AOCPMR 2024 Mid-Year Meeting-Introduction to an Approach on Performing Osteopathic Manipulation

Introduction to an Approach on Performing Osteopathic Manipulation - Shannon Garrison, DO

Video Transcription

Video Summary

This talk introduces the Area of Greatest Restriction (AGR) approach in treating musculoskeletal nociceptive pain using osteopathic manipulation therapy (OMT). Pain varies in type and experience, but AGR targets the most restricted area in the body, often distant from the pain location, explained through biotensegrity—a principle describing living structures as tension-compression systems. The speaker details tensegrity concepts, illustrating how bones act as compression struts within a fascial network that maintains body tension. Understanding body geometry, such as tetrahedral and icosahedral shapes, helps grasp this complex integration. Movement involves dynamic, non-fixed fulcrums, challenging traditional biomechanical models like class three levers. AGR screening involves locking joints to assess true joint play, identifying the key dysfunction area rather than just symptomatic sites. This patient-centered, efficient method refines diagnosis and treatment, emphasizing holistic body mechanics and hierarchical integration within the musculoskeletal system.

Keywords

medical malpractice defense

defensive medicine

litigation culture

standards of care

medical negligence proof

caps on damages

Area of Greatest Restriction

osteopathic manipulation therapy

biotensegrity

musculoskeletal nociceptive pain

joint play assessment

holistic body mechanics