-
Biomechanical, Postural, Structural Model
Structure and function are reciprocally inter-related:
◦Normalstructure is essential to normal function.
◦Normal function is essential if normal structure is to be maintained.
- OMT
- is geared toward returning the body to normal
-
homeostasis
- tendency to stability in the normal body states (internal environment) of the organism.
- It is achieved by a system of control mechanisms activated by negative
- feedback;
maintenance of nearly constant conditions in the internal environment.
-
ways to control homeostasis
- ◦Heart rate
- ◦Tissue pressures
- ◦Blood
- pressure
- ◦Concentration
- gradients
- Fluid
- ionic balance (Na+, K+, Cl-,
- etc.)
- pH
- Blood
- glucose
- ◦Temperature
- ◦Hormones
- ◦DNA
- expression
-
allostasis
- Maintenance by an organism of internal physical or
- psychological stability by making changes during situations of challenge; see allostatic load.
- The body’s attempt to compensate in stressful situations to protect its
- functioning.
- An adaptive condition that results from activation of the arousal system in the
- brainstem.
-
allostatic load
- used to refer to environmental challenges that cause an organism to begin efforts to
- maintain stability (allostasis).
-
activation of arousal system
- Allostatic load alters bodily functions by activating the autonomic nervous system and the
- Hypothalamus-Pituitary-Adrenal axis.
- This
- causes a release of norepinephrine, adrenal corticosteroids, cytokines, and
- more.
Short-term Effect: Survival
Long-term Effect: Cumulative and Pathologic
-
epigenetics
Epigenetics is a new study of epigenes
- Epigenes are cellular material that sit on top of the genome and control expression of
- the genes. One method is methylation.
B vitamins can provide methyl groups.
-
resiliency: courage
- developing the skills and perceptions that lead to being more courageous in many areas of
- one’s life
-
resiliency: optismism
- having confidence in one’s own ability to
- solve problems, take positive action, and developing skills in focusing on the
- positives, even in difficult situations
-
resiliency: success
- identifying one’s own relative strengths and limitations, setting and achieving goals,
- being organized and persisting, becoming self-disciplined and being resourceful
- in solving problems
-
resiliency: core values
acting on important pro-social beliefs about how one should behave towards others
-
OMT and allostatic load
OMT resolves Somatic Dysfunction:
Detected by palpation
Changes in Tissue texture
Anatomic Asymmetry of the effected region
Altered ease or Range of motion
Increased sensitivity to Touch (hyperalgesia)
“TART”
Denslow biopsied SD and found edema and inflammation as underlying cause
-
5 models of treatment
◦Biomechanical, Postural, Structural
◦Neurological
◦Respiratory/Circulatory
◦Metabolic, Nutritional, Bioenergetic
◦Psychobehavioral
-
Biomechanical, Postural, Structural
Structure and function are reciprocally inter-related:
Normal structure is essential to normal function.
Normal function is essential if normal structure is to be maintained.
OMT is geared toward returning the body to normal
-
neurological model
- Involves the central and peripheral nervous system, autonomic nervous system, neuroendocrine
- system
- Treat by influencing sensory, motor, and autonomic nervous systems and/or the
- reflexes associated with them
-
respiratory circulatory model
Influences movement of fluid: lymph, blood, air
Operates with macro- and micro-forces
-
metabolic/nutritional/bioenergenic model
Focuses on inherent energies in the body through proper nutrition
Improves metabolism through specific nutritional support
-
psychobehavioral model
Influences perceptions of pain, illness, disability
- Anxiety and stress respond favorably to hands-on treatment and can break the cycle:
- pain--> anxiety--> pain--> fear/anger--> pain...etc.
-
health/homeostasis
A natural state of harmony
The human body is a perfect machine created for health and activity.
A healthy state exists as long as there is normal flow of body fluids and nerve activity.
-
disease/allostasis
Is an effect of underlying causes, often multifactorial.
- Illness is often caused by mechanical impediments to normal flow of bodily fluids and
- nerve activity.
- Environmental, social, mental, and behavioral factors contribute to the etiology of disease
- and illness.
-
when was the term osteopathy coined
1889
-
osteopthy banner unfurled in
1874
-
at stills first treatment
- Self
- administered for a headache when 10 years old using a plow line and blanket to
- cradle his head.
- 20
- years later, after studying anatomy, he thought it suspended “…the action of
- the great occipital nerves” and gave “…harmony to the flow of the arterial
- blood to and through the veins.”
- Later,
- this lead to the belief that “…the artery is the river of life, health, and
- ease, and if muddy or impure disease follows
-
electism
- Using
- specific plants per sx
-
homeopathy
like cures like
-
faradism
therapeutic use of electric currents
-
baunscheidtism
- A
- form of acupuncture in which the area is rubbed with a stimulating fluid, oils, scarification
-
1st osteopathic school
- He started the first school in Kirksville
- in 1892 (American School of Osteopathy)
-
magnetism
hypnotic healing
-
acupuncture
system of meridian
-
-
consistent point (can be viscerosomatically oriented)
-
strain//counterstrain
more anatomically based, traumatically induced
-
trigger points
- can create somatovisceral, triggers
- reference pattern when pressure placed,
- transmitted
- via nerves (gallbladder to shoulder pain)
-
facilitation
- - autonomics lecture (resting electrical potential), spillover affecting
- mulptiple interneurons
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