Flashcards in OMM for respiratory Deck (44):
What are the parasympathetic effects on the lungs?
Gland secretions (mucus)
What is the effect of the sympathetics on the lungs?
Vasoconstriction of arterioles in the area of tissue injury
What is the sympathetic supply to the head and UE?
What is the sympathetic supply to the lower extremities?
Lumbar splanchnic nerves
What are the three major issues with sympathetic tone?
What is breathing (ventilation)?
Physical movement of air into the lugs
What is respiration?
Air exchanged for CO2 at the cellular level
What are the three major factors that play a role in adequate ventilation?
-proper motions of the thoracic cage
-mechanical properties of the airways
-lung parenchymal units
What are the three major factors that play a role in adequate respiration?
-Vd and blood flow through pulmonary circulation
-Vd and distribution of ventilation in the lungs
-Diffusion characteristics of CO2 across the air-blood barrier
What are the accessory muscles used in elevating the diaphragm/rib cage? (5)
What are the accessory muscles used in depressing the diaphragm/rib cage? (4)
-serratus posterior inferior
What is the effect of fixing the arms while trying to breath?
The muscles of the shoulder girdle elevate and expand the thorax
What is the role of the vagus nerve in respiration?
Innervation to the carotid bodies
What is the role of the phrenic nerve is respiration?
What is the role of the intercostal nerves (T1-L2) on respiration?
What are the four major fascial planes that should be treated for respiratory complaints?
What is the histological change that can occur with parasympathetic overtone in the lungs?
Increased goblet cells
What is the dominant parasympathetic innervation to the lungs?
What is the normal lymphatic return rate?
Entire serum in 24 hours
Why is it important to address the OA in respiratory complaints?
-vagus and ganglia
What is the common cause if increase sympathetic tones to the lungs? Why?
Rib dysfunctions since sympathetic ganglia lie in front of the ribs
What happens to the ribs with chronic coughing?
Locked down SD
Why do you not want to treat rib SDs with HV/LA for sympathetic overtone?
May increase sympathetic tone from quick motion
At what degree of scoliosis is respiratory function compromised?
More than 50 degrees
What are the bony attachments of the diaphragm? (4)
L1-L2 on the left
L1-L3 on the right
Lower 6 ribs
What are the two major muscles of the back that have attachments to the diaphragm?
What is the role of the QL in breathing?
Locks down the 12th rib
What are the two major muscles of the UE that play a role in respiration
What happens to the tissues with lung congestion?
Hardening of the tissues
What spinal levels are affected with lung problems?
T1-T6 or T1-T12.
RUL levels = ?
RML levels = ?
RLL levels = ?
LUL levels = ?
LLL levels = ?
Palpatory findings of SDs d/t pneumonia will precede radiographic findings by how many hours
Name that disease: Inflammation of the pulmonary parenchyma by a microbial agent
Name that disease: chronic inflammatory disease of the airways that causes spasms and edema leading to narrowing of the airways.
Name that disease: Inflammation of the bronchi that causes acute onset of cough, sputum production, and ssx of a URI
Name that disease: recurrent cough with sputum production that persists for at least 3 months in at least 2 consecutive years
When should the OA and AA be treated in patients with asthma? Why?
Only after all else has been completed. If done before, will heighten parasympathetic response and make them worse
Besides the OA and AA, what other area should be addressed? Why?
T10-L1 to increase anti-inflammatory effects
Why should the IT spread be utilized for respiratory issues?
Address UG diaphragm