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OPP Lect 20

QuestionAnswer
Why was the term "somatic dysfunction" developed? to create a billable diagnosis for insurance. **All somatic dysfunction is just tissue in distress.
Is all somatic dysfunction the same thing? NO, constantly expanding. **Broad umbrella b/c we need a way to classify what we are treating.
What is represented by the Lederman Model? That physical loading will affect local tissue and not only cause the Mechanical changes that we observe, but also: 1.Fluid dynamic changes. 2.Reparative changes.
Effects of tissue change 1.Physical displacement. 2.Distortion or rearrangement of elements. 3.Mechanotransduction (intrinsic response to manual contact).
Neuroreflexive tissue changes 1.Somato-somatic. 2.Viscerosomatic. 3.Somatovisceral.
When first looking at somatic dysfunction, what will lead to the best treatment? Looking for the trauma that cuased the SD. the "how" and "where". **making anatomic correlation with history, observation, palpation.
What is the difference between trauma and treatment in terms of tissue change? 1.Trauma: disorganized tissue adaptation. 2.Treatment: Guided/organized tissue adaptation.
Is muscle a responsive tissue? YES **Motion is mostly coordinated by the the Nervous System.
Proprioception Active feedback system that relates spatial relationships. Sensing of motion and position of the body in space. **Involves sight, hearing, vestibular sys, golgi tendon, and muscle spindles.
What is the primary hypothesis counterstrain? issues/imbalance of proprioceptive coordination.
Korr's hypothesis Tone of muscles is related to position of the joints and the state of the nervous system
Somatic dysfunction involves 1.Impairment of at least one of the elements of motion. 2.Disrupted interrelationship of elements. 3.Loss of integrity of the whole system.
What is the reflex coordination of Posture Proprioception
What is the purpose of nocioception behavior? body's natural way to gaurd against damage.
How many pressure receptors are involved in touch? 4
What is the difference between extra and intrafusal fibers? Extra: outside the muscle spindle, within the muscle belly (form motor units via neuromuscular junctions). 2.Intra: within the muscle spindle.
Afferent nerves involved in Nociception Nerve endings of unmylenated C fibers that sense noxious stimulus. **Almost everywhere
What is responsible for the muscle reflex? H or Huffman reflex with muscle spendles afferents.
Muscle spindles sense 1.stretch. 2.rate of stretch. 3.relative & absolute position in space. **like a thermostat
Counterstrain hypothesis for tenderpoints Trauma/strain will cause proprioceptive dysregulation cuasing spindle afferents to send inaccurate info and recieve incorrect gamma stimulation.
Nociceptive model for tenderpoints Involves the system that reports or anticipates tissue damage, interpreted as pain.
Chain of events: Counterstrain model 1.Postural imbalance. 2.Strain. 3.Neural imbalance. 4.muscle spasm. 5.tenderness. 6.PAIN
Chain of events: nociceptive model 1.Postural imbalance. 2.Strain. 3.PAIN. 4.neural imbalace. 5.muscle spasm. 6.tenderness
What is the goal of treatment? to address the CAUSE!
Problem with nociceptive model: silent myotonia No pain unless provoked with a poke, no EMG trace
Evidence supporting counterstrain model 1.strain often occurs when shortened muscle suddenly lengthens. 2.sustained contraction promotes inflammation (including pain & tenderpoint).
How is counterstrain treatment successful? Shortening the muscle turns off the gamma afferent signal
Created by: WeeG
Popular Pharmacology sets

 

 



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