Osteopathic Manipulative Medicine

condition of the musculoskeletal system that is recognized only by the DO

• 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

• 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

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.

• 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)

• 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

late 1800's by Dr.Andrew Taylor Still

Kirksville Missour 1892

• 1897 by Bayer
• switch when anna is born to remeber

• 1928
•  a flapper guy from the the 20 and he is 28

Alexander Fleming

Tylenol

Ibprofen

• around my dads age so 55
•  1955

• 5 years before my mother was born 
• 1961

• in the 90's they need it because of AIDS
• mid-1990's 
• kind when I was born

• 1918
• 0.25f% mortaility with OMT
• 10% w/ pneumonia complications

1962

• Mississipi
• missed out on the DO

Vermont 4 years after AT still opened the new school

• 1960's 
• the 6 goes with the 6

20 years before I was born 1975

• biomechanical 
• neurological
• behavioral 
• metabolic 
• respiratory/circulatory

MR. BBN

decrease muscle and joint issues

• balancing autonomic tones 
• referred pain 
• segmental faciliation 
• inflammation is a produc of the neurological becasue of viserosomatic reflexes

• Inhibitory pressure 
• soft tissue release 
• Rib raising 
• ganglion release
• occiptal  release from the vagus nerve

• doming the diaphragm
• thoracic inlet myofascial release 
• thoracic lymph pump 
• Pedal lymph pump

• decreasing allostatic load 
• decrease energy expenditure 
• build reserve for doing daily activities

considering patients mental health contributing to their health

demonstrated that OMt reduced length of stay , antibiotics, death or respiratory failure

• reduce tissue tension
• a neurological approach

neurologic patient care approach to release tension on the vagus nerve

articulate each rib in order to improve rib motion and stimulate the sympathethic ganglia