7: Chapman Points Flashcards
Chapman Reflexes
A group of palpable points in predictable locations on anterior and posterior surfaces of the body that are considered to be reflections of visceral dysfunction or disease
How Dr. Chapman discovered Chapman Points
He had a pt with severe adenitis + groin glands indurated and painful. Dr. Chapman gently manipulated the glands -> improvement in adenitis
Neurolymphatic points
Chapman points; named as such bc they have a physiologic relation to lymphatics and NS
Gangliform contractions
Congestions in fascia due to lymph stasis secondary to visceral dysfunction
Dxing Chapman point
Find and isolate a point -> gentle but firm pressure will elicit a deep, disagreeable pain -> must be present in anterior and posterior points to diagnose
Which point is more diagnostic, anterior or posterior?
Anterior -> then use posterior to confirm
Common Chapman point treatment
Rotator stimulation: medium pressure with finger on the mass, slowly move tip of finger in a circular fashion for about 30 seconds; can alternate clockwise or counterclockwise
Three reasons to stop treatment early
- Mass disappears
- Pt cant tolerate it
- Physician can no longer tolerate it
Two things to not do with CRs
- Never dx based solely on a non tender CR
2. Never ignore a tender CR unless you have a good explanation for the findings
When do screen for CPs
Prior to any OMT treatment
Three CP treatment contraindications
- Emergent setting
- Pt refusal
- Relatives: local cancer or tissue instability
Two examples of somatosomatic reflexes
- Withdrawal reflex
2. Myotatic reflex
Two examples of viscerovisceral reflexe
Gut distension, gastrocolic
Three examples of somatovisceral reflexes
- Somatocardiac
- Somatogastric
- Somatoadrenal
Viscerosomatic reflex example
Cardiac visceral pain
