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
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