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Regional somatic dysfunction 

Regional somatic dysfunction
Chapter:
Regional somatic dysfunction
Author(s):

Michael L. Kuchera

DOI:
10.1093/med/9780199674107.003.0027
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date: 05 April 2020

Expertise in the field of neuromusculoskeletal medicine neuromusculoskeletal fields that incorporate manual medicine provides unique insights into the performance of a physical examination and the formulation of a differential diagnosis. It presupposes extensive, specific knowledge of the regional and systemic structure (anatomy) and function (physiology and kinesiology), integrated with a comprehensive understanding of the patient as a unique individual. It necessitates highly practiced palpatory skills, with the ability to diagnose somatic dysfunction, and competence in delivering therapeutic modalities to effectively rectify dysfunctions affecting skeletal, arthrodial, and/or myofascial structures. It requires the perspective of a broadly trained physician to perform the examinations needed to establish a differential diagnosis and to fully weigh the indications, contraindications, and risk-to-benefit ratios of different treatments. At all times, it is tempered by the distinctive patient–physician relationship incorporating the art and compassion of the healthcare professional with an understanding of biopsychosocial, biomechanical, orthopaedic, biophysiological, and neurological models of care.

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