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WVSOM -- OPPI
Manipulation for Systemic Dysfunction
Question | Answer |
---|---|
How is OMT used for routine care for treatment of visceral disease? | as a complimentary treatment |
Sympathetic inervation of the head and neck | T1-T4 |
Cardiovascular sympathetic innervation | T1-T5 |
Respiratory sympathetic innervation | T2-T7 |
Stomach, liver and gall bladder sympathetic innervation | T5-T9 |
What is important about the posterior Horn neurons and OMT? | There is a lot of cross talk |
Small intestine Sympathetic Innervation | T9-11 |
Ovary and Testicle sympathetic innervation | T9-10 |
Kidney, ureter and bladder sympathetic innervation | T10-11 |
Large intestine sympathetic innervation | T8-L2 |
Uterus sympathtic innervation | T10-11 |
Spine sign for heart disease | doughy tissue texture changes at T1-T5 due to lymphatic congestion |
Prostate sympathetic innervation | L1-2 |
Location of diagnosis of spinal reflexes associated with sympathethic nervous system. | Thoracic and lumbar |
What is the typical somatic dysfunction found with the systematic nervous system. | Commonly Type 2 somatic dysfunction |
TART criteria for SNS | Tissue texture changes Red reflex Chapman's Reflexes |
Chapman's Points | tender nodules along sympathetic dermatomes associated with specific organ dysfunctino |
Diagnosis of abdominal plexus tension | Celiac Superior mesenteric Inferior mesenteric |
Normalizing autonomic tone | treatment of type 2 spinal somatic dysfunction rib raising abdominal plexus release Chapman's Point stimulation |
Rib Raising | Stretches the connective tissue around the sympathetic chain ganglia that causes an effect. First is an up-regulation of sympathetic followed by a down regulation |
What is normally seen with treatment of parasympathetics? | First a down regulation then an up regulation |
Treatment of sympathetic component of bowel dysfunction | Push posterioroly into celiac, superior mesenteric, or inferior mesenteric ganglion. Hold until tissue release, about 10-20 seconds. |
When is treatment of bowel dysfunction contraindicated? | Ganglion inhibition is contraindicated in patients with peritonitis, bowel obstruction |
Head and neck PNS | Vagus |
Cardiovascular PNS | Vagus |
Respiratory PNS | Vagus |
Treatment of parasympathtic component of visceral disease | upper cervical soft tissue sacral rocking |
Stomach, liver, gall bladder PNS | vagus |
Small intestine PNS | vagus |
Ovary, testicle PNS | S2-S4 |
Kidney, ureter, bladder PNS | S2-S4 |
Large intestine PNS | Vagus, S2-S4 |
Uterus | S2-S4 |
Ileus | bowel shuts down and fills up with air |
Prostate | S2-S4 |
Lymphatic Pumps | Thoracic Pump Pectoral Traction Pedal pump |
Ventral Techniques | Mesenteric Lifts Organ pumps/recoil |
What is located in the mesentary? | Intestinal nerves, arteries, veins and lymphatics |
What do mesenteric lifts do? | passively shorten a mesentery to reduce tension, normalize autonomics, and improve circulation and drainage |
What are the 3 mesenteric lifts? | Descending colon lifted toward umbilicus Transverse colon lifted toward epigastric area Ascending colon lifted toward umbilicus |
Barral Abdominal Sphincter Release | Direct or indirect myofascial release for fascial rotation restriction over sphincter |
Indications for Barral Abdominal Sphincter Release | Hiatal hernia Gastroesophageal reflux Cholestasis Malabsorption Diarrhea |
Diagnosis to use Barral Abdominal Sphincter Release | fascial rotation restriction over sphincter |
What four areas do you do myofascial release for Barral Abdominal Sphincter Release? | Pyloric sphincter Hepatopancreatic sphincter (Oddi) Duodenojejunal junction Ileocecal valve |
Sympathetic treatments for normalization | Rib raising Abdominal ganglion inhibition Chapmanās point stimulation |
Parasympathetic normalization | Suboccipital inhibition or other upper cervical treatment Sacral rocking or other sacral treatment |
Lymphatic treatment | Thoracic pump Pectoral traction Pedal pump Effleurage |
Organ treatment | Organ pumps Visceral manipulation |