opp exam 1

• 1.
• Pain quality – acute pain, severe, cutting,
• sharp

• 2.
• Skin – feels warm, moist, appears red, inflamed

• 3.
• Musculature – increased muscle tone, muscle
• contraction, spasm

• 4.
• Mobility – range of motion may be normal but
• quality “sluggish” (hesitancy to motion)

• 5.
• Tissues – “boggy” edema (feels squishy),
• acute congestion

• 1.
• Pain quality – dull, achy, paresthesias
• (crawling, itching, burning, gnawing)

• 2.
• Skin – cool, pale

• 3.
• Musculature – decreased muscle tone, flaccid,
• mushy, limited range of motion due to contracture

• 4.
• Mobility – decreased range of motion with
• normal quality of motion that remains

• 5.
• Tissues – chronic congestion, doughy,
• stringy, fibrotic, ropy, thickened, contracted/contractures

• the art of sensing, evaluating
• and knowing with the fingers. Strong
• palpatory skills are essential to evaluating and treating Osteopathically. This is a psychomotor skill that, like
• playing a musical instrument or a sport, takes time to develop.

• In general, it takes 10,000 repetitions and/or
• 10 years of practice to reach an expert level in any task requiring
• neuromusculoskeletal integration

• evaluating for
• alterations in function and motion both locally and globally throughout the
• entire individual. You are looking for
• the presence or absence of somatic dysfunction

• impaired or altered function
• of related components of the somatic (body framework) system: skeletal,
• arthroidal, and myofascial structures, and related vascular, lymphatic and
• neural elements.”

• Osteopathic
• manipulative medicine (OMM) is used to find the health in the individual. We interact with somatic dysfunction to
• improve function and motion and establish an environment where the body can
• heal and exist in health.

• T – tissue texture
• abnormalities

• A – asymmetry (static,
• motion, tonicity, turgor, color, temperature).
• Can involve vertebral position, atrophy, hypertrophy, hypotonicity or
• hypertonicity

• R – restriction of motion. This is where an area does not have free,
• unrestricted range of motion. It
• involves one or more planes and occurs within physiologic bounds. Evaluated through active and passive motion
• testing

• T – tenderness (in the area
• of abnormality). This is a sensation of
• pain or soreness elicited during palpation.
• Is frequently found in the tissues associated with somatic dysfunction
• and may be associated with other subjective symptoms such as numbness,
• tingling, etc.

lace fingers, whichever one's thumb is on top is dominant

using dominant hand, make a cirlce around fqar obgect.... whichever eye it is seen through individuallly is dominant

• 1.
• Increased skin drag may be due to excessive
• dryness, slight perspiration or edema.

• 2.
• Decreased skin drag may be due to excessive
• perspiration, oiliness or atrophy.

afer applied pressure, skin should turn red and return to normal

not returning to normal usually indicates somatic dysfunction