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Flashcards in Renal: Jons-Cox Deck (16):

Anterior Bladder Chapman's Points (2)

1. B/L around the umbilicus
2. B/L On the pubic symphysis close to the median line


Anterior Urethra Chapman's point

B/L medial pubic symphysis, on the upper edge


Posterior Chapman's Point for both Bladder and Urethra

Upper edge of the Transverse Process of L2 (B/L)


3 forms of treatment to facilitate respiratory/circulatory function:

1. Open thoracic inlet
2. Treat abdominal diaphragm
3. Treat pelvis, esp the pubic symphysis and pelvic diaphragm


Sympathetics to the Bladder:



Parasymathetics to the Bladder:

Pelvic splanchnic nerves (S2-S4)


Treatment to balance the autonomics of the bladder

1. Treat thoracics and lumbars - sympathetics to the bladder originate in the T10-L2 region
2. Treat sacrum, SI joints- parasympathetics to the bladder originate in S2-4 (pelvic splanchnic nerves)


OMM Plan for a UTI (3)

1. facilitate respiratory/circulatory function
2. Treat bladder Chapman's Points
3. Balance Bladder autonomics


Still Technique is a _____, combined ____ technique.


Still Technique step 1:
Move the Tissue/Joint into the _____, then _____ this position to ______.

position of ease.....exaggerate....relax the tissue.


Still Technique step 2:
Introduce a ______ through the affected tissue.

vector force no greater than 5 lbs


Still Technique Step 3:
Using the force vector as a lever,________. The force vector is then ____ and the tissue is _______ and retested.

carry the affected tissue towards and through the initial restriction...released...returned to neutral


Still Technique:
A palpable release is often felt as the _____takes the tissue past its _____.

coupled vector force and tissue motion....area of previous restriction


MET for Diaphragm SD:

- place hand B/L over the lower 6 ribs; thumbs should be just inferior to costal margin; pt is supine with hips and knees flexed
- apply a slight compressive force down to the level of the diaphragm and take it to the feather edge of the restriction via SB and rotation
- pt holds breath in inhalation while you resist downward for 3-5 s; wait 1-2 s refractory period
- take up the slack in exhalation and repeat


Diaphragm MFR "the osteopathic hug"

- stand behind the seated pt
- wrap your arms around the pt's torso with their arms overlying your hands
- place your finger pads underneath the anterior costal margin to palpate the diaphragm
- instruct the pt to slump forward while you apply a compressive force to engage the diaphragmatic fascia
- use your body to support pt while you asses fascial restrictions (F/E/SB/R)
- hold fascia in position of greatest ease or restriction until release is felt


MET of the thoracic spine

- monitor the vertebra being treated via its transverse process
- engage the feather edge of the barrier by inducing F/E/SB/R at the level of the SD
- instruct pt to sit up straight while you provide an isometric counterforce for 3-5 s
- wait 2 s then re-engage the feather edge of the restricted barrier and repeat 2-4 times or until no further change is noted