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OPP 2.1 > autonomics and somatic reflexes > Flashcards

autonomics and somatic reflexes Flashcards

1
Q

PS DUMBBELS

A 
Diarrhea/Defecation
urination
meiosis - pupils contract
bradycardia
bronchospasma
emesis
lacrimation
salivation
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2
Q

PS nerves

A

CN III, VII, IX, X; S2-4

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3
Q

which joint needs to be treated with autonomics?

A

OA - occipito-atlantal

mvmt of occiput on atlas/C1

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4
Q

symp innervation: UE and LE

A

UE: T2-5(6)
LE: T10(11) - L2(3)

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5
Q

visceral afferents is a sign of?

A

visceral irritation

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6
Q

how does visceral afferents message travel?

A

message of irritation travels back on bifurcating neuron
- synapses on somatic motor neurons and causes mm contraction
release proinflamm polypeptides at that level

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7
Q

prolonged stimulation of visceral afferents lead to?

A

facilitation

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8
Q

facilitation indicates?

A

lower threshold for irritation and dysfx

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9
Q

facilitated segments are?

A

hyper-irritable and hyper-responsive

mm maintained in hypertonic state

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10
Q

nociceptive fibers travel with

A

sympathetics

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11
Q

non-nociceptive fibers travel with

A

parasympathetics

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12
Q

somato-somatic reflex

A

localized somatic stimuli producing patterns of reflex response in segmentally related somatic structures

  • DTRs
  • withdrawal reflex
  • T5 dysfx caused by tight linea alba
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13
Q

somato-visceral reflex

A

localized somatic stimulation producing patterns of reflex response in segmentally related visceral structures
- spinal manipulation –> changes in HR, BP, and symp activity to kidney and adrenal medulla

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14
Q

viscero-visceral reflex

A

localized visceral stimuli producing patterns of reflex response in segmentally related visceral structures

  1. gut distention –> gut contraction
  2. baroreceptor reflex –> BV stretch to change cause change in HR
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15
Q

viscero-somatic reflex

A

localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures

  1. cardiac disease –> SD T1-5 RSL
  2. Type II dysfx
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16
Q

type II dysfx

A
  • maintained by intertransverse mm
  • rubbery end feel
  • can’t be fixed by HVLA cus dysfx maintained by muscular rather than articular restriction
17
Q

referred pain

A
  • convergence-projection theory
  • visceral and somatic afferents converge on the same or associated neurons or interneurons in the SC
  • can follow viscero-somatic pattern or somato-somatic pattern
18
Q

trigger points defintion

A
  • hyperirritable spot in SkM that is associated with hypersensitive palpable nodule in a taut band
  • painful on compression with radiating or referred pain, tenderness, motor dysfx, and autonomic phenomena
19
Q

2 classifications of trigger points

A
  • active: refer pain at rest, with muscular activity, or with palpation
  • latent - produce pain only when probed with more steady pressure
20
Q

trigger points tx

A
  • inhibitory soft tissue
  • deep massage
  • dry needling
  • injection with steroids
  • MET
  • vapocoolant spray with myofascial stretch
21
Q

jump sign

A

patient response to pain: wince or voluntary withdrawal

22
Q

local twitch

A
  • transient contraction of the taun band of fibers with the trigger point
  • presence differentiated b/w trigger point and fibromyalgia syndrome
23
Q

tender points definition

A
  • small, hypersensitive points in the myofascial tissues of the body
  • finger tip size, discrete, small, tense, and edematous
24
Q

how tender points are created

A

initial injury causes sudden unanticipated lengthening of the antagonistic mm to the originally strained painful agonist mm

25
Q

where are tender points located?

A
  • within myofascial structures: tendons, ligaments, mm bellies
  • location consistent b/w patients suggest anatomic basis
26
Q

tender points sensitive to palpation suggest?

A

related to nociceptive activity

27
Q

do tender points radiate?

A
  • no, they are localized
28
Q

chapman’s points definition

A
  • gangliform contraction that my block lymphatic drainage, causing inflamm in distal tissues
  • believed to be part of symp dysfx (found in regions which overlap with visceral symp efferent innervation)
29
Q

which type of reflex is it part of?

A

viscero-somatic reflex

30
Q

what are gangliform?

A

not a nerve nor a cyst, but it is a rounded contraction

31
Q

chapman clinical uses

A
  • for dx
  • for influencing the motion of fluids, mostly lymph
  • for influencing visceral fx through the PNS
32
Q

chapman’s points location

A
  • small, smooth, firm, discrete nodules in fixed anatomic locations
  • deep to skin and subcut areolar tissue on deep fascia or periosteum
  • usually paired ant and post
33
Q

anterior chapman’s points

A

often painful with light compression

34
Q

do chapman’s points radiate?

A

no, but often tender with lymphatic congestion and altered myofascial texture

35
Q

chapman’s points tx?

A
  • firm, circular pressure
  • attempt to flatten
  • hold for 10-30s

OPP 2.1 (6 decks)

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