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OS-3 Final > 6. Visceral Manipulation Technique Integration > Flashcards

6. Visceral Manipulation Technique Integration Flashcards

1
Q

Origin and Insertion for:

  1. Anterior scalene
  2. Middle scalene
  3. Posterior scalene
  4. Serratus posterior superior
A
  1. 1st rib anterior = 3-6 anterior TP
  2. Middle of 1st rib = 2-7 anterior TP
  3. Posterior part of 2nd rib => C4-5 TP
  4. Lateral portion of C7-T3 SP => angle of ribs 2-5
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2
Q

trauma to neck: other structures involves

A
  1. •Sternocleidomastoid
  2. •Omohyoid/ Stylohyoid
  3. •Splenius capitus
  4. •Levator Scapulae
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3
Q

Neck trauma: what is <3 attached to and what suspends it?

A
  • Attached to: diapgragm
  • Suspended by: ribs, sternum and spine
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4
Q

what nerves pass through mediastinum?

A
  1. Phrenic
  2. Vagus
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5
Q

what visceral structures cause the following SD?

  • Diaphragm strains =
  • Sternal SD
  • Rib SD
  • Pull of vasculature into neck
  • Trachea to the neck
A
  • Diaphragm strains => heart
  • Sternal SD => fascial attachments of heart
  • Rib SD => displacement of sternum, strains to diaphragm
  • Pull of vasculature into neck => from <3 through aortic arch => carotid a. and v.
  • Trachea to the neck => mediastinal stress through trachea to neck m attachments.
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6
Q

If patient has [acute trauma 2 weeks ago], what are treatment considerations?

A
  1. Gentle direct MFR
  2. Indirect MFR
  3. Guide for joint release
  4. DO NOT let structres heal in asymmetric strained positions
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7
Q

If patient has [acute trauma 2 weeks ago], when do we treat next?

A

wait 1-2 weeks to treat

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8
Q

Direct and indirect treatments for trauma patients

A
  1. Direct: ME and ART
  2. Indirect: Stills, FPR, BLT
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9
Q

If neck trauma, what regions do we treat first (neck, thoracic vs ribs)?

A
  1. Treat thoracic bc muscular connections to neck and ribs = least painful
  2. Neck
  3. Ribs last, bc may have already resolved.
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10
Q

What indirect treatments can be used to treat trauma?

A

Stills

FPR

BLT

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11
Q

BLT Technique

A

Basic Steps:

  1. Position the structure in neutral position in all planes
  2. Hold and use an activating force
  • Respiration: enhances ease until “air hunger”
  • Inherent Motion: just by holding in position there is a motion that motivates improved function
  1. Release may be palpable: tissue may soften, inherent motion may improve
  2. Recheck motion in all planes, and repeat until desired results achieved
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12
Q

What is the purpose of BLT?

A

Balance the ST around the re-aligned straightened structural/bone components and restore EQUAL tension/motion.

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13
Q

PT has pyelonephritis. What somatic structures are involved?

A
  • T10-11 => causes vertebral rotation and rib dysfunctions at that level
    • Interconnections of muscles above and below cause vertebral dysfunction at multiple levels above and below
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14
Q

What somatic structures are involved in a case of pyelonephritis (T10-11)

what causes tension and pain

A

Adjacent tissue irritation from local inflammatory hormone release causes tension and pain

  1. •Psoas
  2. •Quadratus lumborum
  3. •Transversus abdominus
  4. •Diaphragm
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15
Q

What does a tight psoas cause?

A
  1. Lumbar Lordosis (anterior pull on lumbar)
  2. Ipsilateral SB (lateral pull on lumbar)
  3. Anterior innominate rotation
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16
Q

What does a tight quadratus lumborum cause?

A
  1. Inferior pull on and SD of Rib 12 (effects rib 11 too)
  2. Anterior innominate rotation => superior pull on ilium
  3. Lumbar side bending
17
Q

why treat spine before ribs?

A

Because the vertebra and rib may move together as a unit => fixing vertebral dysfunction bring ribs back into relative alignment with other ribs negating the need for separate treatment.

18
Q

how can we Balance the tissues and reduce tension when there is a disease (pyelonephritis)?

A
  • Direct: stretching, MFR, inhibition
  • Indirect: MFR, CS
19
Q

when we have lower abdominal and sacral pain, how do we treat?

A
  • Treat lumbar 1st!
  • Treat pelvis and sacrum 2nd because lumbar treatment pressure through the pelvis may cause pelvic / sacral SD
20
Q

UPL5 TP

LPL5 TP

A
  • UPL5 TP =
    • Superior medial surface of the PSIS
  • LPL5 TP=
    • Inferior to PSIS, on the ileum
21
Q

PL3 gluteus TP

PL4 gluteus TP

A
  • PL3 gluteus TP = 2/3 lateral from PSOS - TFL
  • PL4 gluteus TP = posterior margin of TFL
22
Q

PS1 TP

A
  • Bilateral: medial to PSIS and in the mid-portion of the sacral sulci
  • Treatment: pt prone/seated = apply anterior pressure DIAGONALLY OPPOSITE of TP
23
Q

P2-4 TP

A

Location: midline of sacrum, between the sacral spines

Treatment: pt prone/seated = apply anterior pressure DIAGONALLY OPPOSITE of TP to cause transverse axis rotation.

  • PS2 = inferior apex
  • PS3= varies to ask pt
  • PS4= base
24
Q

PS5 TP

A

Treat L OR R: superomedial to ILA

Treatment: pt prone/seated = apply anterior pressure DIAGONALLY OPPOSITE of TP

25
Q

Intra-peritoneal organs have _____ & covered by _____

Nearly all pelvic structures have _________ & fascial supports anchors them to the ______.

.

A

Intra-peritoneal organs have mesentary & covered by peritoneum

Nearly all pelvic structures have direct fascial connections & fascial supports anchor to the anterior sacrum

26
Q

name connections

  1. post c-section
  2. pelvic adhesions
A
  1. abdominal wall => uterus
  2. uterus => colon, fallopian tubes, and ovaries
27
Q

what can help us treat abdominal wall and bowel adesions and omentum adhesions

A

colon release and mesenteric release

28
Q

what can lead to persistant sacral dysfunction?

A
  1. Psoas fascia
  2. Bladder and uretur
  3. Prostate/uterus
  4. Rectum
29
Q

ST treatment for lower abdominal pain and sacral pain

A
  1. psoas
  2. quadratus lumborum
  3. abdominal muscles and fascia
30
Q
A

OS-3 Final (16 decks)

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