Childhood complaints, chapman points and OMT

Question 1

Common childhood complaints

Answer 1

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

Question 2

Cranial treatments in infants and children

Answer 2

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

Question 3

OMT for musculoskeletal complaints in children

Answer 3

• 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

Question 4

OMT for abdominal complaints in children

Answer 4

• viscerosomatics

- chapman’s points

Question 5

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

Answer 5

vagus (OA, AA)

Question 6

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

Answer 6

-increased tone–>increased peristalsis

Question 7

Upper GI tract sympathetics

Answer 7

T5-10

Question 8

Middle GI tract sympathetics

Answer 8

ligament of treitz to splenic flexure

T10-11

Question 9

Lower GI tract sympathetics

splenic flexure to rectum

Answer 9

• T12-L2

- increased tone–>decreased peristalsis

Question 10

Appendix anterior chapman point

Answer 10

-Tip of 12th rib

Question 11

Appendix posterior chapman point

Answer 11

TP of T11 on R

Question 12

Intestine anterior chapman point

Answer 12

just below ASIS

Question 13

Colon chapman point

Answer 13

along the IT band

Question 14

Rectum chapman point anteriorly

Answer 14

just below the lesser trochanter of the femur

Question 15

OMT for poor suckle/feeding

Answer 15

-cranial-especially condylar decompression

Question 16

OMT for GERD

Answer 16

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

Question 17

OMT for constipation

Answer 17

• 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

Question 18

OMT for respiratory complaints

Answer 18

viscerosomatics

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

Question 19

Anterior nasal sinus chapmans points

Answer 19

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

Question 20

Posterior nasal sinus chapmans points

Answer 20

bottom edge of the C1 pillar

Question 21

Anterior larynx chapmans point

Answer 21

superior second rib, just medial to sinuses CR

Question 22

Posterior larynx chapmans point

Answer 22

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

Question 23

Pharynx anterior chapman point

Answer 23

inferior first rib at sternocostal junction

Question 24

Posterior pharynx chapman point

Answer 24

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

Question 25

Tonsil Anterior chapman point

Answer 25

lateral manubrium

Question 26

Middle ear anterior chapman point

Answer 26

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

Question 27

Middle ear posterior chapman point

Answer 27

base of occiput at OA joint

Question 28

Treatment of rhinosinusitis

Answer 28

sinus milking techniques | cranial lifts

Question 29

Treatment of otitis media

Answer 29

ear pull galbreath muncie technique

Question 30

Asthma OMT

Answer 30

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

Question 31

Pneumonia OMT

Answer 31

similar to asthma treatment

Question 32

Uterus sympathetics

Answer 32

T9-L2

Question 33

Ovaries sympathetics

Answer 33

T10-T11, ipsilateral to affected side

Question 34

Uterine/fallopian tubes sympathetics

Answer 34

T10-L2, ipsilateral to affected side

Question 35

Parasympathetics to gynecologic area

Answer 35

S2-S4 (pelvic splanchnic nerves)

Question 36

Uterus anterior chapman point

Answer 36

superior edge of inferior pubic ramus

Question 37

Uterus posterior chapman point

Answer 37

transverse process of L5/lateral sacral base b/l

Question 38

Ovaries anterior chapman point

Answer 38

superior pubic ramus, 2 cm lateral to pubic symphysis

Question 39

Ovaries posterior chapman point

Answer 39

lateral body of T10

Question 40

Vagina/uterus/broad ligament posterior chapman point

Answer 40

just lateral to the sacral base

Question 41

Vagina/clitoris chapman point posterior

Answer 41

medial thigh just inferior to ischial tuberositis

Question 42

Fallopian tube posterior chapman points

Answer 42

PSIS | posterior femoral head

Question 43

OMT for dysmenorrhea

Answer 43

- 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