Chapman Reflexes Flashcards

1
Q

What are chapman reflexes?

A

A system of reflex points that present predictable, palpable anterior and posterior fascial tissue texture abnormalities of visceral dysfunction

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2
Q

True or false: chapman’s points suggest specific organ pathology

A

True?

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3
Q

What is the proposed for the pathophysiology of chapman’s reflexes?

A
  • 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
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4
Q

What are the palpatory characteristics of chapman points?

A

-Small, smooth, firm, circumscribed area of edema

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5
Q

True or false: the chapman reflexes are usually found alone

A

False-can be in irregular patches

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6
Q

What are the symptoms of chapman reflexes?

A
  • Pain is out of proportion to the amount of pressure being applied
  • Deep pain response with sharp
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7
Q

True or false: Chapman reflexes generally radiation along the lymphatic channels

A

False–usually no radiation

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8
Q

Can pts pinpoint the source of pain with Chapman reflexes

A

Yes

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9
Q

How do the locations of chapman reflexes, myofascial trigger point, and s/cs tender points compare?

A
CR = SQ
MTP = Muscle fibers
S/cs = tendinous attachments
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10
Q

How do the palpatory experience of chapman reflexes, myofascial trigger point, and s/cs tender points compare?

A
CR = ganglioform, contracted
MFTP = Distinct nodules 
S/CS = discrete tense edematous areas
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11
Q

How do the pain of chapman reflexes, myofascial trigger point, and s/cs tender points compare?

A

CR - no radiation
MFTP = referral pattern
S/cs = No radiation, very tender

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12
Q

How do the associations of chapman reflexes, myofascial trigger point, and s/cs tender points compare?

A
CR = Viscerosomatic with definite relationship
MFTP = injury only to muscle
S/CS = specific muscle or joint  path-- NOT visceral
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13
Q

What was the supposed effect of balancing the pelvis in treating chapman reflexes?

A

Improved hormonal function in the glands of the pelvis

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14
Q

Which part of the body should always be treated first with chapman reflexes?

A

Pelvis

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15
Q

As with all medical and surgical treatments, better outcomes can be had by doing what prior to treating chapman reflexes?

A

Balancing the MS system

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16
Q

How do you treat chapman reflexes?

A

Finger pad of one finger on an individual nodule, and apply a circular motion

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17
Q

True or false: you will get quicker results in treating chapman reflexes with forceful technique, than gentle

A

False–opposite

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18
Q

What are the anterior and posterior chapman reflexes for the spleen?

A

Anterior = left 7th intercostal space

Posterior = between the left transverse process of T7

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19
Q

What is the Chapman reflex for: middle ear OM?

A

Superior portion of the clavicle in the mid clavicular line

20
Q

What is the Chapman reflex for: the pharynx?

A

Superior portion of the 1st rib just lateral to the manubrium at the costosternal junction

Ph-irst rib

21
Q

What is the Chapman reflex for: sinuses?

A

Superior portion of the 2nd rib in the mid-clavicular line

Sinuses = superior second rib

22
Q

What is the Chapman reflex for: upper lung?

A

Between ribs 3 and 4 just lateral to the sternum

23
Q

What is the Chapman reflex for: lower lung?

A

Between ribs 4 and 5 just lateral to the sternum

24
Q

What is the Chapman reflex for: the stomach?

A

Between ribs 5 and 6 near the costochondral junction

25
Q

What is the Chapman reflex for: the liver, gallbladder

A

Between ribs 6 and 7 on the right

26
Q

What is the Chapman reflex for: the spleen?

A

Between ribs 7 and 8 on the left

27
Q

What is the Chapman reflex for: pancreas

A

Between ribs 7 and 8, near the costochondral junction on the right

28
Q

What is the Chapman reflex for: the appendix (anterior and posterior)?

A

Anterior tip of the 12th rib on the right

Posterior= right transverse process of T11

29
Q

What is the Chapman reflex for: bladder?

A

At the umbilicus

30
Q

What is the Chapman reflex for: ovaries

A

Lateral to the pubic symphysis

31
Q

What is the Chapman reflex for: prostate?

A

On top of the IT band in its midline

32
Q

What is the Chapman reflex for: all of the right side of the large intestines?

A

Right femur

33
Q

What is the Chapman reflex for: all of the left side of the large intestines?

A

Left femur

34
Q

What is the Chapman reflex for: rectum?

A

Lesser trochanter bilaterally

35
Q

What are the collateral ganglia?

A
  • Celiac
  • Superior mesenteric
  • Inferior mesenteric
36
Q

What nerve activity can produce palpable tissue changes at collateral ganglia?

A

Visceral afferent activity

37
Q

What spinal levels contribute to the celiac ganglion? What organs does this supply?

A
  • T5-T9

- Distal esophagus to the proximal duodenum and head of the pancreas

38
Q

What are the spinal levels that contribute to the innervation of the superior mesenteric ganglion? What organs does this supply?

A
  • T10-T11

- Distal duodenum to the proximal 2/3 of the transverse colon

39
Q

What are the spinal levels that contribute to the innervation of the inferior mesenteric ganglion? What organs does this supply?

A
  • T12-L2

- Distal 1/3 of transverse colon to the rectum

40
Q

Where is the inferior ganglion located?

A

At the umbilicus

41
Q

Where is the superior mesenteric ganglion located?

A

Located 1/2 between the xiphoid and umbilicus

42
Q

Where is the celiac ganglion located?

A

Just inferior to the xiphoid

43
Q

True or false: pregnancy is a contraindication to the treatment of collateral ganglia

A

True

44
Q

How do you evaluate the collateral ganglion?

A

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

45
Q

How do you treat via ganglia inhibition?

A

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
46
Q

What causes the TTP associated with Chapman’s points?

A

Local lymph stasis results in nerve irritation

47
Q

What should be done prior to treating specific Chapman reflexes?

A

Balance the MS system first