Manual Medicine 101: Manual Medicine Approach—Introduction (02:00)
Sherrie Ballantine-Talmadge and Bill Moreau will provide instruction and an explanation of osteopathic and chiropractic terminology in this discussion. See their disclaimer and presentation objectives.
History of Osteopathy (04:34)
Osteopathy began in the 19th century with Andrew Taylor Still; the first school was founded in Kirksville, MO. Learn the four basic tenets of osteopathic medicine. Ballantine-Talmadge considers misnomers about osteopathic physicians.
Osteopathy Terms to be Familiar With (08:37)
Terminology includes: somatic dysfunction, group dysfunction, and segmental dysfunction. Somatic dysfunction can be acute or chronic. Use the TART mnemonic to diagnose somatic dysfunction.
Pearls of Treatment (01:37)
Treat with intention. Treatment goals are to restore function, symmetry, and motion; remember anatomy. Barriers include anatomic, physiologic, and pathologic.
Osteopathic Techniques (03:25)
Name somatic dysfunction according to the direction the tissue likes to move. Techniques are either direct or indirect; Ballantine-Talmadge cites examples.
Easiest Techniques to Apply (06:22)
Techniques include: myofascial release, muscle energy, counter-strain, soft tissue, and deep articulation. See examples.
History of Chiropractic (05:12)
Daniel David Palmer founded chiropractic medicine. Chiropractic medicine has a large diversity of practice; learn the four basic tenets. Palmer explains straight chiropractic and evidence-based chiropractic.
Chiropractic Terms to be Familiar With (03:23)
Terminology includes: subluxation, joint dysfunction, ACBSP, DACBSP, and CCSP. Moreau does not rely on x-ray analysis to determine whether or not to perform an adjustive procedure.
Range of Motion Considerations (03:08)
Considerations include: decreases with age, changes as it adapts to sport, asymmetry increases injury risk, and loss of internal hip rotation is a predictor of intra-articular pathology. A pie chart reveals restriction percentages.
Mobilization Grades and Manipulation (04:59)
Moreau explains Maitland's grades of oscillatory mobilization, mobilization with movement, joint manipulation, patient selection, red and yellow flags of care, determining if a lesion is manipulable, and manipulation effects.
Chiropractic Techniques (04:17)
Techniques include: manipulation, mobilization, soft tissue approach, muscle energy, HVLA, and low force techniques. Most people use a diversified technique.
Manual Therapy and the Olympics (04:31)
Manual therapy is the use of hands to apply a force with therapeutic intent. Several types of professionals use manual therapy in patient care. Moreau considers proposed mechanisms and explains the analytics of manual medicine from the 2012 London Games.
Q&A: Evidence-Based vs. Philosophy-based (02:25)
The practitioners of both practices often "butt heads." Moreau focuses on working with diplomates and CCSPs.
Q&A: Professional Tension (01:29)
An audience member compares the tension between evidence-based and philosophy-based practitioners to those in the MD and DO fields. Ballantine-Talmadge discusses the elimination of MD/DO match difficulties.
Q&A: Trigger Point and Tender Point (02:18)
Ballantine-Talmadge discusses the difference between the two points and the terminology associated with them from an osteopathic perspective. Moreau defines the difference from his perspective.
Q&A: Trigger Point Injections and Dry Healing (03:54)
Moreau stresses using "the smallest hammer to do the job;" he and Ballantine-Talmadge use injections only when necessary. Moreau's has seen mixed results with dry needling but believes tenotomy shows promise.
Credits: Manual Medicine 101: Manual Medicine Approach (00:24)
Credits: Manual Medicine 101: Manual Medicine Approach
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