. Apply lateral pressure with the other hand while correctly positioning the first hand. Repeat up and down paraspinal muscles until a release is palpated.
When was the first DO school opened?
November 1, 1892
*Also when women were able to learn osteopathic medicine*
Pacinian "Pacific" corpuscle: Pressure and Deep Tissue; rapid adaption
Meissner's corpuscles: Light touch and vibration; rapid adaptation
Merkel's "disc": Sustained pressure (shapes) sustained vibration; slow adaptation
Ruff(Rough)ini terminals: Stretch and slipping on fingertips, Joint stretching; slow adaptation
Krause end bulbs: Vibration
6 Tissue types
Skin: light touch no redness of nailbed
Fascia: med touch redness of nailbed
Muscle: deep touch white nailbed
Tendon: Taut cord feeling when in use
Ligament: Band like feeling requires anatomy knowledge
Bone: Hard feeling
Steps of A/P/lateral Symmetry
Find midline of patient with dominant eye. Evaluate anterior symmetry. Evaluate Posterior Symmetry. Evaluate Lateral symmetry
MFR of Lumbar and Lumbosacral Fascia
Ask for permission to palpate. Engage the fascia with fingers spread on both hands on the lower back. Palpate the position of ease by taking the fascia in all 6 directions. Diagnose the direction of ease. Take the patient directly into the restrictive barrier in all three planes. Hold for three breaths or until a release is palpated. Then take the fascia directly into the position of ease in all three planes and hold for 3 breaths or until a release is palpated. Return to neutral and reassess.