1. Osteopathic Approach to the Pediatric Patient Flashcards
Birthing can compress what three nerves within the jugular foramen of infants?
CN IX, X, XI
Birthing can compress what nerve within the hypoglossal canal?
CN XII
Compression of the occiput (most common SD in babies) may cause what symptoms?
Poor Tongue motion (CN IX, XII)
Intestinal Peristalsis issues (CN X)
-Constipation, Colic, GERD
Scap/Trap Motion issues (CN XI)
What cranial dysfuntion increases likelihood of otitis media?
Internally rotated temporal bone
When does the anterior fontanelle close?
12-36 months
When does the posterior fontonelle close?
2-3 months
When does the sphenoid fontanelle close?
6 months
When does the mastoid fontanelle close?
6-18 months
Direct or indirect for infants?
Indirect
What treatments are popular for infants?
BMT Condylar decompression BLT MFR to diaphragms Lymphatics
What treatment should be done for infants with poor suck if you only have a few minutes?
Suboccipital release and condylar decompression
Can add venous sinus release if you have more time
What condition in infants needs to be ruled out before OMM?
Craniosynostosis
How is plagiocephaly shaped and what is it associated with
Parallelogram shaped and is associated with torticollis
-lateral strain
Describe brachiocephaly and what strains (2) is it?
Head is wider than long with back of head flat
Vertical strain or flexion strain
Describe scaphocephaly and what strain is it?
Long, narrow head
Extension strain
How do you treat plagiocephaly (time sparing)?
suboccipital release,
venous sinus release, and
V-spread to tight sutures
Sympathetic and PSym to inner ear?
Sym: T1-T4
PSym: None
Treatment for otitis media
Lymphatic: Thoracic inlet release and Galbreath/periauricular drainage
+Rib raising and upper thoracic soft tissue if time
What causes torticollis?
Spasm of sternocleidomastoid
-possibly due to irritation of CNXI in jugular foramen
Treatment for torticollis
Thoracic inlet release, suboccipital release to reduce CNXI, and possible cervical soft tissue with SCM stretching
What Psym and Sym are targeted to treat URIs?
Sym: T1-4 (lungs)
PSym: none
Treatment plan for URI/Sinusitis?
Thoracic inlet release, galbreath technique, and rib raising/soft tissue
What type of dysfunction (inhalation or exhalation? is caused by asthma?
Inhalation
-asthma causes air trapping, so ribs will be raised
Treatment plan for lower respiratory complaint
Rib raising,
C3-5 treatment, and
suboccipital release can break up mucus
Psym and Sym for upper GI
Psym: Vagus
Sym: T5-9 Celiac ganglion
Psym and Sym for middle GI
Psym: Vagus
Sym: T10-T11 Superior mesenteric ganglion
Psym and Sym for distal colon
Psym: S2-4
Sym: T12-L2 inferior mesenteric ganglion
Treatment plan for GERD
OA release and Celiac ganglion release
-if time, can do thoracic diaphragm release and T5-9
Treatment for Constipation
Sacral rock
T/L junction inhibitory pressure
Superior and inferior mesenteric ganglion release
