Facilitation levels and chapmans points Flashcards
(71 cards)
1
Q
Pupils
A
T1-4
2
Q
Sinuses
A
T1-4
3
Q
carotid body and sinus
A
T1-4
4
Q
lacrimal and salivary glands
A
T1-T4
5
Q
trachea and bronchi
A
T1-6
6
Q
heart
A
T1-6
7
Q
upper extremity
A
T2-6
8
Q
Lungs, visceral pleura
A
T1-6
9
Q
esophagus
A
T1-6
10
Q
gall bladder
A
R T5
11
Q
spleen
A
L T7
12
Q
pancreas
A
R T7
13
Q
adrenal glands
A
T10-11
14
Q
Small intestine
A
T10-11
15
Q
ascending, transverse colon
A
T10-11
16
Q
urinary bladder
A
T12-L2
17
Q
kidneys
A
T10-11
18
Q
ureters-proximal
A
T10-11
19
Q
testes/ovaries
A
T10-11
20
Q
uterus
A
T10-L2
21
Q
lower extremity
A
T10-L3
22
Q
appendix
A
T12
23
Q
ureters-distal
A
T12-L1
24
Q
descending, sigmoid colon, rectum
A
T12-L2
25
prostate
T12-L2
26
What are the PANs dumbbells
```
diarrhea/defecation
urination
meiosis- pupillary contraction
bradycardia
bronchospasm
emesis
lacrimation
salivation
```
27
What levels are the SANs thoracolumbar
T1-L2
28
Which branch of ANS has greater divergence
SANs
29
nociceptive fibers travel with what branch of ANS
sympathetics
30
the vagus n is mainly afferent or efferent
afferent even though carries all PANs to abdominal and thoracic viscera
31
describe the type of fibers that carry light touch vibration and proprioception
large caliber myelinated
A- beta
terminate in pacinian, meissner, merkel discs, ruffini endings
32
describe type of fibers that carry nociception
small caliber unmyelinated
C fibers
high energy stimuli with naked nerve endings
sensitization
33
What are some examples of somato-somatic reflexes
DTRs, withdrawl reflex, gallbladder referral to right shoulder
34
what are some viscero-visceral reflexes
```
gut distention- gut contraction
baroreceptro reflex (dec HR and vasodilation)
```
35
what are some viscero-somatic reflexes
cardiac disease has the SD at T1-5 RSL
36
when do we see somatovisceral reflexes
with spinal manipulation there are changes in HR BP and sympathetic activity of the kidney and adrenal gland
37
what causes neutral type I SD
chronic process, postural compensation
38
what causes non-neutral type II SD
acute process, trauma, viscera-somatic reflexes
39
What causes spinal facilitations
```
increased dynorphin(excitability)
destruction of inhibitory interneurons
activation of glial cells that amplify inflammation
neuropeptide and aa NT
spinal memory
```
40
what is the definition of a tenderpoint by Jones
small hypersensitive point in myofascial tissues of body used as diagnostic cirteria and Tx monitors
41
What causes tenderpoint
initial injury causes sudden unanticipated lengthening of the antagonistic muscle to the originally strained and painful agonist m
42
if a locailized small area of pain radiates is it a tender point or trigger point
trigger- Travells
43
what is a travell point
hyperirritable spot in skel m that is assoc with hypersensitive palpable nodule in a taut band
44
how do we Tx trigger points
inhibitory soft tissue, deep massage, injection, isometric MET, vapocoolant spray with myofascial stretch
45
describe a trigger point difference than fibromyalgia
fibromyalgia exhibit local twitch
46
Where are tender points usually found
tendinous attachments or belly of mm
47
What is a galgliform contraction
may block lymph drainage. sympathetic dysfunction
| found in areas that overlap visceral sympathetic efferent innervation
48
chapmans points are used for Dx, Tx and evaluation of what reflex type
viscero-somatic
49
Anterior chapmands points do or don't radiate
do not
50
What is a chapmans point
small smooth firm discrete nodule in fixed anatomical location
deep to skin and subcutaneous
feel like a split pea
51
what is the Tx for a chapmans point
firm circular pressure attempting to flatten for 10-30 seconds
52
where roughly are the chapmans points for nose tonsils tongue, pharynx, sinuses
left and right of sternum near sternal angle
| b/l on sides of spinous processes C2-5
53
where is the chapmand point for middle ear
under clavicle parasagittal of sternum
| lateral to superior nuchal line
54
where is chapmans point for cerebellum
under ac joint
| just lateral to inferior nuchal line
55
where is chapmans point for esophagus and thyroid
sternal angle and then inferior
| lateral spinous process T2
56
where are chapmans points for myocardium, upper lung and lower lung
sternocosto joints b/l
myocardium and upper lung T3 spinous process
lower lung is T4
57
where are chapmands points for the liver and stomach
liver is R rib 7 and posterior T5-6
stomach is L rib 7-8
posterior (acidity LT5, peristalsis LT6)
58
where are chapmand points for pyloric stenosis
directly R of the sternum
| posterior T9
59
where are chapmans points for the gallbladder
R rib 8
| posterior T6 R
60
Where are chapmands points for pancreas, small intestine
pancreas R rib 9 posterior RT7
| small intestine rib 10 b/l posterior LT8-10
61
Where are chapmans points for spleen
L rib 9
| posterior LT7
62
where are chapmands points for sppendix
R iliac crest
| R T11 posterior
63
where are chapmans points for adrenals kidney and bladder
adrenals around L3 ant vertebral body posterior T11
kidney L4 posteiror L1
bladder R side of vertebral body L4/5 posterior L2 b/l
64
where are chapmans points for ovaries, testes, urethra
inferior to pubic symphysis
ovaries T10
testes T11
urethra L3
65
where are chapmans points for abdomen
inferior pubic ramus
| posterior L3
66
Where are chapmands points for rectum
medial superior R femur
| posterior S2 b/l
67
where are chapmans points for colon
lateral length of femur
| posterior L2-4
68
where are chapmands poins for prostate and broad ligament
lateral length femur
| SI joint posteriorly
69
where are chapmands points for inguinal lymph
L medial condyle of femur and beneath L tibial tuberosity
| inferior SI joint posteriorly
70
where are chapmands points for vagina and clitoris
sacral coccyx joint
and under ischium
vagina also has medial inferior femur
71
where are chapmans points for sciatic n
at superior SI joint, acetabulum joint, lesser tubercle of femur and lateral condyle of femur
