I will start with the catchphrase: Keep Your Hands and Your Eyes on the prize. As will be described in the video below, it is important to recognize that the combination of senses is highly valuable when performing any form of manual therapeutic assessment or treatment. It is far too easy to be ignorant of mistakes we make by habit and, if using multiple senses in an integrated fashion, we may have a way to avoid those mistakes with greater effectiveness.
Why do I think we teach it poorly? Because we ignore the reality of the patient on the table when doing so. We know that alterations in BMI (regardless of its usefulness as a predictor of health) alters the ability to identify landmarks. We know that utilizing multiple landmarks helps BETTER identify a given structure even though we still don’t do as well as we should. We know these things and continue to teach methods that make it hard to find things while also leaving us minimally accurate…
In light of the above, I have done a few videos with more catch phrases that MIGHT help with palpation.
The general catch phrases that I have chosen to utilize to communicate the consistent concepts of assessment in Osteopathic Manual Therapy are outlined below in fancy video form! Why catch phrases? In order to have relatively straight forward sentences to point to broad concepts as well as many details to be learned over time. At such a point as an individual has a grasp of the individual details the catch phrases take on greater meaning as they point to the details in a simplified way…also, in the developing stages the catch phrases provide the opportunity for coding the details to the simplified catch phrase as they are learned. All that to say – watch the videos for more information!
Following the 4 part patient positioning concepts we take a look at each COMMON patient position taking in to consideration the pros and cons of each GENERALLY. The 4 concepts of patient positioning are also mentioned for reinforcement of the concepts and to point to how they influence each of the patient positions.
That doesn’t make sense! To make obvious what just happened between the title of this article and the first sentence watch this clip from Anchorman (it is crass humor):
There is a phenomenon I am hoping to highlight that connects to the above clip very loosely (due mostly to my personal sense of humor which is not a requirement in order to understand the point here).
What will follow will be 4 videos speaking to the concepts related to patient positioning. Why 4 concepts? Well, as it stands this is the best way I have currently found to describe the overarching themes. I am pretty confident there are many ways to describe these concepts that I have not considered!
The barrier concept in Osteopathic Manual Therapeutics is a concept that allows for description of what a practitioner will be able to identify when observing a patient’s movement (whether patient active or patient passive). In describing the direction of bind and the direction of ease the practitioner is then able to access other previously described technique concepts that are either named “direct (bind/restrictive)” or “indirect (ease/preference)”. These are useful descriptions for decision making in a clinical setting as well as repeating manual movements when working with a patient. With all of that preamble the video to follow will act as a multimedia delivery of the overview of the concept.