Chapter 10 - Facilitation

Question 1

3 places from which a segment can be facilitated?

Answer 1

Higher centers (brain)
Viscera (SNS, PSNS afferents)
Somatic (muscle spindles, Golgi tendons, nociceptors)

Question 2

Explain TART changes in the context of facilitation

Answer 2

Facilitated (sensitized) segment:

• -> muscle tension –> nociceptors –> mediators –> TTCs
• -> muscle tension –> RESTRICTION
• -> muscle tension + nociceptors –> TENDERNESS
• -> paraspinal muscle tension –> ASYMMETRY

Question 3

Functions of rib raising

How? (for sympathetics)

Prodding the ganglia causes ____

Answer 3

DECREASE sympathetics
INCREASE lymphatic return
INCREASE maximum inhalation

Sympathetic ganglia lie anterior to their rib

Short term INCREASED activity, then long term INHIBITION

Question 4

Hypersympathetics to goblet cells and mucus

Rib raising will do what?

Answer 4

THICK, STICKY secretions

THIN the mucous secretions

Question 5

Treatments to prevent post-op ileus (2)

Answer 5

Rib raising

Paraspinal inhibition

Question 6

Rib raising on lymphatics

Answer 6

1. Decreased sympathetics = relaxed lymphatic vessels = INCREASED lymphatic return
2. Direct pressure gradient = increased lymphatic return

Question 7

5 indications for rib raising

Answer 7

Visceral dysfunction
Decreased rib excursion
Lymphatic congestion
Fever
Paraspinal muscle spasm

Question 8

Contraindications to rib raising (2)

Answer 8

Spinal or rib fracture

Recent spinal surgery

Question 9

Paraspinal inhibition - function

Why necessary?

Answer 9

Decreased sympathetic activity in the L1 and L2 sympathetic ganglia via direct pressure on erector spinae

No ribs to suppress these ganglia

Question 10

Celiac, SM, and IM releases - function

Pressure applied until when?

Indications? (2)

Contraindications? (2)

Answer 10

Reduce sympathetic activity in these mesenteric ganglia

Until a fascial release is palpable

GI or pelvic dysfunction

Aortic aneurysm, Open surgical wound

Question 11

Chapman’s point treatments - function

How to treat?

Answer 11

Reduce sympathetic activity to the associated viscera

Soft, circular manipulation of the point

Question 12

How to treat sympathetic ganglia to the head and neck?

Answer 12

Cervical paraspinal treatments

Question 13

Function of cranial treatments on autonomics

Answer 13

IMPROVE parasympathetics via III, VII, IX, and X

Question 14

Thick nasal secretions - treatment?

Answer 14

Sphenopalatine ganglion technique

Question 15

Condylar decompression technique - function?

Maybe what?

Answer 15

Increase parasympathetics in IX and X by freeing the jugular foramen

MAYBE CN XII as well

Question 16

Treatments directed at the occipito-mastoid suture

Answer 16

Freeing the jugular foramen

Question 17

Manipulation of OA, AA, or C2 - autonomics

Answer 17

Increase parasympathetics via the vagus nerve

Question 18

Sacral inhibition - functions (2)

Answer 18

Normalize hyperparasympathetics in L colon and pelvis

Reduce labor pain from cervical dilation

Question 19

Sacral inhibition - indications (3)

Contraindications? (2)

Answer 19

Dysmenorrhea
Labor pain from cervical dilation
Constipation

Local infections or incisions