Kania Upper Resp CIS slides (10/20)

Question 1

lady with sinusitis. Circulatory Model (Lymph) treatment

Answer 1

Open Sibson’s fascia

Drain anterior and posterior cervical regions to enhance drainage of lymph

Question 2

Treating Sibson’s Fascia (MFR)

Answer 2

Patient is supine
Stand on their right side facing the head
Right hand fingers curl into Sibson’s fascia
Left hand and arm support the right upper extremity
Rhythmically abduct and flex the RUE while increasing pressure over Sibson’s fascia
Repeat on the left side reversing hand holds

Question 3

cervical fascia

Answer 3

consists of fibrous connective tissue which invests the organs of the neck, ensheathes the muscles, nerves and vessels, and fills the tissue interstices. It binds the cervical structures into functional units by dividing the neck into a series of planes and compartments

Question 4

Organization of Cervical Fascia

Answer 4

Organized as concentric rings and cylinders that can be divided into

Vertebral Compartment
- PrevertebraleFascia

Visceral Compartment
- Buccopharyngeal and Pharyngobasilar Fascia, Pretracheal Fascia and Fascia Alar

Vascular Compartment
- Carotid Fascia

Musculofascial Collar

This organization creates compartments and fascial spaces for muscles, visceral, nerves, vascular and lymphatic structures and maintains the mechanical, neural and circulatory integrity of the cervical region. It further contributes to transmission of forces between head, neck and thorax

Question 5

Layers of the Cervical Fascia

Answer 5

A. Subcutaneous tissue

B. Masticator fascia, Submandibular fascia and Sternocleidomastoid-Trapezius Fascia

C. Strap muscle fascia and Prevertebral (perivertebral) fascia

D. Visceral fascia and carotid sheath

Question 6

Treating posterior compartment

Answer 6

Stand on one side of the supine patient
Rest cephalad hand on their forehead
Gently grasp the posterior aspect of the neck
Rhythmically turn their head toward the same side while pulling the musculature toward you
Repeat on the other side

Question 7

Treating anterior compartment

Answer 7

Stand on one side of the supine patient
Rest cephalad hand on their forehead
Gently grasp the anterior aspect of the neck
Rhythmically turn their head toward the same side while gently pulling the musculature toward you
Repeat on the other side

Question 8

Treating the vascular compartment

Answer 8

While seated behind the supine patient
Place one hand on the mandible and the other on the ipsilateral clavicle to stretch the vascular compartment
Use a rhythmic stretch
Repeat on the other side

Question 9

Other Treatment for sinusitis

Answer 9

Address pressure points for the sinuses
Finish with a thoracic lymphatic pump
Treat Chapmans’ points (balance anterior to posterior points)

Question 10

What is the biggest complaint about sinusitis or URI? How can you help it?

Answer 10

Sinus pressure
How can you help that?
Address the superior cervical ganglion (OA, AA)

Why?
Affects nasal congestion and mucous production