Lab 1: Visceral OMT Flashcards
(28 cards)
Palpation postioning and force direction for Sigmoid colon release?
Anteromedial of the left pelvic brim w/ force directed toward RUQ
Palpation postioning and force direction for Descending colon release?
Left posterolateral flank w/ medially directed force
Palpation postioning and force direction for Transverse colon release?
INFERIOR to costal margin w/ an INFERIOR force
Palpation postioning and force direction for Ascending colon release?
Right posterolateral flank w/ a medially directed force
3 relative contraindications for Large Intestinal Visceral OMT?
- Peritonitis
- Colon obstruction
- Recent abdominal surgery
Which areas do we do a TART screen for the PNS related to visceral dysfs.?
- Suboccipital region = Vagus N. (prox. 2/3 of colon)
- Sacral region = Pelvic splanchnics (S2-S4) –> (distal 1/3 colon)
3 relative contraindications for small intestine visceral OMT?
- Peritonitis
- Splenomegaly
- Recent abdominal surgery
For mesenteric/colonic release where is the palpation point for the SI Mesenteric Root?
1 inch INFERIOR and 1 inch LATERAL to the umbilicus
How would you treat T6 E RL SL with Still’s Technique?
- Extend to localize to T6, then add rotation L and SB L (indirect)
- Add compression thru shoulders to the segment
- Move T6 thru RB via shoulder contact (F Rr Sr) while maintaining compression
What are some indications for Liveral Viscral OMT?
- Passive congestion of liver and spleen
- CHF (especially right-sided HF)
- Liver visceral dysfunction
Contraindications for Liver Visceral OMT?
- Fractures, dislocations thorax
- Lymph system malignancy
- Traumatic disruption of liver, spleen, or adjacent organs
- Acute hepatitis
- Friable hepatomeglay or splenomegaly as in mononucleosis or sickle cell anemia
Palpation position for Liver pump treatment?
Activating force and direction?
- Caudad hand is placed on anteroinferior, right inferior ribs and costal margin
- Cephalad hand placed on posteroinferior, right inferior ribs and costal margin
- Use gentle alternating compressive, pumping force thru the rib cage to pump liver tissues for 30- 60 secs.
In the Liver Pump w/ Recoil Activation what is the force/direction and how are barriers stacked?
What is the activating force with this method?
- Compressive force, evaluate F/E, SB/R –> STACK in INDIRECT manner
- Have pt take few deep breaths and follow tissue release, then during early inhalation RELEASE compression and other forces
How is FPR performed for a Dx of T7 E Rr Sr?
- Neutralize sagittal curve, while monitoring segment, have pt extend spine to straighten kyphotic curve
- Add compression ≤1 lb localized to segment
- Indirect positioning: triplanar indirect positioning (T7 E Rr Sr) and hold 3-5 seconds
*FPR is essentially BLT w/ some compression!
Which ganglia is associated with the ascending colon and prox. 2/3 of transverse?
Found where?
- Superior Mesenteric
- Midway between xiphoid and umbilicus
Which ganglia is associated with the distal 1/3 of transverse colon, descending colon, sigmoid colon, and rectum?
Found where?
- Inferior Mesenteric ganglia
- Just superior to umbilicus (1/3 the way up from umbilicus to xiphoid)
Where is the posterior chapman’s points for the colon?
Triangular area from TP’s of L2-L4 reaching to iliac crest
*Direct fascial relationship w/ QL muscle
How to TART screen for SNS of proximal 2/3 and distal 1/3 of colon?
Which areas are you screening?
- Evaluate T10-T11 for proximal 2/3rd
- Evaluate T12-L2 for distal 1/3
- Pt is seated or standing; palpate the areas for TTA and asymmetry
- Test gross ROM
How to TART screen for PNS of proximal 2/3 and distal 1/3 of colon?
Which areas are you screening?
- Evaluate suboccipitals for proximal 2/3; upper, middle (C3-C5), and lower (C6-C7)
- Evaluate sacrum for distal 1/3; lumbosacral (lumbar) spring test or sacroiliac rocking oblique axis test
What is the correct technique for treating a Chapman’s point and for how long?
- Slowly massage w/ firm pressure of finger pads in circular fashion to mobilize accumulated fluid
- Perform for 10-30 seconds
Where are the anterior chapman’s points for the small intestines?
ICS of 8th-10th ribs
How do you perform FPR for the thoracics, seated?
- Upper have pt extend head; Lower have pt extend spine to neutralize kyphosis
- Add <1 lb. of compression down to segment you are monitoring
- Put patient into triplanar position of ease (INDIRECT)
- Hold 3-5 secs.; return to neutral and reassess
How do you perform Still Technique for Lower Thoracics?
- Pt is seated w/ doc behind pt and monitoring TP of affected seg.
- Extend spine until motion palpated at segment and then induce SB and R into the ease until motion felt at monitoring hand
- Add gentle compression
- Move thru triplanar RB’s while maintaining compression
- Return to neutral and reassess
What are the anterior and posterior chapman’s points for the Liver and GB?
- Liver = R 5th ICS (anterior) and R b/w T5 and T6 (posterior)
- GB = R 6th ICS (anterior) and R b/w T6 and T7 (posterior)
