Osteopathic Manipulative Medicine

  1. Somatic Dysfunction
    condition of the musculoskeletal system that is recognized only by the DO
  2. 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
  3. 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
  4. 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.
  5. 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)
  6. 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
  7. when was osteopathic medicine found ?
    late 1800's by Dr.Andrew Taylor Still
  8. First ostepathic school
    Kirksville Missour 1892
  9. When was aspirin created ?
    • 1897 by Bayer
    • switch when anna is born to remeber
  10. when was penicillin discovered
    • 1928
    •  a flapper guy from the the 20 and he is 28
  11. who discovered penicillin
    Alexander Fleming
  12. what drug was created in 1955
  13. 1961
  14. when was tylenol discovered
    • around my dads age so 55
    •  1955
  15. when was Ibprofen
    • 5 years before my mother was born 
    • 1961
  16. when were anti virals made
    • in the 90's they need it because of AIDS
    • mid-1990's 
    • kind when I was born
  17. when did the spanish influenza take place?
    • 1918
    • 0.25f% mortaility with OMT
    • 10% w/ pneumonia complications
  18. when did DO's convert to MD's in california
  19. what was the last state DO's were accepted to ?
    • Mississipi
    • missed out on the DO
  20. what was the first state to license DO's
    Vermont 4 years after AT still opened the new school
  21. when did 6 DO schools open
    • 1960's 
    • the 6 goes with the 6
  22. when was NYCOm founded
    20 years before I was born 1975
  23. what are the 5 models of patient care
    • biomechanical 
    • neurological
    • behavioral 
    • metabolic 
    • respiratory/circulatory

    MR. BBN
  24. Biomechanical Approach
    decrease muscle and joint issues
  25. Neurological
    • balancing autonomic tones 
    • referred pain 
    • segmental faciliation 
    • inflammation is a produc of the neurological becasue of viserosomatic reflexes
  26. 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
  27. how to apply the OMT respiratory model
    • doming the diaphragm
    • thoracic inlet myofascial release 
    • thoracic lymph pump 
    • Pedal lymph pump
  28. Metabolic Energy Model ?
    • decreasing allostatic load 
    • decrease energy expenditure 
    • build reserve for doing daily activities
  29. Goal of behavioral model ?
    considering patients mental health contributing to their health
  30. The MOPSE study
    demonstrated that OMt reduced length of stay , antibiotics, death or respiratory failure
  31. Myofascial release
    • reduce tissue tension
    • a neurological approach
  32. subocciptal decompression
    neurologic patient care approach to release tension on the vagus nerve
  33. ribrasinf
    articulate each rib in order to improve rib motion and stimulate the sympathethic ganglia
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Osteopathic Manipulative Medicine
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