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OPP Lect 17
Question | Answer |
---|---|
Neurological Model for Visceral Dysfunction | Causes viscerosomatic Reflex. Respiratory afferent inflammatory response, you want to decrease the incoming impulses to decrease somatic muscle spasm (decrease doughy tissue texture). |
Doughy tissue texture | Due to lymphatics. Suggestive of a Viscerosomatic reflex as opposed to true somatic pain (seen with strictly muscle spasm) **also if it is persistant after treatmetn, viscerosomatic |
Rib raising | stretches the fascia, causing pressure on sympatheic chain ganglia. Causing inhibition and correcting the viscerosomatic reflex. |
Chapman's points | good diagnostically and treated posteriorly (10 second rotary pressure). |
Treatment of sympathetic component of thoracic visceral disease | Just like with chapman's, 10 sec rotatory on chapman's point |
Adbominal plexus inhibition | Treating sympathetic component of bowel dysfunction. push into the celiac/superior mes/inferior mes plexus. Hold until tissue releases (10-20sec) |
Treatment of Parasympathetic component of visceral disease | Suboccipital release (Vagus nerve goes all the way down to half of Large intestine). OR Sacral Rocking for everything below via S2-4 (pelvic splanchnic) |
Respiratory-Circulatory Model | Lymphatic drainage. **Always treat thoracic inlet FIRST because it is most important in fluid drainage |
Lymphatic treatments | 1.Myofascial release of fascial diaphragms 2.Lymphatic pumps 3.Organ pumps (depends on conditions) |
Visceral techniques for visceral disease | 1.Mesenteric lifts (passively shortening mesentery to reduce tension and normalize autonomics and drainage). **Always start with descending colon FIRST then Ascending (both lifted towards umbilicus) |
Abdominal Sphincter release | Indications: motility dysfunction. **All sphincters usually rotate in the SAME direction (clockwise). Treat with direct or indirect myofascial release on 4 main GI sphincters. |