Authorized Osteopathic Thesaurus December, 2003 Terms

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1 s USE (s) Elevated Rib Inhalation Rib Dysfunction Item number: 100 Broader (s) Related (s) End Feel Tissue Texture Abnormality Movement Barrier Item number: 101 Perceived quality of motion as an anatomic or physiologic restrictive barrier is approached. Item number: 102 Equilibrium [MeSH] Narrower (s) Membranous Balance see: USE (s) ERS Extended Rotated Sidebent Item number: 103 USE (s) ESR Extended Rotated Sidebent Item number: 104 Broader (s) Exaggeration Method Item number: 105 Manipulation, Osteopathic [MeSH] Narrower (s) Exaggeration Technique An osteopathic treatment strategy by which the dysfunctional component is carried away from the restrictive barrier and beyond the range of voluntary motion to a point of palpably increased tension. Broader (s) Exaggeration Technique Item number: 106 Direct Method; Exaggeration Method; Passive Method Used For (s) Exaggeration Treatment An indirect procedure that involves carrying the dysfunctional part away from the restrictive barrier, then applying a high velocity/low amplitude force in the same direction. Page 1 of 16 Modified: 12/15/2003

2 s USE (s) Exaggeration Treatment Exaggeration Technique Item number: 107 Broader (s) Related (s) Exhalation Rib Dysfunction Rib Somatic Dysfunction Inhalation Rib Dysfunction Item number: 108 Used For (s) Caught in Exhalation; Depressed Rib; Exhalation Strain; Exhaled Rib; Inhalation Rib Restriction 1. Somatic dysfunction usually characterized by a rib being held in a position of exhalation such that motion toward exhalation is more free and motion toward inhalation is restricted. Synonyms: inhalation rib restriction exhalation strain, depressed rib. 2. An anterior rib tender point in counterstrain.. Somatic dysfunction usually characterized by a rib being held in a position of exhalation such that motion toward exhalation is more free and motion toward inhalation is restricted; Synonyms: inhalation rib restriction, exhalation strain, depressed rib. 2. An anterior rib tender point in counterstrain. USE (s) Exhalation Rib Restriction Inhalation Rib Dysfunction Item number: 109 USE (s) Exhalation Strain Exhalation Rib Dysfunction Item number: 110 USE (s) Exhaled Rib Exhalation Rib Dysfunction Item number: 111 Broader (s) Related (s) Extended Rotated Sidebent Spinal Somatic Dysfunction Item number: 112 Flexed Rotated Sidebent; Flexed Sidebent Rotated; Neutral Sidebent Rotated Used For (s) ERS; ESR; Extended Sidebent Rotated A descriptor of spinal somatic dysfunction used to denote a combination extended (E), rotated (R), and sidebent (S) vertebral position. Page 2 of 16 Modified: 12/15/2003

3 s USE (s) Extended Sidebent Rotated Extended Rotated Sidebent Item number: 113 Broader (s) Related (s) Item number: 114 Extended Somatic Dysfunction Spinal Somatic Dysfunction Flexed Somatic Dysfunction Impaired or altered function of the vertebra in extension. Broader (s) Related (s) Extrinsic Corrective Forces Therapeutics [MeSH] Intrinsic Corrective Forces Item number: 115 Forces external to the patient that may include operator effort, effect of gravity, mechanical tables, etc. USE (s) Item number: 116 Facilitated Oscillatory Release Method Facilitated Oscillatory Release Technique Broader (s) Related (s) Item number: 117 Facilitated Oscillatory Release Technique Osteopathic Manipulative Treatment Systems Percussion Vibrator Technique Used For (s) Facilitated Oscillatory Release Method; Facilitated Oscillatory Release Treatment; FOR 1. A technique intended to normalize neuromuscular function by applying manual oscillation. Intended to be combined with any other technique involving ligamentous or myofascial technique. 2. A refinement of a longstanding use of oscillatory force in osteopathic diagnosis and treatment as published in early osteopathic literature. USE (s) Item number: 118 Facilitated Oscillatory Release Treatment Facilitated Oscillatory Release Technique Page 3 of 16 Modified: 12/15/2003

4 s Broader (s) Item number: 119 Facilitated Positional Release Myofascial Release Used For (s) Facilitated Positional Release Method; Facilitated Positional Release Technique; Facilitated Positional Release Treatment; FPR A system of indirect myofascial release treatment. The component region of the body is placed into a neutral position, diminishing tissue and joint tension in all planes, and an activating force (compression or torsion) is added. 2. A technique developed by Stanley Schiowitz, DO. USE (s) Item number: 120 Facilitated Positional Release Method Facilitated Positional Release USE (s) Item number: 121 Facilitated Positional Release Technique Facilitated Positional Release USE (s) Item number: 122 Facilitated Positional Release Treatment Facilitated Positional Release USE (s) Facilitated Segment Spinal Facilitation Item number: 123 USE (s) Facilitation Spinal Facilitation Item number: 124 Related (s) Item number: 125 Fascia [MeSH] Fascial Pattern see: Page 4 of 16 Modified: 12/15/2003

5 s Broader (s) Fascial Pattern Movement [MeSH] Item number: 126 Narrower (s) Common Compensatory Fascial Pattern; Uncommon Compensatory Fascial Pattern; Uncompensated Fascial Pattern Related (s) Fascia [MeSH] 1. Systems for classifying and recording the preferred directions of fascial motion throughout the body. 2. Based on the observations of J. Gordon Zink, DO, FAAO and W. Neidner, DO. USE (s) Fascial Release Method Myofascial Release Item number: 127 USE (s) Fascial Release Technique Myofascial Release Item number: 128 USE (s) Fascial Release Treatment Myofascial Release Item number: 129 Broader (s) Fascial Unwinding Passive Method Item number: 130 Narrower (s) Inhibitory Pressure Technique A manual technique involving constant feedback to the osteopathic practitioner who is passively moving a portion of the patient's body in response to the sensation of movement. Its forces are localized using the sensations of ease and bind over wider regions. Broader (s) Related (s) Used For (s) FRS Flexed Rotated Sidebent Spinal Somatic Dysfunction Item number: 131 Extended Rotated Sidebent; Flexed Sidebent Rotated; Neutral Sidebent Rotated A descriptor of spinal somatic dysfunction used to denote a combination flexed (F), rotated (R), and sidebent (S) vertebral position. Page 5 of 16 Modified: 12/15/2003

6 s Broader (s) Related (s) Used For (s) FSR Flexed Sidebent Rotated Spinal Somatic Dysfunction Item number: 132 Extended Rotated Sidebent; Flexed Rotated Sidebent; Neutral Sidebent Rotated A descriptor of spinal somatic dysfunction used to denote a combination flexed (F), sidebent (S), and rotated (R) vertebral position. Broader (s) Related (s) Item number: 133 Flexed Somatic Dysfunction Spinal Somatic Dysfunction Extended Somatic Dysfunction Impaired or altered function of the vertebra in flexion. Item number: 134 Flexion Test Broader (s) Diagnostic Techniques and Procedures [MeSH] Narrower (s) Seated Flexion Test; Standing Flexion Test Tests for iliosacral or sacroiliac somatic dysfunction. Broader (s) Item number: 135 Foot Somatic Dysfunction Lower Extremity Somatic Dysfunction Impaired or altered function of the foot. USE (s) FOR Item number: 136 Facilitated Oscillatory Release Technique Broader (s) Item number: 137 Forearm Somatic Dysfunction Upper Extremity Somatic Dysfunction Impaired or altered function of the forearm. Page 6 of 16 Modified: 12/15/2003

7 s Broader (s) Related (s) Forward Torsion Sacral Torsion Backward Torsion Used For (s) Neutral Torsion Item number: Forward torsion is a physiologic rotation of the sacrum around an oblique axis such that the side of the sacral base contralateral to the named axis glides anteriorly and produces a deep sulcus. L5 rotates in the direction opposite to the rotation of the sacral base. 2. Referred to as neutral sacral somatic dysfunctions (Archaic use). 3. A group of somatic dysfunctions described by Fred Mitchell, Sr, DO, based on the motion cycle of walking. USE (s) FPR Item number: 139 Facilitated Positional Release USE (s) FRS Flexed Rotated Sidebent Item number: 140 USE (s) Fryette Law Fryette Principle Item number: 141 Broader (s) Fryette Principle Movement [MeSH] Item number: 142 Used For (s) Fryette Law; Fryette's Principle; Physiologic Motion of the Spine The three major principles of physiologic motion are: I. When the thoracic and lumbar spine is in a neutral position (Fig. 14) (easy normal), the coupled motions of sidebending and rotation for a group of vertebrae are such that sidebending and rotation occur in opposite directions (with rotation occurring toward the convexity). II. When the thoracic and lumbar spine is sufficiently forward or backward bent (non-neutral), the coupled motions of sidebending and rotation in a single vertebral unit occur in the same direction. III. Initiating motion of a vertebral segment in any plane of motion will modify the movement of that segment in other planes of motion. 2. Principles I and II of thoracic and lumbar spinal motion described by Harrison H. Fryette, DO (1918), Principle III was described by C.R. Nelson, DO (1948). Page 7 of 16 Modified: 12/15/2003

8 s Item number: 143 Fryette Regional Extension Broader (s) Movement [MeSH] Related (s) Fryette Regional Flexion Used For (s) Fryette's Regional Extension; Regional Extension Historically, is the straightening in the sagittal plane of a spinal region. Broader (s) Related (s) Fryette Regional Flexion Movement [MeSH] Fryette Regional Extension Item number: 144 Used For (s) Fryette's Regional Flexion; Regional Flexion Historically, is the approximation of the ends of a curve in the sagittal plane of the spine. USE (s) Fryette's Principle Fryette Principle Item number: 145 USE (s) Item number: 146 Fryette's Regional Extension Fryette Regional Extension USE (s) Fryette's Regional Flexion Fryette Regional Flexion Item number: 147 USE (s) FSR Flexed Sidebent Rotated Item number: 148 USE (s) Item number: 149 Fulford Percussion Vibratory Hammer Approach Percussion Vibrator Technique Page 8 of 16 Modified: 12/15/2003

9 s Broader (s) Functional Method Item number: 150 Indirect Method; Osteopathic Manipulative Treatment Systems Used For (s) Functional Technique; Functional Treatment; Hoover Method; Hoover Technique; Hoover Treatment An indirect treatment approach that involves finding the dynamic balance point and one of the following: applying an indirect guiding force, holding the position or adding compression to exaggerate position and allow for spontaneous readjustment. The osteopathic practitioner guides the manipulative procedure while the dysfunctional area is being palpated in order to obtain a continuous feedback of the physiologic response to induced motion. The osteopathic practitioner guides the dysfunctional part so as to create a decreasing sense of tissue resistance (increased compliance). USE (s) Functional Technique Functional Method Item number: 151 USE (s) Functional Treatment Functional Method Item number: 152 USE (s) Galbraith Method Item number: 153 Mandibular Drainage Technique USE (s) Galbraith Technique Item number: 154 Mandibular Drainage Technique USE (s) Galbraith Treatment Item number: 155 Mandibular Drainage Technique USE (s) Galbreath Method Item number: 156 Mandibular Drainage Technique USE (s) Galbreath Technique Item number: 157 Mandibular Drainage Technique Page 9 of 16 Modified: 12/15/2003

10 s USE (s) Galbreath Treatment Item number: 158 Mandibular Drainage Technique Broader (s) Item number: 159 Hand Somatic Dysfunction Upper Extremity Somatic Dysfunction Impaired or altered function of the hand. Broader (s) Head Law Used For (s) Head's Law Pain Measurement [MeSH] Item number: 160 When a painful stimulus is applied to a body part of low sensitivity (e.g., viscus) that is in close central connection with a point of higher sensitivity (e.g., soma), the pain is felt at the point of higher sensitivity rather than at the point where the stimulus was applied. USE (s) Head's Law Head Law Item number: 161 Broader (s) Related (s) Hepatic Pump Lymphatic Technique Used For (s) Liver Pump Item number: 162 Lymphatic Pump; Mandibular Drainage Technique; Pedal Pump; Splenic Pump; Thoracic Pump Rhythmic compression applied over the liver for purposes of increasing blood flow through the liver and enhancing bile and lymphatic drainage from the liver. USE (s) Item number: 163 High Velocity Low Amplitude Method High Velocity Low Amplitude Technique Page 10 of 16 Modified: 12/15/2003

11 s Broader (s) Item number: 164 High Velocity Low Amplitude Technique Direct Method; Osteopathic Manipulative Treatment Systems; Passive Method Used For (s) High Velocity Low Amplitude Method; High Velocity Low Amplitude Treatment; HVLA An osteopathic technique employing a rapid, therapeutic force of brief duration that travels a short distance within the anatomic range of motion of a joint, and that engages the restrictive barrier in one or more planes of motion to elicit release of restriction. USE (s) Item number: 165 High Velocity Low Amplitude Treatment High Velocity Low Amplitude Technique Broader (s) Item number: 166 Hip Somatic Dysfunction Lower Extremity Somatic Dysfunction Impaired or altered function of the hip. USE (s) Hoover Method Functional Method Item number: 167 USE (s) Hoover Technique Functional Method Item number: 168 USE (s) Hoover Treatment Functional Method Item number: 169 USE (s) HVLA Item number: 170 High Velocity Low Amplitude Technique USE (s) Ilial Compression Test Item number: 171 Anterior Superior Iliac Spine Compression Test Page 11 of 16 Modified: 12/15/2003

12 s USE (s) Ilial Rocking Test Item number: 172 Anterior Superior Iliac Spine Compression Test USE (s) IND Indirect Method Item number: 173 Broader (s) Indirect Method Item number: 174 Manipulation, Osteopathic [MeSH] Narrower (s) Counterstrain; Functional Method; Inhibitory Pressure Technique; Integrated Neuromusculoskeletal Release; Myofascial Technique; Range of Motion Technique; Visceral Manipulation Used For (s) IND; Indirect Technique; Indirect Treatment A manipulative technique where the restrictive barrier is disengaged and the dysfunctional body part is moved away from the restrictive barrier until tissue tension is equal in one or all planes and directions. USE (s) Indirect Technique Indirect Method Item number: 175 USE (s) Indirect Treatment Indirect Method Item number: 176 USE (s) Inferior Ilium Inferior Innominate Shear Item number: 177 Broader (s) Related (s) Inferior Innominate Shear Innominate Shear Superior Innominate Shear Item number: 178 Used For (s) Downslipped Innominate; Inferior Ilium A somatic dysfunction in which the anterior superior iliac spine (ASIS) and posterior superior iliac spines (PSIS) are inferior to the contralateral landmarks. The innominate (os coxa) moves more freely in an inferior direction, and is restricted from movement in a superior direction. Page 12 of 16 Modified: 12/15/2003

13 s Broader (s) Related (s) Inferior Pubic Shear Pubic Shear Used For (s) Inferior Pubis Item number: 179 Anterior Pubic Shear; Posterior Pubic Shear; Pubic Abduction; Pubic Adduction; Superior Pubic Shear A somatic dysfunction in which one pubic bone is displaced inferiorly with relation to its normal mate. USE (s) Inferior Pubis Inferior Pubic Shear Item number: 180 Item number: 181 Inferior Transverse Axis Broader (s) Transverse Axis Related (s) Middle Transverse Axis; Superior Transverse Axis Used For (s) Innominate Axis 1. The hypothetical functional axis of sacral motion that passes from side to side on a line through the inferior auricular surface of the sacrum and ilia, and represents the axis for movement of the ilia on the sacrum. 2. A term described by Fred Mitchell, Sr, DO, Broader (s) Related (s) Item number: 182 Inflared Innominate Pelvic Somatic Dysfunction Outflared Innominate A somatic dysfunction of the innominate (os coxae) resulting in medial positioning of the anterior superior iliac spine (ASIS). The innominate moves more freely in a medial direction and is restricted from movement in a lateral direction. Broader (s) Related (s) Inhalation Rib Dysfunction Rib Somatic Dysfunction Exhalation Rib Dysfunction Item number: 183 Used For (s) Anterior Rib; Caught in Inhalation; Elevated Rib; Exhalation Rib Restriction; Inhalation Strain A somatic dysfunction usually characterized by a rib being held in a position of inhalation such that motion toward inhalation is more free and motion toward exhalation is restricted. Synonyms: inhaled rib, anterior rib, inhalation strain, elevated rib, exhalation restriction. Page 13 of 16 Modified: 12/15/2003

14 s USE (s) Inhalation Rib Restriction Exhalation Rib Dysfunction Item number: 184 USE (s) Inhalation Strain Inhalation Rib Dysfunction Item number: 185 Broader (s) Inhibition Reflex Reflex [MeSH] Item number: In osteopathic usage, a term that describes the application of steady pressure to soft tissues to effect relaxation and normalize reflex activity. 2. Effect on antagonist muscles due to reciprocal inhibition when the agonist is stimulated. USE (s) Inhibitory Pressure Method Item number: 187 Inhibitory Pressure Technique Broader (s) Item number: 188 Inhibitory Pressure Technique Direct Method; Fascial Unwinding; Indirect Method Narrower (s) Progressive Inhibition of Neuromuscular Structures Used For (s) Inhibitory Pressure Method; Inhibitory Pressure Treatment The application of steady pressure to soft tissues to reduce reflex activity and produce relaxation. USE (s) Item number: 189 Inhibitory Pressure Treatment Inhibitory Pressure Technique USE (s) Innominate Axis Inferior Transverse Axis Item number: 190 Page 14 of 16 Modified: 12/15/2003

15 s Broader (s) Innominate Rotation Pelvic Somatic Dysfunction Item number: 191 Narrower (s) Anterior Innominate Rotation; Posterior Innominate Rotation Related (s) Innominate Shear Rotational motion of one innominate bone relative to the sacrum on the inferior transverse axis. Broader (s) Innominate Shear Pelvic Somatic Dysfunction Item number: 192 Narrower (s) Inferior Innominate Shear; Superior Innominate Shear Related (s) Innominate Rotation A somatic dysfunction in which the anterior superior iliac spine (ASIS) and posterior superior iliac spine (PSIS) are either inferior or superior to the contralateral landmarks. The innominate (os coxa) moves more freely in one direction, and is restricted from movement in the opposite direction. USE (s) INR Item number: 193 Integrated Neuromusculoskeletal Release Broader (s) Used For (s) INR Item number: 194 Integrated Neuromusculoskeletal Release Combined Method; Direct Method; Indirect Method; Osteopathic Manipulative Treatment Systems; Passive Method A treatment system in which combined procedures are designed to stretch and reflexly release patterned soft tissue and joint-related restrictions. Both direct and indirect methods are used interactively. Broader (s) Related (s) Intrinsic Corrective Forces Therapeutics [MeSH] Extrinsic Corrective Forces Item number: 195 Voluntary or involuntary forces from within the patient that assist in the manipulative treatment process. USE (s) Jones Counterstrain Counterstrain Item number: 196 Page 15 of 16 Modified: 12/15/2003

16 s USE (s) Jones Method Counterstrain Item number: 197 USE (s) Jones Points Tender Points Item number: 198 USE (s) Jones Technique Counterstrain Item number: 199 Page 16 of 16 Modified: 12/15/2003

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