Chapmans Points Flashcards
Chapman’s Reflex Points
Gangliform contraction that may block lymphatic drainage, causing inflammation in distal tissues
Often described as a “nodule”
Believed to be part of sympathetic dysfunction
Found in regions which overlap with visceral sympathetic efferent innervation
Chapman’s Reflex Points
Clinical Uses
Diagnosis
Influencing the motion of fluids, mostly lymph
Influencing visceral function through the peripheral nervous system
Gangliform vs ganglion
- gangliform – not a nerve and not a cyst; but it is a rounded contraction
- ganglion – part of a nerve, or ganglion cyst
Anterior Points Don’t?
Radiate
Ex: Excessive input from a viscera of the head or neck produces facilitation of the upper thoracic cord segs and results in reflex stim of somatic tissues innervated by T1-4 (viscero-somatic reflex). Palpatory changes in the upper thoracic and cervical paraspinal tissues as well as traditional Chapman’s reflex locations therefore indicate incr functional activity of the sympathetic nervous system in this region. Pg 3 Kuchera Osteopathic Considerations in System Dysfunction
Nose
Anterior - Medial Clavicle Bilateral
Posterior - lateral c1 bilateral
Tonsils
Anterior - Clavicle and Manubrium Meet Bilateral
Posterior - suboccipital condyles bilateral
Tongue
Anterior - Medial Rib 2 Bilateral
Posterior - tp of c2 bilateral
Esophagus
Anterior - Rib 2 and Sternum meet bilateral
Posterior - transverse process T2 bilateral
Thyroid
Anterior - Rib 2 and Sternum meet bilateral
Posterior - transverse process t2 bilateral
Bronchus
Anterior - Rib 2 and Sternum meet bilateral
Posterior - transverse rpcess t2 bilateral
Middle Ear
Anterior - Middle Rib 1 bilateral
Posterior - TP of c1 bilateral?
Pharynx
Anterior - medial rib 1 bilateral
Posterior - tp of c2 bilateral
Cerebellum
Anterior - underneath AC joint bilateral
Posterior - suboccipital condyles bilateral
Sinuses
Anterior - middle to medial rib 2 bilateral
Posterior - tp of c2 bilateral
Retina
Anterior - medial Head of humerus bilateral
Posterior - below nuchal line close to mastoid process bilateral
Conjunctiva
Anterior - medial head of humerus bilateral
Posterior - below nuchal line close to mastoid process bilateral
Neck
Anterior - anterior scapula
Posterior - tp of c3-c7
Larynx
Anterior - rib 2 between sinuses and most medial point
Posterior - tp of c2 bilateral
Myocardium
Anterior - costochondral joint rib 2 bilateral
Posterior - tp of t3 bilateral
Upper Lung
Anterior - costochondral joint rib 3 bilateral
Posterior - tp of t3 bilateral
Lower Lung
Anterior - costochondral joint rib 4 bilateral
Posterior - tp of t4 bilateral
Neurasthenia
Anterior - triangle with point at ac joint and base at rib 4 bilateral
Posterior - tp of t3? bilateral
Arm Neuritis
Anterior - Sternum between rib 3 and 4 bilateral
Posterior - just lateral to sp of t3 bilateral
Liver
Anterior - anterior rib 5 and rib 6 right
Posterior - R tp of t5 and t6
Gallbladder
Anterior - anterior rib 6
Posterior - R tp of t6
Pancreas
Anterior - costochondral portion right rib 7
Posterior - p tp of t7
Small Intestine
Anterior - costochondral portion ribs 8-10 bilateral
Posterior - left tp of t8-10
Appendix
Anterior - right rib 12 tip
Posterior - r tp of t11
Pyloric Stenosis
Anterior - right side of sternum from top to bottom
Posterior - r tp of t9
Stomach Acidity
Anterior - anterior rib 5 left side
Posterior - l tp of t5
Stomach Peristalsis
Anterior - anterior rib 6 left side
Posterior - l tp of t6
Spleen
Anterior - rib 7 left side costochondral portion
Posterior - l tp of t7
Abdomen
Anterior - lateral pubic symphysis bilateral
Posterior - tp of l3 bilateral
Adrenals
Anterior - inferior l1 body bilateral
Posterior - tp of t11 bilateral
Kidney
Anterior - inferior l2 body bilateral
Posterior - tp of l1 bilateral
Bladder
Anterior - inferior l3 body bilateral
Posterior - tp of l2 bilateral
Ovaries
Anterior - middle pubic symphysis
Posterior - tp of t10 bilateral
Testes
Anterior - middle pubic symphysis
Posterior - tp of t10 bilateral
Urethra
Anterior - middle pubic symphysis
Posterior - tp of l3 bilateral
Prostate
Anterior - ischium bilateral
Posterior - Ischiosacral joint or lateral to l5 body bilateral
Broad Ligament
Anterior - lateral portion of femur bilateral
Posterior - Ischiosacral joint or lateral to l5 body bilateral
Rectum
Anterior - lesser tuberosity of femur bilateral
Posterior - laterl portion of s2 bilateral
Colon
Anterior - anterior portion of femur bilateral
Posterior - tp of l2-4 bilateral and in a triangle
Inguinal Lymph Nodes
Anterior - medial, inferior and superior knee on left side
Posterior - lateral portion of mid sacrum bilateral
Intestinal Peristalsis
Anterior - just lateral to asis bilateral
Arm circulation
Posterior - Medial superior portion of scapula
Uterus
Anterior - ischium bilateral
Posterior - Ischiosacral joint or lateral to l5 body bilateral, and tp of l5 bilateral
Vagina
Posterior - Ischiosacral joint or lateral to l5 body bilateral, and just below ischial tuberosity bilateral, and behind knee medially, and saccrococcygeal joint laterally bilateral
Seminal Vesicles
Posterior Ischiosacral joint or laterl to l5 body bilateral, and where the femur meets the innonimate bilateral
Fallopian Tubes
Posterior - Ischiosacral joint or lateral to l5 body bilateral, and where the femur meets the innonimate bilateral
Clitoris
Posterior - just below ischial tuberosity bilateral, and saccrococcygeal joint laterally bilateral
Hemorrhoids
Posterior - lateral portion of s2 bilateral, and ischial tuberosity
Sciatica
Posterior - laterl head of tibia and fibula, later portion of femur near greater tuberosity, inferior and superior portion of femur and hip joint, inferior and superior portion os is joint