Chapman Reflexes and Trigger Points

Question 1

Area between clavicle and second rib

Answer 1

dysfunction of head and neck

Question 2

Ribs 3-12

Answer 2

anatomical progression through appendix

Question 3

Middle ear chapman point

Answer 3

superior surface of proximal clavicle

Question 4

Nasal sinuses chapman point

Answer 4

inferior surface of proximal clavicle

Question 5

Pharynx chapman point

Answer 5

Lateral edge of mid manubrium where rib one articulates

Question 6

Tonsils chapman point

Answer 6

lateral edge of the angle of manubrium meeting sternum

Question 7

Larynx and sinuses chapman point

Answer 7

Superior edge of rib two
Larynx at the edge of the costocartilage
Sinuses just medial to midclavicular line

Question 8

Tongue chapman point

Answer 8

articulation of rib 2 to sternum

Question 9

Esophagus, bronchus, thyroid, myocardium chapman points

Answer 9

All are between the articulations of Rib 2 and 3

Question 10

Upper lung chapman point

Answer 10

between articulations of ribs 3 and 4

Question 11

Lower lung chapman point

Answer 11

Between articulations of ribs 4 and 5

Question 12

Stomach (acidity on L), Liver (on R) chapman point

Answer 12

Mid clavicular line between ribs 5 and 6

Question 13

Stomach (peristalsis on L) and Liver, gallbladder on R chapman point

Answer 13

midclavicular line between ribs 6 and 7

Question 14

Spleen on L and Pancreas on R chapman point

Answer 14

between ribs 7-8 midclavicular line

Question 15

Small intestine chapman point

Answer 15

midclavicular line, between 8-9, 9-10 and on tip of rib 11

Question 16

appendix chapman point

Answer 16

tip of rib 12

Posterior: TP of rib 11

Question 17

bladder chapman point

Answer 17

around umbilicus

Question 18

Kidneys chapman point

Answer 18

b/l 1 inch superior and 1 inch lateral to umbilicus

Posterior: SP of L1

Question 19

Adrenals chapman point

Answer 19

B/l 2 inches superior and 1 inch lateral to umbilicus

Posterior: SP of T11

Question 20

Cecum chapman point

Answer 20

Proximal point of right IT band

Question 21

Proximal Transverse colon chapman point

Answer 21

along right IT band towards knee

Question 22

Distal transverse colon chapman point

Answer 22

Along Left IT band towards knee

Question 23

Sigmoid chapman point

Answer 23

proximal point of left IT band

Question 24

Trigger points

Answer 24

hypersensitive focus within taut band of skeletal muscle or muscle fascia

painful upon compression with characteristic referred pain, tenderness

spinal cord plays important role in establishing and maintaining trigger points

Tx:
spray and stretch w/ vapocoolant spray
injection with local anesthetic or dry needling
ME
MFR
Ischemic compression

Question 25

Trigger point vs tenderpoints

Answer 25

Trigger points refer pain when pressed

tenderpoints DO NOT refer pain when pressed