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MS1 OMM::Prinicples of OMM I::Week 2 Palpation and Motion
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oscar-johnny-india-comet-missouri-romeo
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Last Update
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Published
08/21/2024
Osteopathic manipulative medicine (OMM)
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08/21/2024
Osteopathic manipulative treatment (OMT)
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08/21/2024
Somatic dysfunction
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What are the 4 requirements of osteopathic medical practice?
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What are the 4 key principles of osteopathic medicine?
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A complete osteopathic physical exam includes examination for {{c1::somatic}} dysfunctions
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What is a key question to consider as a DO/for OMM?
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What is the 4 diagnostic criteria of somatic dysfunction? How many do you need to make a diagnosis of somatic dysfunction?
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Integrate the exam for {{c1::somatic dysfunction}}, including {{c1::palpation}}, into the total physical exam
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You need to center your {{c1::dominant}} eye over the structure being {{c1::palpated}} to improve {{c1::accuracy}}
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What are the 4 steps of the exam for somatic dysfunction?
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What are the steps for the OBSERVATION step of the exam for somatic dysfunction?
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Screening palpatory exam
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What is the standing structural exam designed to identify rapidly?
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What do positive findings in the standing structural exam suggest?
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What do positive findings from the standing structural exam not tell us?
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How do you perform the standing structural exam?
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Palpation
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Palpation is the direct observation of the interrelationship of {{c1::structure}} and {{c1::function}}
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Palpatation: Learn to concentrate on {{c1::sensations}} received through the hands and fingers; relax and focus
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Palpation: Use the {{c1::finger pads}} of the thumb and the first {{c1::2}} fingers
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Adjust the amount of {{c1::pressure}} you use to better appreciate structures at different depths
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What do you assess with light palpation?
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What do you assess with medium pressure palpation?
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What do you assess with deep palpation?
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What findings are there to gather from palpating the skin?
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What findings are there to gather from palpating the subcutaneous tissues?
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What findings are there to gather from palpating the muscle?
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Hypotonic
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Hypertonic
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What findings are there to gather from palpating ligament and bone?
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What does a lack of turgor suggest?
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What is a positive skin drag? What does does it result from?
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Skin rolling test
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In areas of somatic dysfunction, the skin will be {{c1::tight}} and {{c1::resistant}} to being pulled during a skin rolling test
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What level are viscerosomatic relaxes found?
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The longest spinal muscles are more {{c1::superficial}} and involved in {{c1::postural}} patterns and group curves. They run {{c2::long…
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Spinal short muscles are {{c1::deep}} and reflect {{c1::segmental dysfunction}}. They are {{c2::oblique}} (neither parallel nor perpend…
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Spinal muscles derive inervación from the {{c1::spinal segments}} they traverse
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Long spinal muscles are innervated by {{c1::multiple}} segments
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Short spinal muscles are innervated by {{c1::single}} segments
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We often palpate a muscle {{c1::perpendicular}} to the direction of its fibers
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The intermediate longitudinal back muscles involves {{c1::horizontal}} palpation
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The deep back muscles are oriented in {{c1::multiple}} directions, which can change the {{c1::direction}} of palpation
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To palpate the skin, use the {{c1::lightest}} amount of pressure to gain information
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To palpate the subcutaneous tissue use {{c1::slightly deeper}} pressure than for skin
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To palpate the muscle use enough pressure to {{c1::blanch your nail}}
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Well-developed muscles are {{c1::full}}, {{c1::smooth}}, and {{c1::homogeneous}}
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{{c1::Atrophic muscles}} are thin, ropy, or stringy
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{{c1::Hypotonicity}} may result from underuse or aberrant neuronal information
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{{c1::Hypertonicity}} may result from anxiety, increased sympathetic outflow, or aberrant neuronal information
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Tendons
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Tendons are described as:
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Ligaments
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Serious injuries to {{c1::ligaments}} can cause joint laxity
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Ligaments may be {{c1::difficult}} to palpate
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Fascia
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What does fascia feel like when it relaxes?
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What does palpation of bones and joints indicate?
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Palpation directly over bony prominences may elicit {{c1::tenderness}}
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Palpation adjectives for the skin
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Palpation adjectives for subcutaneous tissue
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Palpation adjective to describe muscle
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TARt - Tissue texture abnormality
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Acute somatic dysfunction
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Acutely injured muscle tends to be {{c1::hypertonic}}, puffy with hyperalgesia
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Characteristics of acute inflammation
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Chronic somatic dysfunction length of time
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Characteristics of chronic somatic dysfunction
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Active motion
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Passive motion
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Motion: Group vs. segmental
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Constant rest position
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Thoracic soft tissue (to reduce paraspinal muscle tension)
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08/21/2024
Lumbar soft tissue (to reduce paraspinal muscle tension)
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08/21/2024
Popliteal spread (to improve lymphatic drainage and my of asocial dysfunction of the lower extremities)
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