Facilitation Flashcards

(49 cards)

1
Q

3 parts spinal reflex

A

afferent limb- sensory
central limb- spinal
efferent limb- motor

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2
Q

areas that spinal cord segment can recieve input

A

brain
viscera via sympathetic or parasympathetic visceral afferents
somatic afferents (muscle spindles, golgi tendons etc)

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3
Q

what do facilitated segments lead to

A

TART changes

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4
Q

viscero somatic

A

visceral stimuli produce patterns seen in segmentally related somatic structures

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5
Q

somato-visceral

A

somatic cause visceral reflex

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6
Q

how do visceral dysfuntions transmit information

A

autonomic afferents

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7
Q

sympathetic control of bladder

A
relax destrusor
contracts sphincter (trigone)
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8
Q

CN with PAN

A

III ciliary ganglion for pupils
VII sphenopalantine ganglion for lacrimal and nasal glands
submandibular ganglion for submandibular and sublingual glands
IX otic ganglion for parotid gland
X heart, bronchial tree, esophagus, stomach, SI, liver, gallbladder, pancreas, ascending colon and transverse, ovaries and testes, kidney and upper ureter

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9
Q

Pelvic Splanchnics

A

S2-4
lower ureter and bladder
uterus prostate and genitalia
descending colon and sigmoid

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10
Q

head and neck sympathetic levels

A

T1-4

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11
Q

heart sympathetic levels

A

T1-5

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12
Q

respiratory system sympathetic levels

A

T2-7

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13
Q

esophagus sympathetic levels

A

T2-8

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14
Q

upper GI sympathetics

A

T5-9

greater splanchnic and celiac ganglia

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15
Q

middle GI tract extends where and what sympathetics

A

portions pancreas duodenum- 2/3 transverse colon
T10-11
lesser splanchnic and superior mesenteric ganglia

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16
Q

lower GI tract sympathetics

A

T12-L2

least splanchnic and inferior mesenteric ganglia

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17
Q

appendix sympathetic

A

T12

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18
Q

kidneys sympathetic

A

T10-11 superior mesenteric

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19
Q

adrenal medulla sympathetic

A

T10

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20
Q

upper ureters sympathetic

A

T10-11 sup mesenteric

21
Q

lower ureters sympathetic

A

T12-L1 inferior mesenteric

22
Q

bladder sympathetic

23
Q

gonads sympathetic

24
Q

uterus and cervix sympathetic

25
penis and clitoris sympathetic
T11-L2
26
prostate sympathetic
T12-2
27
extremities sympathetics
arms T2-8 | legs T11-L2
28
vagus GI
all above diaphragm all small intestine ascending and transverse colon
29
what supplies parasympathetic to descending colon and rest
pelvic splanchnic
30
GU system Parasympathetics
vagus- kidneys and upper ureter | pelvic splanchnic- lower ureter and bladder
31
why are ovaries and testes vagus
because embryologically start higher up in abdomen so therefore they are vagus
32
ligament of treitz
divides duodenum and jejunum
33
splenic flexure
divides transverse and descending colon
34
anything above lig treitz
T5-9
35
anything after splenic flexure
T12-L2
36
between lig treitz and splenic flexure
T10-11
37
purpose of rib raising
decrease sympathetic activity increase lymph flow encourage maximum inhalation
38
patient has post-op ileus | OMT Tx?
rib raising and paraspinal inhibition
39
purpose soft tissue paraspinal inhibition
decrease sympathetic (ileus prevention)
40
soft tissue paraspainal inhibition location
L1 L2, because no ribs, direct pressure on erector spinae have same effect
41
how to decrease sympathetic over celiac, sup and inf mesenteric ganglia
midline abdominal P over these ganglia until fascial release is palpable
42
contraindications to working on the celiac, sup or inf mesenteric ganglia
aortic aneurysm, open surgical wound
43
to influence sympathetics to head and neck where is OMT directed
superior C1-3 middle C6-7 and inferior C7-T1
44
techniques to influence parasympathetics
cranial manipulation, sphenopalantine ganglion, condylar decompression, treatment vagus nerve influnce, sacral inhibition
45
where do we manipulate vagus
OA AA or C2
46
what suture do we manipulate for jugular foramen (condylar compression for suckling reflex)
occipito-mastoid
47
affect on labor from sacral inhibition
reduce labor pain caused by cervical dilation
48
indications for sacral inhibition
dysmenorrhea, labor pain, constipation
49
CI sacral inhibition
local infections or incisions