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Flashcards in OMM for respiratory Deck (44):
1

What are the parasympathetic effects on the lungs?

Bronchoconstriction
Gland secretions (mucus)

2

What is the effect of the sympathetics on the lungs?

Bronchodilation
Vasoconstriction of arterioles in the area of tissue injury

3

What is the sympathetic supply to the head and UE?

Cervical ganglia

4

What is the sympathetic supply to the lower extremities?

Lumbar splanchnic nerves

5

What are the three major issues with sympathetic tone?

Vasoconstriction
Thickened secretions
Decrease drainage

6

What is breathing (ventilation)?

Physical movement of air into the lugs

7

What is respiration?

Air exchanged for CO2 at the cellular level

8

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

9

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

10

What are the accessory muscles used in elevating the diaphragm/rib cage? (5)

SCM
Serratus anterior
Scalenes
Pecs
External intercostals

11

What are the accessory muscles used in depressing the diaphragm/rib cage? (4)

-Rectus abdominus
-Internal intercostals
-serratus posterior inferior
-lat dorsi

12

What is the effect of fixing the arms while trying to breath?

The muscles of the shoulder girdle elevate and expand the thorax

13

What is the role of the vagus nerve in respiration?

Innervation to the carotid bodies

14

What is the role of the phrenic nerve is respiration?

Diaphragmatic control

15

What is the role of the intercostal nerves (T1-L2) on respiration?

Intercostal muscles

16

What are the four major fascial planes that should be treated for respiratory complaints?

Thoracoabdominal
Cervicothoracic
Urogenital
Tentorium cerebelli

17

What is the histological change that can occur with parasympathetic overtone in the lungs?

Increased goblet cells

18

What is the dominant parasympathetic innervation to the lungs?

Vagus

19

What is the normal lymphatic return rate?

Entire serum in 24 hours

20

Why is it important to address the OA in respiratory complaints?

-vagus and ganglia

21

What is the common cause if increase sympathetic tones to the lungs? Why?

Rib dysfunctions since sympathetic ganglia lie in front of the ribs

22

What happens to the ribs with chronic coughing?

Locked down SD

23

Why do you not want to treat rib SDs with HV/LA for sympathetic overtone?

May increase sympathetic tone from quick motion

24

At what degree of scoliosis is respiratory function compromised?

More than 50 degrees

25

What are the bony attachments of the diaphragm? (4)

L1-L2 on the left
L1-L3 on the right
Lower 6 ribs
Xiphoid

26

What are the two major muscles of the back that have attachments to the diaphragm?

Psoas
QL

27

What is the role of the QL in breathing?

Locks down the 12th rib

28

What are the two major muscles of the UE that play a role in respiration

Pecs
Lat dorsi

29

What happens to the tissues with lung congestion?

Hardening of the tissues

30

What spinal levels are affected with lung problems?

T1-T6 or T1-T12.

31

RUL levels = ?

T-T3

32

RML levels = ?

T3-T4

33

RLL levels = ?

T5-T6

34

LUL levels = ?

T1-T3

35

LLL levels = ?

T4-T6

36

Palpatory findings of SDs d/t pneumonia will precede radiographic findings by how many hours

24-48 hours

37

Name that disease: Inflammation of the pulmonary parenchyma by a microbial agent

Pneumonia

38

Name that disease: chronic inflammatory disease of the airways that causes spasms and edema leading to narrowing of the airways.

Asthma

39

Name that disease: Inflammation of the bronchi that causes acute onset of cough, sputum production, and ssx of a URI

Acute bronchitis

40

Name that disease: recurrent cough with sputum production that persists for at least 3 months in at least 2 consecutive years

Chronic bronchitis

41

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

42

Besides the OA and AA, what other area should be addressed? Why?

T10-L1 to increase anti-inflammatory effects

43

Why should the IT spread be utilized for respiratory issues?

Address UG diaphragm

44

Why should the QL be treated for respiratory concerns?

Attached to rib 12