NBOME

CORRE · Dimension 3

Osteopathic Treatment Methods
The therapeutic application of manual techniques designed to improve disorders of physiologic function and homeostasis resulting from somatic dysfunction. 20%
3.1 Describe the basic principles of manipulation, including indications, contraindications, and integration with standard medical care
3.2 Understand when to use OMM in all patient populations, especially pediatric, adult, obstetrical, geriatric, postoperative, and hospitalized patients for treating systemic illnesses involving all body systems, especially cardiovascular, upper and lower respiratory, gastrointestinal, genitourinary, neurologic, and musculoskeletal
3.3 Understand when to use OMM for treating patients for all common clinical problems and syndromes related to all anatomic regions, especially cranium, cervical spine, thoracic spine, lumbar spine, sacrum, innominates, rib cage, sternum and thoracic contents, upper extremities, lower extremities, and abdomen as well as abdominal and pelvic contents
3.4 Describe the scientific knowledge supporting the use of osteopathic principles, practice, and OMT, including the basic science of the mechanisms of OMT and somatic dysfunction, the current evidence base for the clinical application of OMT, and the role of the osteopathic physician to facilitate health
3.5 Name and describe the diagnostic examination, initial positioning, monitoring, motion barriers, activating forces, therapeutic timing, repetition, and reassessments used in indirect and direct technique types of OMT, including counterstrain, muscle energy, myofascial release, HVLA, soft tissue, lymphatic, osteopathic cranial manipulative medicine, articulatory, BLT, LAS, FPR, Still, visceral, treatment of Chapman reflexes, and treatment of trigger points
3.6 Communicate principles of and demonstrate use of appropriate therapeutic and rehabilitative exercises, activity modification, and supportive and adaptive devices in the management of neuromusculoskeletal dysfunction and facilitation of health
3.7 Compare and contrast the relative value, advantages, and disadvantages of different OMT techniques
3.8 Provide for the safety of the patient and demonstrate respect of heterogeneous and diverse populations, including but not limited to diversity in ethnicity, culture, gender identity and/or sexual orientation, and religious beliefs who may express symptoms of their somatic and/or visceral dysfunctions in unique or unconventional ways while administering OMT
3.9 Integrate scientific knowledge supporting the use of osteopathic principles, practice, and OMT into the clinical evaluation and management of the patient
3.10 Determine the limits of his/her knowledge and clinical skills and seek an appropriate referral in regard to the use of OMT or the application of osteopathic principles and practice
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