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Osteopathic Manipulative Medicine by TrueLearn
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Treatment Modalities

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Osteopathic Manipulative Medicine by TrueLearn | Medicine (MD/DO) School Study Aid

Treatment Modalities
21 Picmonics to Learn | 1 hr 1 min
Muscle Energy
Characteristics
Active
Direct
Types
Reciprocal Inhibition
Respiratory Assistance
Post-Isometric Relaxation
Isotonic
Isolytic
Contraindications
Critically Ill
Fractures
Acute Injury
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3 mins
Counterstrain Overview
Characteristics
Indirect
Passive
Pathophysiology
Inappropriate Proprioception
Treatment Steps
Tender Point
Pain Scale
Maximum Comfort
90 Seconds
Therapeutic Pulse
Slowly Return to Neutral
Reassess
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3 mins
High-Velocity, Low-Amplitude Thrust (HVLA)
Characteristics
Direct
Passive
Basics
Thrust
Pop
Contraindications
Low Bone Mineral Density
Joint Instability
Fractures
Vertebrobasilar Insufficiency
Acute Herniated Disc
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2 mins
Myofascial Release and Soft Tissue
Characteristics of Myofascial Release
Fascial Creep
Direct or Indirect
Active or Passive
Characteristics of Soft Tissue
Direct
Rhythmic
Relative Contraindications
Acute Sprain or Strain
Fracture
Neurologic or Vascular Compromise
Malignancy
Soft Tissue Infection
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3 mins
Zink's Common Compensatory Pattern
Transitional Zones
Occipito-Atlantal
Cervico-Thoracic
Thoraco-Lumbar
Lumbo-Sacral
Fascial Patterns
Common Compensated
Uncommon Compensated
Uncompensated
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3 mins
Myofascial Trigger Points
Types
Active
Latent
Satellite
Diagnosis
Taut Band
Spot Tenderness
Referred Pain
Treatment
Manipulation
Spray and Stretch
Dry Needling
Injection
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3 mins
Seven Stages of Spencer
Characteristics
Shoulder Girdle
Articulatory Technique
Muscle Energy Activation
Stages
Every Fancy Cat Takes An Indoor Dump
Extension
Flexion
Circumduction with Compression
Circumduction with Traction
Abduction then Adduction with External Rotation
Internal Rotation
Distraction
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5 mins
Counterstrain: Anterior Lumbar Tender Points
Characteristics
L1: Medial to ASIS (Anterior Superior Iliac Spine)
L2: Medial to AIIS (Anterior Inferior Iliac Spine)
L3: Lateral to AIIS (Anterior Inferior Iliac Spine)
L4: Inferior to AIIS (Anterior Inferior Iliac Spine)
L5: One Centimeter Lateral to Pubic Symphysis
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2 mins
Lymphatics: Osteopathic Overview
Left Lymphatic (Thoracic) Duct
Left Head and Neck
Left Thorax and Upper Extremity
Abdomen and Lower Extremities
Right Lymphatic Duct
Right Head and Neck
Right Thorax and Upper Extremity
Diaphragms
Thoracic Inlet
Thoracic Diaphragm
Pelvic Diaphragm
Considerations
Tissue Changes
Chapman's Points
Tense Pelvic Diaphragm
Restricted Thoracic Cage Movement
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4 mins
Counterstrain: Anterior Rib Tender Points
Anterior Tenderpoints
Depressed Ribs / Exhalation Dysfunction
Rib 1: First Costochondral Junction Inferior to the Clavicle
Rib 2: Midclavicular Line of Rib 2
Rib 3 - 10: Anterior Axillary Line of the Corresponding Rib
Anterior Treatment
Sidebend, and Rotate Towards (STRT)
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3 mins
Counterstrain: Posterior Rib Tender Points
Posterior Tender Points
Elevated Ribs / Inhalation Dysfunction
Rib 1: One Centimeter Lateral to the Costotransverse Articulation
Rib 2 - 10: The Angle of the Corresponding Rib
Posterior Treatment
Rib 1: ESART
Rib 2-10: SARA
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2 mins
Ribs: Exhalation Dysfunction Treatment
Mnemonic
"At 1 AM I got up 2 pee because from 3-5 PM I had 6-8 sodas. From 9-10 I laid down and from 11-12 I was quiet."
Treatment with Muscle Energy
Rib 1: Anterior and Middle Scalenes
Rib 2: Posterior Scalene
Ribs 3 - 5: Pectoralis Minor
Rib 6-8: Serratus Anterior
Rib 9-10: Latissimus Dorsi
Rib 11 - 12: Quadratus Lumborum
Contraindications
Acute Muscle Spasm
Fracture
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3 mins
Counterstrain: Anterior Cervical Tender Points
Anterior Tender Points
AC1: Posterior Ramus of the Mandible
AC2 - AC6: Anterior Surfaces of the Transverse Process
AC7: Clavicle Attachment of the Sternocleidomastoid
AC8: Sternal Attachment of the Sternocleidomastoid
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3 mins
Counterstrain: Posterior Cervical Tender Points
Posterior Tender Points
PC1: Inferior Nuchal Line Lateral to the Inion
PC1 Lateral: Between the Inion and Mastoid Process
PC2 - PC6: Laterally to the Spinous Process of the Vertebra Above
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2 mins
Counterstrain: Cervical Tender Points Treatments
Treatment
Flexion (Anterior)
Extension (Posterior)
Sidebend Away, Rotate Away (SARA)
Treatment Exceptions
AC7: Flex, Sidebend Toward, Rotate Away (STRA)
PC1: Flexion
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2 mins
Autonomics and Facilitation: Treatments
Sympathetic Nervous System
Rib Raising
Paraspinal Inhibition
Celiac Ganglion, Superior Mesenteric, and Inferior Mesenteric Release
Chapman’s Points
Cervical Paraspinal Sympathetic Ganglia
Parasympathetic Nervous System
Cranial Manipulation
Sphenopalatine Ganglion Release
Occipital Decompression
Vagal Nerve Stimulation
Treat Sacral Somatic Dysfunctions
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3 mins
Fascial Distortion Model
Anatomical Approach to Somatic Complaints
Mnemonic
Tired Children Hate Folding Clothes Tonight
The Six Distortions
Trigger Bands
Cylindrical Distortions
Herniated Trigger Points
Folding Distortions
Continuum Distortions
Tectonic Fixations
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3 mins
Balanced Ligamentous Tension
Sequence
Locating a Restriction or Asymmetry
Finding the Balance Point
Holding the Balance Point
Shifting to Neutral
Reassess
Indications
Asymmetry
Contraindications
Acute Injury
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3 mins
Visceral Manipulation
Treatments
Treatment of the Thoracic Inlet
Doming the Diaphragms
Myofascial Release
Chapman’s Points
Rib Raising
Ganglion Release
Sacral Rocking
Pedal and Splenic Pump
Direct or Indirect
Contraindications
Infection
Recent Trauma
Malignancy
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3 mins
Lymphatics: Treatments
Diaphragm Release
Thoracic Inlet Release
Doming the Diaphragm
Pelvic Diaphragm Release
HEENT: Head, Eyes, Ears, Nose and Throat
Auricular Drainage Technique
Effleurage
Anterior Cervical Mobilization
Galbreath Technique
Mechanically Mobilizing the Lymphatics
Cranial Field Osteopathy
Muscle Energy: Thoracic Inlet
Thoracic Pump
Splenic Pump
Liver Pump
Pedal Pump
Rib Raising
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5 mins
Facilitated Positional Release and Still Technique
Facilitated Positional Release
Characteristics
Indirect
Activating Force
Treatment Steps
Neutral Spine Position
Apply a Facilitating Force
Shorten the Muscle
Hold
Reevaluate
Treatment Types
Superficial Muscle Treatment
Deep Intervertebral Muscle Treatment
Still Technique
Characteristics
Direct
Indirect
Treatment Steps
Position of Ease
Vector Force
Into the Barrier
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2 mins

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