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Homeostasis And 5 Models Flashcards

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1
Q

Bronchitis

A

Cough and SOB, rib stiffness

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2
Q

Treatment for sympathetic innervation bronchitis t1-6

A

Paraspinal muscle inhibition

Rib raising

OMT to appropriate region

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3
Q

Acute bronchitis parasympathetic innervation OA AA treatment

A

Suboccipital inhibition

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4
Q

Acute bronchitis lymphatic and vascular drainage treatment

A

Thoracic inlet and abdominal diaphragm (must diagnose both)

Thoracic inlet release

Abdominal diaphragm release

Rib raising

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5
Q

Why do paraspinal inhibition

A

Paraspinal (iliocostalis, longissimus and spinalis) interact with paravertebral sympathetic ganglia along the spinal column

Sympathetic tone can be decreased by inhibiting the paraspinal muscles

Useful in hospitalized patients -gentle technique for patients who cant tolerate a lot of treatment, can be done in any position

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6
Q

How do paraspinal inhibition set up

A

Supine patient physician on side

Hand under thoracolumbar spine with the fingertips over the opposite paraspinal tissues and the the lateral and hype the arch eminences over the ipsilateral paraspinal tissues

Focus on areas of maxilla tissue texture abnormality

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7
Q

Activating force paraspinal inhibiton

A

Gently squeeze your fingers and palms together causing the paraspinal muscles to approximate and induce thoracolumbar spine extension

Maintain pressure until muscles relax 6090 s

Repeat until tissue tension is greatly reduces or eliminated

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8
Q

Rib racing set up

A

Patient seated cross arms pt lean on doc and doc grasp bilateral posterior/inferior rib angles (lateral to TP_

Or supine doc contacts rib angles by flexing fingers

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9
Q

Rib raising force

A

Starting with t12 apply anterolateral traction while pulling cephalad toward you continue up ribs
(May use respiration to assis)

Or

Starting t12 apply anterolateral traction by rocking backward continue up ribs

May use respiration

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10
Q

OA parasympathetic

A

Free parasympathetic response to structures innervated by cranial nerves IX and X by freeing passage through jugular foramen -balance parasympathetic influence to the viscera

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11
Q

OA treatment newborns

A

Condylar compression to fix sucking difficulting

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12
Q

Manipulation of OA AA or C2 joints will influence parasympathetic tone via ___

A

CNX

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13
Q

Suboccipital release

A

Finger pads on suboccipital region

Kneading 2 min

Or

Inhibition apply sontant inhibitory pressure 30 seconds to a minute

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14
Q

What are Chapman reflexes

A

Viscerosomatic reflex for diagnostic and treatment value

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15
Q

Gangliform contraction

A

Blocks lymphatic drainage and causes SNS dysfunction (neurolymphthi)

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16
Q

Palpatory features of Chapman’s points

A

Deep to the skin int he subcutaneous areolar tissue on deep fascia or periosteum

Paired anterior and posterior points in most cases

Small, smooth and firm nodules

Approximately 2-4 mm in diameter

May be confluent

Dense but not hard

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17
Q

How test Chapman point

A

Apply gentle but firm pressure which will usually cause a deep, disagreeable pain response in the pt

Tissue near will be mild

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18
Q

Pain of Chapman

A

Pinpoint, sharp, non radiating

Located under the physicians finger tip

Pain is greater than is expected

Pt usually previously unaware of the sore spot

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19
Q

Treat Chapman

A

Firm pressure with the finger pad of one finger

Apply somewhat heavy and even uncomfortable pressure to the gangliform mass

Slowly move the tip of the finger in a circular fashion

Continue the moving pressure 10-30 seconds

Can alternate clockwise/counter clockwise

Cease/stop treatment -the mass disappears of cant tolerate anymore

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20
Q

Bronchus

A

2nd ICS right

Bl TP2

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21
Q

Upper lung

A

3rd ICS right

Bl between tp3 and tp4

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22
Q

Lower lung

A

4th ICS

Bl between tp4 and tp5

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23
Q

Where do we feel for palpating lymphatic congestion

A

The regional collection sites where lymph collects prior to drainage into the thoracic duct

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24
Q

What do we feel when palpating lymphatic congestion

A

Normal or boggy, when severe may feel enlarged lymph nodes

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25
Lymphatic assessment
Cranio cervical Cervico thoracic Thoraco lumbar Lumbo pelvic
26
Cranial cervical junction
Compare rotation
27
Cervical thoracic jucntion
Rotation
28
Thoracolumbar junction
Rotation
29
Lumbopelvic jucntion
Rotation
30
Cervicothoracic (necklace) technique
``` Physician thumbs rest posteriorly to superior trapezium bl, finger pads are anterior and nefarious to the clavicles Engage barrier in 3 planes Rotation (right left translation) Sidebending(clockwise/cc) Flexion/extension (anterior/posterior) ``` Force applied gentle Hold 20-60 seconds Reasssesse tart Add hula
31
Dome diaphragm
Thumbs inferior to xiphoid process with thumbs pointing cephalad Take deep breath and exhale on exhalation press thumbs posteriorly and superiorly 3-5 times
32
Thoracic pump
Thenar eminence over pectoral muscles As breathe apply a rhythmic compressive force over the rib cage at the rate of 2 sec for 1-2 minutes
33
Constipation sympathetic innervation
T10-l2 Paraspinal msucle inhibiton Collateral ganglia inhibiton (avoid incision area)
34
Chronic constipation parasympathetic innervation
Sacrum OA, AA Suboccipital inhibition Sacral inhibiton and/or rocking
35
Chronic constipation lymphatic and vascular drainage
Thoracic inlet and abdominal diaphragm, pelvic diaphragm, mesenteric Thoracic inlet release Abdominal diaphragm release Mesenteric lifts Pelvic diaphragm release
36
Paraspinal inhibiton t10-l2 set up
Supine patient Place hands under thoracolumnar spine with fingertips over opposite paraspinal tissues and thenar and hypothenar eminences over ipsilateral paraspinal tissue Focus on area of maximal tissue texture abnormality
37
Paraspinal inhibitoin t10-l2 activating force
Gently squeeze your fingers and palms together causing the paraspinal msucles to approximate and induce thoracolumnar spine extension Maintain pressure until the muscles relax (usually 60-90 seconds) Repeat until better
38
Collateral ganglia
Celiac Superior mesenteric Inferior mesenteric
39
Celiac
Distal esophagus, stomach, proximal duodenum, liver, gallbladder, spleen, portions of the pancreas
40
Superior mesenteric
Distal duodenum, portions of the pancreas, jejeunum, ileum, ascending colon, proximal 2/3 of transverse colon
41
Inferior mesenteric
Distal 1/3 of transverse colon Descending colon Sigmoid colon Rectum
42
Palpate collateral ganglia
Fullness, bogginess, or increased tissue texture abnormalities at any of the 3 ganglia locations needs to be clinically correlated with
43
Upper GI origin of parasympathetic
Vagus
44
Upper GI organs
Esophagus, stomach, proximal duodenum, liver, gallbladder, spleen, portions of pancreas
45
Upper GI impingement sites
Occipitomastoid suture | OA/AA, C2
46
Origin of parasympathetic middle GI
Vagus
47
Organs of middle GI
Distal duodenum, portions of pancreas, jejunum, ileum, ascending colon, proximal 2.4 transverse colon
48
Impingement sites of middle GI
Occipitomastoid suture | OA/AA, C2
49
Lower GI origin of parasympathetic
Vagus, s2-s4
50
Organs of lower GI
Distal 1/3 of colon, rectum
51
Lower GI impingement sites
Occipitomastoid suture, OA/AA, C2 | Sacrum
52
OA muscle energy
Support posterior arch and lateral masses with v hold Into restrictive Barrie’s Return to Norma 3-5 Reassess
53
AA muscle energy direct
Place pals on sides of pt head, contact both lateral masses of atlas w lateral margin of index or middle fingers Extend head over fingers and rotate AA joint to restrictive barrier Return to normal force
54
SI gapping
More flexion addresses lower SI Less hip flexion for superior SI joint
55
Sacral rocking SI gapping
Increases parasympathetic tone
56
sacral inhibition SI gapping
Decreases parasympathetic tone
57
Pyloric Chapman
Stern also
58
Stomach chapmen
Left 5th ICS
59
Liver
R5th ICS
60
Esophagus
Bl 2nd ICS
61
Spleen
7th L ICS
62
Pancreas
7th R ICS
63
Small intestine
8-10 ICS R?
64
Appendix
Tip of 12th rib
65
Prostate
Broad ligament postior Ileocecal valve top/sigmoid colon Ascending colon middle/descending colon Right transverse colon /left 3/5 of transverse colon
66
Esophagus back
BlT2
67
Stomach back
L bw T5 and T6
68
Liver back
R bw T5 and T6
69
Gallbladder back
Bl bw T5 and T6
70
Pancreas back
R bw T7 and T8
71
Spleen back
L bw T7 and T8
72
Pylorus back
R T10 at costotransverse joint
73
SI
Upper bt t8 and t9 bl Middle bw t9 and t10 bl Lower bw t11 and t12 bl
74
Ischiorectal fossa release
Cephalad and lateral force over ischial tuberosity Increase force during exhalation maintain on inhalation
75
Innominate MFR
Physician contact ASIS with palms on iliac crest with fingers Position innominate through the fascia in an indirect or direct manner for A/P innominate rotation S/I innominate shear Inflare/outflare Hold force for 20 seconds or until rlerease palpated can use deep inhalation Reassess tart
76
Lumbar pelvic INR, standing
Stand contact psi’s with thenar eminence and iliac crest with fingers Engage fascia A/P innominate rotation R/L translation Inflare/outflare REMS overhear with/without sidebending Can also rotate arms right/left Preform until no further release
77
Pubic MFR
Thenar eminence on symphysis pubic , thumbs pointed superiorly and anteriorly Indirect or indirect Pubic compression/separation Superior inferior pubic shear Pelvic shift right left translation Hold for 20-60 seconds or until a release is palpated Deep inhalation can be used Reassess
78
Pedal pump
Contact plantar portion of feet, dorsiflex the feet Apply an on and off rhythmic cephalad force to hyperdorsiflex the feet watching nose for movement and feeling rebound wave at feet

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