Chapmen (not detailed) and myofascial Flashcards
ganglioform contraction
another name for chapman reflex
represents viscero-somatic reflex
anterior vs posterior feel of chapmans
anterior- smooth firm, discretely palpable 2-3 mm in deep fascia
posterior- between spinous and trasnverse procceses of vertebrae, rubbery
pressure on chapmas
sharp non radiating exquisitely distressing pain
appendix chapmans
anterior tip of 12th rib
posterior at trasnverse process T11
adrenals chapmans
anterior: 2 “ superior and 1 “ lateral to umbilicus
posterior: between spinous and transverse of T11 and T12
kidneys chapmas
anterior: 1” superior and 1” lateral to umbilicus
posterior: between spinous and transverse of T12 and L1
bladder chapmans
periumbilical
colon chapmans
lateral thigh within iliotibial band from greater trochanter to above knee
cecum is L upper tight, - L knee ends proximal transverse colon
R thigh is sigmoid down to knee is distal transverse colon
trigger point
hypersensitive focus in taut band of skel mm or in muscle fascia
painful on compression and can give referred pain, tenderness and autonomic phenomena
type of reflex a trigger point is caused by
viscero somatic, somato visceral or somato somatic
Tx myofascial trigger point
spray and stretch with vapocoolant injection local anesthetic or dry needling Muscle energy myofascial release U/S reciprocal inhibition
tenderpoint
small hypersensitive points in myofascial tissues that are used for diagnostic for counterstrain
Do NOT refer pain like trigger points!!!!!!!
forms of myofascial releease
counterstrain, facilitated positional release, unwinding, BLT, functional indirect release, direct, cranial osteopathy and visceral manipulation
direct myofascial
toward restrction with traction along long axis of muscle
indirect myofascial
away from restrictive barrier and applying compression along long axis muscle