Hands-On Medicine: An Introduction to Osteopathic Manipulative ...
Hands-On Medicine: An Introduction to Osteopathic Manipulative Treatment Faculty: Dr. Diana S. Sepehri-Harvey, DO, MPH Assistant Professor in Family Medicine Assistant Professor in Preventive Medicine Loma Linda University Health System
Table Trainers: Dr. Emiko Ishihara, DO Family and Preventive Medicine, PGY2
Dr. Van Nguyen, DO Assistant Professor in Family Medicine LLIECHE Family Medicine Residency Faculty Loma Linda University Health Systems
Dr. Pallavi Bains, DO Family Medicine, Chief Resident, PGY 3 Dr. Stewart Wilkey, DO Family and Preventive Medicine, PGY 3 Dr. Sumedh Mankar, DO Family and Preventive Medicine, PGY 4
What is Osteopathic Manipulative Treatment (OMT)? • AKA Osteopathic Manipulative Medicine (OMM) • Uses manual manipulative techniques to diagnose, treat, and prevent illness or injury • involve moving/repositioning fascia, muscles, ligaments, and joints through stretching, gentle pressure and resistance to name a few. • some techniques are similar to other manual therapy such as Chiropractic Therapy, Physical Therapy, Massage Therapy • MOST techniques are unique to the field of osteopathy • Hands-on care! Somatic Dysfunction • "Impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial and myofascial structures, and their related vascular, lymphatic, and neural elements. Somatic dysfunction is treatable using osteopathic manipulative treatment." - American Osteopathic Association
Acute Tenderness
Chronic Dull, achy, burning
Asymmetry
Present
Present, but with compensation in other areas of the body
Restricted Range of Motion
Present, but with pain on ROM
Present, but decreased or no pain on ROM
Tissue Texture Changes
Edematous, erythematous, boggy, increased moisture, hypertonic musculature
Decreased or no edema, cool, dry skin, decreased tone, ropy, fibrotic
Table Trainers: Dr. Emiko Ishihara, DO Family and Preventive Medicine, PGY2
Dr. Van Nguyen, DO Assistant Professor in Family Medicine LLIECHE Family Medicine Residency Faculty Loma Linda University Health Systems
Dr. Pallavi Bains, DO Family Medicine, Chief Resident, PGY 3 Dr. Stewart Wilkey, DO Family and Preventive Medicine, PGY 3 Dr. Sumedh Mankar, DO Family and Preventive Medicine, PGY 4
What is Osteopathic Manipulative Treatment (OMT)? • AKA Osteopathic Manipulative Medicine (OMM) • Uses manual manipulative techniques to diagnose, treat, and prevent illness or injury • involve moving/repositioning fascia, muscles, ligaments, and joints through stretching, gentle pressure and resistance to name a few. • some techniques are similar to other manual therapy such as Chiropractic Therapy, Physical Therapy, Massage Therapy • MOST techniques are unique to the field of osteopathy • Hands-on care! Somatic Dysfunction • "Impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial and myofascial structures, and their related vascular, lymphatic, and neural elements. Somatic dysfunction is treatable using osteopathic manipulative treatment." - American Osteopathic Association
Acute Tenderness
Chronic Dull, achy, burning
Asymmetry
Present
Present, but with compensation in other areas of the body
Restricted Range of Motion
Present, but with pain on ROM
Present, but decreased or no pain on ROM
Tissue Texture Changes
Edematous, erythematous, boggy, increased moisture, hypertonic musculature
Decreased or no edema, cool, dry skin, decreased tone, ropy, fibrotic
