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Osteopathic Manipulation Therapy (Main)

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Other Names

  • OMT
  • Osteopathic Musculoskeletal Manipulation
  • Osteopathic Manual Medicine (OMM)
  • Neuromuscular Manipulation (NMM)

History of OMT

General Principles of Osteopathic Manipulation Therapy

  • Somatic Dysfunction
    • Impairment or altered function of any part of the soma (e.g. skeleton and myofascia as well as their associated neural, lymphatic, and vascular components)
    • Diagnosed by palpation via T.A.R.T. (Tenderness, Asymmetry, Restricted range of motion, Tissue texture changes) changes. Diagnosis requires:
      • Presence of 2 of the 4 T.A.R.T. changes, or
      • Presence of 3 of the 4 T.A.R.T. changes if one if tenderness
  • Viscerosomatic Reflexes
  • Chapman Points

Barrier concepts: A joint with somatic dysfunction will have restricted motion. A joint has two barriers, Physiologic and Anatomic: Physiologic barrier: a point at which the PATIENT can actively move their joint. Anatomic barrier: a point at which the PHYSICIAN can passively move the joint. Any movement beyond the anatomic barrier will cause injury.

In somatic dysfunction, a joint will have a restrictive (or pathologic) barrier. It lies before the physiologic barrier and prevents full range of motion.

Osteopathic Treatment:

Direct vs. Indirect Direct: The practitioner engages the restrictive barrier Indirect: The practitioner move tissues and/or joints away from the restrictive barrier towards the direction of freedom or position of ease.

Passive vs. Active Passive: the patient will relax and allow the practitioner to move the body tissues. Active: the patient will assist in the treatment usually in isometric or isotonic contraction.

Treatment Modalities

Textbooks and Other Resources

See Also


Created by:
John Kiel on 9 July 2020 16:53:43
Last edited:
9 May 2021 01:58:06