Osteopathy: Location of spaces fixed. Conclusions on the diagnosis

Test set location of spaces
Conclusions on the diagnosis of osteopathy

For the location of fixed sites and to apply the right technique, to release such hypomobility, using three types of test:

- The physiological biomechanical.
- The specific analytical mobility.
- Tests of disgruntled lateral pressures.

Physiological tests
This is done in the patient moves in one direction given in order to study the response of the joint tested. If mobility is perceived, the joint is free. The most common test is performed in bending, for example to the left, from a completely neutral position. When performing the bending is evident that rotation opposite feeling can be seen without a problem. If it receives a right of the vertebra posteriorizacion tested is that this encyclopedia. Otherwise this set.

Mobility specific analytical tests
This test is performed quickly and simply. Fixed spaces are located quite easily.

The osteopath is located behind the patient. Both sat. With his left hand the therapist supports and stabilizes the patient's shoulder area. With the right and using the front of the fist test performed by pushing forward and appreciating the elastic response of the column.

Tests of disgruntled lateral pressures
This test is to provoke a vertebral rotation induced by a lateral pressure against the spine. Order is made in all areas of the vertebral spine. When it reaches a fixed vertebra causes pain. Once identified, we tested the top and bottom with the help of a pressure on the spinous process opposite to induce an opposite rotation. Ask the patient if the pain is more intense when we tested the vertebra on the top or on the contrary, with respect to the bottom. This will give us valuable information about the nature of the injury:

1o-You will learn that the backbone is fixed.
2O-you will know if the fixation is on the top or bottom facet.
3o-also know if the injury is later or earlier.
"If it's in the 4th after the injury is upward. From the feet upward.
If instead it will be down in advance. Its starting point is higher (remember that is usually attached to the myofascial system).
The 5th-Recall also that if the injury is in flexion used a technique in rotation, and if it is in extension, manipulative technique will be in convection.

Conclusions on the diagnosis of osteopathy
We have seen throughout this chapter the many concepts and details that must take into account the osteopath to bring to conclusion one of the most important issues in this therapeutic technique: the diagnosis.

The patient must listen attentively and ask to speak with clarity and simplicity.

Must also identify the patient anything that could be a formal contraindication to manipulation. I will never forget to value the radiographs.

In the role of diagnosing know the true nature of the pain, the tissues responsible. The fixation where it occurs. The implications of hypermobility that may occur. Give special attention to greater or primary lesion is asymptomatic, only minor injuries compensation or caused symptoms.

Need to know if the injury is in flexion or extension. If upward or downward, if the vertebra starter adaptive correcting this group up or at the bottom of that group.

You can not overlook if the injury is disc. If root is compromised.

And finally, once the diagnosis is completed must apply the right technique.

As you can see is not an easy job. Learn and become a good osteopath requires dedication, effort and some medico-physiological lucidity. The practice continued and thorough knowledge of the subject to forge good therapist.

For more information visit our Osteopathy course online. Basic Concepts

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