Chapman Reflexes Flashcards
What are chapman reflexes?
A system of reflex points that present predictable, palpable anterior and posterior fascial tissue texture abnormalities of visceral dysfunction
True or false: chapman’s points suggest specific organ pathology
True?
What is the proposed for the pathophysiology of chapman’s reflexes?
- SDs of the pelvis impair blood supply to the endocrine organs,
- Retention of “toxins”
- Local lymph stasis results in nerve irritation, leading to TTP on the body surface
What are the palpatory characteristics of chapman points?
-Small, smooth, firm, circumscribed area of edema
True or false: the chapman reflexes are usually found alone
False-can be in irregular patches
What are the symptoms of chapman reflexes?
- Pain is out of proportion to the amount of pressure being applied
- Deep pain response with sharp
True or false: Chapman reflexes generally radiation along the lymphatic channels
False–usually no radiation
Can pts pinpoint the source of pain with Chapman reflexes
Yes
How do the locations of chapman reflexes, myofascial trigger point, and s/cs tender points compare?
CR = SQ MTP = Muscle fibers S/cs = tendinous attachments
How do the palpatory experience of chapman reflexes, myofascial trigger point, and s/cs tender points compare?
CR = ganglioform, contracted MFTP = Distinct nodules S/CS = discrete tense edematous areas
How do the pain of chapman reflexes, myofascial trigger point, and s/cs tender points compare?
CR - no radiation
MFTP = referral pattern
S/cs = No radiation, very tender
How do the associations of chapman reflexes, myofascial trigger point, and s/cs tender points compare?
CR = Viscerosomatic with definite relationship MFTP = injury only to muscle S/CS = specific muscle or joint path-- NOT visceral
What was the supposed effect of balancing the pelvis in treating chapman reflexes?
Improved hormonal function in the glands of the pelvis
Which part of the body should always be treated first with chapman reflexes?
Pelvis
As with all medical and surgical treatments, better outcomes can be had by doing what prior to treating chapman reflexes?
Balancing the MS system
How do you treat chapman reflexes?
Finger pad of one finger on an individual nodule, and apply a circular motion
True or false: you will get quicker results in treating chapman reflexes with forceful technique, than gentle
False–opposite
What are the anterior and posterior chapman reflexes for the spleen?
Anterior = left 7th intercostal space
Posterior = between the left transverse process of T7
What is the Chapman reflex for: middle ear OM?
Superior portion of the clavicle in the mid clavicular line
What is the Chapman reflex for: the pharynx?
Superior portion of the 1st rib just lateral to the manubrium at the costosternal junction
Ph-irst rib
What is the Chapman reflex for: sinuses?
Superior portion of the 2nd rib in the mid-clavicular line
Sinuses = superior second rib
What is the Chapman reflex for: upper lung?
Between ribs 3 and 4 just lateral to the sternum
What is the Chapman reflex for: lower lung?
Between ribs 4 and 5 just lateral to the sternum
What is the Chapman reflex for: the stomach?
Between ribs 5 and 6 near the costochondral junction
What is the Chapman reflex for: the liver, gallbladder
Between ribs 6 and 7 on the right
What is the Chapman reflex for: the spleen?
Between ribs 7 and 8 on the left
What is the Chapman reflex for: pancreas
Between ribs 7 and 8, near the costochondral junction on the right
What is the Chapman reflex for: the appendix (anterior and posterior)?
Anterior tip of the 12th rib on the right
Posterior= right transverse process of T11
What is the Chapman reflex for: bladder?
At the umbilicus
What is the Chapman reflex for: ovaries
Lateral to the pubic symphysis
What is the Chapman reflex for: prostate?
On top of the IT band in its midline
What is the Chapman reflex for: all of the right side of the large intestines?
Right femur
What is the Chapman reflex for: all of the left side of the large intestines?
Left femur
What is the Chapman reflex for: rectum?
Lesser trochanter bilaterally
What are the collateral ganglia?
- Celiac
- Superior mesenteric
- Inferior mesenteric
What nerve activity can produce palpable tissue changes at collateral ganglia?
Visceral afferent activity
What spinal levels contribute to the celiac ganglion? What organs does this supply?
- T5-T9
- Distal esophagus to the proximal duodenum and head of the pancreas
What are the spinal levels that contribute to the innervation of the superior mesenteric ganglion? What organs does this supply?
- T10-T11
- Distal duodenum to the proximal 2/3 of the transverse colon
What are the spinal levels that contribute to the innervation of the inferior mesenteric ganglion? What organs does this supply?
- T12-L2
- Distal 1/3 of transverse colon to the rectum
Where is the inferior ganglion located?
At the umbilicus
Where is the superior mesenteric ganglion located?
Located 1/2 between the xiphoid and umbilicus
Where is the celiac ganglion located?
Just inferior to the xiphoid
True or false: pregnancy is a contraindication to the treatment of collateral ganglia
True
How do you evaluate the collateral ganglion?
Both hands are placed over the midline of the abdomen, spreading them equally from the xiphoids and the umbilicus
“objective” sensation of a rapid increase in resistance to pressure
OR
subjective complaint of increased TTP
How do you treat via ganglia inhibition?
Fingers over the collateral ganglia placed over the midline, with pressure that matches the tissue tension
- pt maintains pressure with small inhale
- Repeat until Relaxation of the tension is
What causes the TTP associated with Chapman’s points?
Local lymph stasis results in nerve irritation
What should be done prior to treating specific Chapman reflexes?
Balance the MS system first
