Chapter 10 - Facilitation Flashcards Preview

Boards OMM > Chapter 10 - Facilitation > Flashcards

Flashcards in Chapter 10 - Facilitation Deck (19):
1

3 places from which a segment can be facilitated?

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

2

Explain TART changes in the context of facilitation

Facilitated (sensitized) segment:
--> muscle tension --> nociceptors --> mediators --> TTCs
--> muscle tension --> RESTRICTION
--> muscle tension + nociceptors --> TENDERNESS
--> paraspinal muscle tension --> ASYMMETRY

3

Functions of rib raising

How? (for sympathetics)

Prodding the ganglia causes ____

DECREASE sympathetics
INCREASE lymphatic return
INCREASE maximum inhalation

Sympathetic ganglia lie anterior to their rib

Short term INCREASED activity, then long term INHIBITION

4

Hypersympathetics to goblet cells and mucus

Rib raising will do what?

THICK, STICKY secretions

THIN the mucous secretions

5

Treatments to prevent post-op ileus (2)

Rib raising
Paraspinal inhibition

6

Rib raising on lymphatics

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

7

5 indications for rib raising

Visceral dysfunction
Decreased rib excursion
Lymphatic congestion
Fever
Paraspinal muscle spasm

8

Contraindications to rib raising (2)

Spinal or rib fracture
Recent spinal surgery

9

Paraspinal inhibition - function

Why necessary?

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

No ribs to suppress these ganglia

10

Celiac, SM, and IM releases - function

Pressure applied until when?

Indications? (2)

Contraindications? (2)

Reduce sympathetic activity in these mesenteric ganglia

Until a fascial release is palpable

GI or pelvic dysfunction

Aortic aneurysm, Open surgical wound

11

Chapman's point treatments - function

How to treat?

Reduce sympathetic activity to the associated viscera

Soft, circular manipulation of the point

12

How to treat sympathetic ganglia to the head and neck?

Cervical paraspinal treatments

13

Function of cranial treatments on autonomics

IMPROVE parasympathetics via III, VII, IX, and X

14

Thick nasal secretions - treatment?

Sphenopalatine ganglion technique

15

Condylar decompression technique - function?

Maybe what?

Increase parasympathetics in IX and X by freeing the jugular foramen

MAYBE CN XII as well

16

Treatments directed at the occipito-mastoid suture

Freeing the jugular foramen

17

Manipulation of OA, AA, or C2 - autonomics

Increase parasympathetics via the vagus nerve

18

Sacral inhibition - functions (2)

Normalize hyperparasympathetics in L colon and pelvis
Reduce labor pain from cervical dilation

19

Sacral inhibition - indications (3)

Contraindications? (2)

Dysmenorrhea
Labor pain from cervical dilation
Constipation

Local infections or incisions