OPP and CSI
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show | Tissue texture abnormality Asymetry Restriction of motion Tenderness
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5 Models of Osteopathic Care | show 🗑
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Soft Tissue Techniques... | show 🗑
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Planes of vertebral facets | show 🗑
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Treat type I of type II first? | show 🗑
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Leaving the rest of Vert Biomech out | show 🗑
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show | convexity
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show | double major (most common), single scoliosis, junctional (uncommon) found at C7-T1 or T12-L1
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show | 70-90% are idiopatihc, it means we don't know the cause.
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Scoliosis can also be acquired... | show 🗑
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show | congenital, usually the worst. Neuromuscular, MD, polio, CP, Arnold Chiari malformation. Others include autoimmune disorders, Marfans, dwarfism, RA...
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Some important prognosticating factors... | show 🗑
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show | Type I
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show | 1. popliteal creases 2. greater trochanters 3. iliac crests 4. inferior angles of scapula 5. acromion processes 6. mastoid processes
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show | Functional vs Structural scoliosis Functional is flexible and potentially reversible. If the rib hump goes away when you sidebend towards it, it is functional. Otherwise...stuctural, inlfesible and non reducible
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What does the Cobb angle tell you? How do you measure it? | show 🗑
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show | rule of 5's in degrees 5-15=mild 20-45=mod >50=severe progression is significant if >5 degree progression in 5 months
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The other xray test? | show 🗑
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How do you treat scoliosis? | show 🗑
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show | tenderpoints, thank Dr. Lawrence Jones, "i did it because it worked" Basically you are trying to shorten the muscle that has the tenderpoint to get it to relax, is how I understand it.
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show | trauma or sudden strain causes proprioceptive disregulation, involves muscle spindles.
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show | 1. ID and 10 scale tenderpoint 2. Passive positioning 3. Don't move your finger, seriously 4. 90 seconds 5. passive return 6. retest
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show | The concept of tensegrity. bikes, bridges and geodesic domes. triangulation.
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show | a continuous series, tendons and ligaments
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show | a discontinuous series, bones
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show | Wolff, we'll see it again with regard to myofascial release.
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Tensegrity isn't just about bones and ligaments... | show 🗑
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Tensegrity also touches on harmonics. What effect can harmonics have? | show 🗑
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show | collagen, elastin, and reticular fibers, and ground substance. Ground substance is colloidal, ie fluid and solid depending on pressure applied
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Some functions of fascia are... | show 🗑
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Somatic dysfunction is common in the 5 transverse fascial diaphragms, what are they? | show 🗑
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show | true, specialized
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show | let the body heal itself?
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show | abnormal depolarization of motor end plates.
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show | normamlize motor end plate activity, change abnormal strain pattern.
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show | making more fibers, usually along same stress lines as direction of force (carpal tunnel)
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show | 1. Superficial, it's subcutaneous, involved with skin mobility, temp insulator, store energy, lymph and neuromuscular bundles 2. Deep fascia, separates muscle into muscle groups (same as in your steak) 3. Subserous fascia, viscera and organ capsules
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show | 1. Musculoskeletal; mobility, stability, postural 2. Nervous;75% muscle stretch receptors have free endings in fascia 3. Circulatory; channels for vessels 4. Lymphatic; aids in lymph return 5. Cell metab.; alters transfer of nutrients etc...
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show | Sherrington's Law
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show | Sometimes the mechanism of injury can also be the mechanism of treatment.
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The mechanism of direct myofascial release is at the ________________level? | show 🗑
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Integrated Neuromuscular Release (INR), Fascilitated Positional Release (FPR), Funtional Technique, Ligamentous Articular Strain (LRS) are all variations or synonomous with? | show 🗑
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show | Muscle Energy Technique. Direct treatment where the patient is active
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show | Concentric, eccentric, isometric
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show | Isometric
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counter force > patient force? | show 🗑
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2 subtypes of concentric contraction | show 🗑
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show | LOCALIZE
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show | HVLA. Muscle Energy is a good technique to use on someone with Parkinson's to keep muscles loose
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There are four proposed physioogical mechanisms for Muscle Energy, what are they and which one is probably going to be on the test? | show 🗑
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What do you need to look out for in joints when using muscle energy? | show 🗑
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show | Beighton non dominant hypermobility screening. 4/5 positive = caution for all direct treatments. here comes Ehrlers Danlos again
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show | osteoporosis, joint inflammation, elderly, and if patient is guarding
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Minor joint motions are often the cause of SD, what is ine example? | show 🗑
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being restricted in all or most planes of a joint motion is called? | show 🗑
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What glide to you get when you flex your knee joint? extend? | show 🗑
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show | restricted posterior glide, so extension would be restricted and possibly painful. (stuck anterior)
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show | stuck posterior, pull anteriorly while pressing the gas. can cause fibular neuritis.
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What is a common injury that can have implication to the fibula and may benfit from treating a fibular head somatic dysfunction? | show 🗑
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show | upper=tibiotalar (talocrural) lower=subtalar (talocalcaneal)
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3 hip tender points? | show 🗑
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show | distal
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Popular Osteopathic Principl sets