Childhood complaints, chapman points and OMT Flashcards

1
Q

Common childhood complaints

A
  • poor suckling, colic, torticollis, otitis media, sinusitis, other URI, croup, Asthma
  • GERD, constipation, Growing pains, back pain, joint pain, dysmenorrhea
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2
Q

Cranial treatments in infants and children

A
  • highly useful in: poor suckling, infant constipation, birth trauma
  • techniques to use: condylar decompression, balanced membranous tension
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3
Q

OMT for musculoskeletal complaints in children

A
  • evaluate at least the joints above and below the joint in question
  • remember to perform orthopedic exam as well as osteopathic evaluation
  • treat with any appropriate modality
  • don’t forget to send your patients home with exercises!
  • stretches/strength training can make a world of difference
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4
Q

OMT for abdominal complaints in children

A
  • viscerosomatics

- chapman’s points

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5
Q

Parasympathetics to upper GI system, SI, and ascending and transverse colon

A

vagus (OA, AA)

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6
Q
Descending colon, sigmoid, rectum parasympathetics
pelvic splanchnic (S2-4)
A

-increased tone–>increased peristalsis

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7
Q

Upper GI tract sympathetics

A

T5-10

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8
Q

Middle GI tract sympathetics

A

ligament of treitz to splenic flexure

T10-11

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9
Q

Lower GI tract sympathetics

splenic flexure to rectum

A
  • T12-L2

- increased tone–>decreased peristalsis

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10
Q

Appendix anterior chapman point

A

-Tip of 12th rib

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11
Q

Appendix posterior chapman point

A

TP of T11 on R

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12
Q

Intestine anterior chapman point

A

just below ASIS

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13
Q

Colon chapman point

A

along the IT band

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14
Q

Rectum chapman point anteriorly

A

just below the lesser trochanter of the femur

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15
Q

OMT for poor suckle/feeding

A

-cranial-especially condylar decompression

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16
Q

OMT for GERD

A
  • cranial may also be useful, particularly in infants with GERD
  • viscerosomatics-OA, AA, T5-T9
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17
Q

OMT for constipation

A
  • treat dysfunction at viscerosomatic levels (upper and lower GI; sympathetic and parasympathetics) with any appropriate modalities
  • also treat any pelvic (innominate/sacral) dysfunction
  • mesenteric release
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18
Q

OMT for respiratory complaints

A

viscerosomatics

sympathetics: head and neck-T1-4
- parasympathetics: nose: facial nerve (CN7); OA and AA-vagus nerve
- chapman’s points
- lymphatics

19
Q

Anterior nasal sinus chapmans points

A

-inferomedial clavicle, lateral to SC junction (nasal sinuses), superior second rib at midclavicular line (all sinuses)

20
Q

Posterior nasal sinus chapmans points

A

bottom edge of the C1 pillar

21
Q

Anterior larynx chapmans point

A

superior second rib, just medial to sinuses CR

22
Q

Posterior larynx chapmans point

A

just lateral to spinous process of C2 (larynx, pharynx, tongue, all sinuses)

23
Q

Pharynx anterior chapman point

A

inferior first rib at sternocostal junction

24
Q

Posterior pharynx chapman point

A

just lateral to spinal process of C2 (larynx, pharynx, tongue, all sinuses)

25
Q

Tonsil Anterior chapman point

A

lateral manubrium

26
Q

Middle ear anterior chapman point

A

-superior clavicle, about 2-3 cm lateral to SC junction

27
Q

Middle ear posterior chapman point

A

base of occiput at OA joint

28
Q

Treatment of rhinosinusitis

A

sinus milking techniques

cranial lifts

29
Q

Treatment of otitis media

A

ear pull
galbreath
muncie technique

30
Q

Asthma OMT

A

rib raising
myofascial
assess for and treat any inhalation or exhalation dysfunctions

31
Q

Pneumonia OMT

A

similar to asthma treatment

32
Q

Uterus sympathetics

A

T9-L2

33
Q

Ovaries sympathetics

A

T10-T11, ipsilateral to affected side

34
Q

Uterine/fallopian tubes sympathetics

A

T10-L2, ipsilateral to affected side

35
Q

Parasympathetics to gynecologic area

A

S2-S4 (pelvic splanchnic nerves)

36
Q

Uterus anterior chapman point

A

superior edge of inferior pubic ramus

37
Q

Uterus posterior chapman point

A

transverse process of L5/lateral sacral base b/l

38
Q

Ovaries anterior chapman point

A

superior pubic ramus, 2 cm lateral to pubic symphysis

39
Q

Ovaries posterior chapman point

A

lateral body of T10

40
Q

Vagina/uterus/broad ligament posterior chapman point

A

just lateral to the sacral base

41
Q

Vagina/clitoris chapman point posterior

A

medial thigh just inferior to ischial tuberositis

42
Q

Fallopian tube posterior chapman points

A

PSIS

posterior femoral head

43
Q

OMT for dysmenorrhea

A
  • treat thoracic, lumbar, and pelvic dysfunctions (with particular attention to viscerosomatic levels)
  • treat OA/AA for associated catamenial HA
  • myofascial (direct or indirect) to the abdominal wall and uterus