Osteopathy: palpation. Review static and dynamic

Review dinamico.La static and palpation in the diagnosis

Review static and dynamic
When a patient is examined and found to be a joint hurts, make a careful evaluation of the static aspect as a whole.

The static cord, head carriage, the natural curvatures of the spine in all planes, the height of the shoulders, the possible mismatch between the clavicles, between the shoulder blades, flat areas at the thoracic level, prior injuries that show very pathogens, the bearing of the natural lumbar lordosis hips, etc..

The dynamic examination, broadly encompassing all movements of the spine. Active movements should be studied first (liabilities may be later) because the patient will do within their own limits of pain, and therefore are safe. The moves will be made at:

- Flexion and extension.
- Bending to both sides.
- Rotations, right and left.
- Bending with rotation, also on both sides.

This we will determine the positions and directions that are painful and restricted or limited.

Palpation in the diagnosis
On palpation Osteopathy can be a tool in identifying the level of the lesion in the spine. It addresses the soft tissues, skin and muscles. It is seen a change in the texture of the tissues around the lesion.

Generally, when a more chronic lesion tissues are denser.

The palpation was carried out in three fields:
- Palpation of the dermatome (skin)
- Palpation of the myotome (muscle)
- Palpation of the sclerotome (bone)

Palpation of the dermatome
His goal is to locate a celulalgia reflects. This is reflected by thickening and painful skin. The dermalgia is a reflection that corresponds to a segment lesion.

These zonaas located dermalgicas or sensitive technique for the clamped-ro. The skin is thick and painful dermalgica area.

Palpation of the myotome
Its purpose is to detect mainly a hypertonia. Muscle spasm is evidenced by a cordon sensation on palpation.
It is necessary for this study meet the standard anatomical metameric innervation of the muscles, spinal innervation of the limbs, trunk and neck.

Palpation of the sclerotome
Takes place under pressure that target different anatomical levels of the posterior articular processes. Where if it is pain, as evidenced in most cases after an injury in (remember the translation as the best technique for these cases).

For more information visit our Osteopathy course online. Basic Concepts

*Automatic Translation