condition of the musculoskeletal system that is recognized only by the DO
How do we diagnose somatic dysfunction?
TART
T- Tissue texture change ( in the skin, fascia, or muscle; can be chronic or acute)
A-asymmetry- the positon of other bones are asymetrical
R-Restriction of motion ( when a joint does not have full range/ normal range of motion )
T- Tenderness- subjective( having tenderness where it should not occur)
another way DO's can use is START. The S is for sensitivity
Tenderness
one of the criteria for diagnosing somatic dysfunction .
It is the sensation of pain or soreness in response to palpation by a DO.
Tenderness is not a diagnosis within itself
Criteria for Evaluation of the Soft Tissue
Tissue texture changes that when examine by doing a skin drag ( soft touch) test in the spinal area at the articulations of the vertebrae, transverse process, and over the spinous process.
Acute Somatic Dysfunction
Increased temperature
Boggy - this is a spongy texture and tell you that the tissue has a high fluid content
Moist
Rigid/ board-like tension
Greatest tenderness
Edema present
Venous congestion( blood flow in the vein is clotting and disrupted)
Erythema Present ( Redness)
Chronic Somatic Dysfunction
decreased Temp. ( cold)
Dry skin moisture
skin texture is thin and smooth
Less Tenderness
no redness/ erythema
Neo vascularization
no edema present
Blanching occurs
ropy strgingy tension
when was osteopathic medicine found ?
late 1800's by Dr.Andrew Taylor Still
First ostepathic school
Kirksville Missour 1892
When was aspirin created ?
1897 by Bayer
switch when anna is born to remeber
when was penicillin discovered
1928
a flapper guy from the the 20 and he is 28
who discovered penicillin
Alexander Fleming
what drug was created in 1955
Tylenol
1961
Ibprofen
when was tylenol discovered
around my dads age so 55
1955
when was Ibprofen
5 years before my mother was born
1961
when were anti virals made
in the 90's they need it because of AIDS
mid-1990's
kind when I was born
when did the spanish influenza take place?
1918
0.25f% mortaility with OMT
10% w/ pneumonia complications
when did DO's convert to MD's in california
1962
what was the last state DO's were accepted to ?
Mississipi
missed out on the DO
what was the first state to license DO's
Vermont 4 years after AT still opened the new school
when did 6 DO schools open
1960's
the 6 goes with the 6
when was NYCOm founded
20 years before I was born 1975
what are the 5 models of patient care
biomechanical
neurological
behavioral
metabolic
respiratory/circulatory
MR. BBN
Biomechanical Approach
decrease muscle and joint issues
Neurological
balancing autonomic tones
referred pain
segmental faciliation
inflammation is a produc of the neurological becasue of viserosomatic reflexes
What practices can be done to give a patient neurological approach to OMT?
Inhibitory pressure
soft tissue release
Rib raising
ganglion release
occiptal release from the vagus nerve
how to apply the OMT respiratory model
doming the diaphragm
thoracic inlet myofascial release
thoracic lymph pump
Pedal lymph pump
Metabolic Energy Model ?
decreasing allostatic load
decrease energy expenditure
build reserve for doing daily activities
Goal of behavioral model ?
considering patients mental health contributing to their health
The MOPSE study
demonstrated that OMt reduced length of stay , antibiotics, death or respiratory failure
Myofascial release
reduce tissue tension
a neurological approach
subocciptal decompression
neurologic patient care approach to release tension on the vagus nerve
ribrasinf
articulate each rib in order to improve rib motion and stimulate the sympathethic ganglia