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acute somatic dysfunction
- Pain quality – acute pain, severe, cutting,
- Skin – feels warm, moist, appears red, inflamed
- Musculature – increased muscle tone, muscle
- contraction, spasm
- Mobility – range of motion may be normal but
- quality “sluggish” (hesitancy to motion)
- Tissues – “boggy” edema (feels squishy),
- acute congestion
chronic somatic dysfunction
- Pain quality – dull, achy, paresthesias
- (crawling, itching, burning, gnawing)
- Musculature – decreased muscle tone, flaccid,
- mushy, limited range of motion due to contracture
- Mobility – decreased range of motion with
- normal quality of motion that remains
- 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.
time and repetitions to become expert
- In general, it takes 10,000 repetitions and/or
- 10 years of practice to reach an expert level in any task requiring
- neuromusculoskeletal integration
what are you looking for whenn evealuating a patient osteopathically
- 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
define 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.”
goal of OMM
- 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
- A – asymmetry (static,
- motion, tonicity, turgor, color, temperature).
- Can involve vertebral position, atrophy, hypertrophy, hypotonicity or
- 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
- 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.
find dominant hand
lace fingers, whichever one's thumb is on top is dominant
find dominant eye
using dominant hand, make a cirlce around fqar obgect.... whichever eye it is seen through individuallly is dominant
causes of high/low skin drag
- Increased skin drag may be due to excessive
- dryness, slight perspiration or edema.
- 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