Course overview and SOAP note writing Flashcards
know the viscerosomatic levels for the cardiopulmonary system. do it
now
know the anterior and posterior chapman’s reflex points for cardiac and lower respiratory systems
now
what are viscerosomatic reflexes?
Localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures
Tissue texture abnormality and tenderness in the dermatomes and myotomes that share innervation with the etiologic pathology
pupils
facilitation level
T1-4
SINUSES facilitation level
T1-4
carotid body and sinus
T1-4
lacrimal and salivary glands
T1-4
trachea and bronchi
T1-6
Heart***
T1-6
upper extremity
T2-T6
lungs, visceral pleura
T1-6
esophagus
T1-6
Gallbladder
T5R
Stomach
T5-T9 L
Liver
T5 R
Spleen
T7 L
Pancreas
T7 R
Adrenal Glands
T10-11
Small intestine
T10-11
Ascending, transverse colon
T10-11
Urinary bladder
T12-L2
kidneys
T10-11
Ureters- Proximal
T10-11
Testes/Ovaries
T10-11
Uterus
T10-L2
Lower extremity
T10-L3
Appendix
T12
Ureters distal
T12-L1
Descending, Sigmoid colon, rectum
T12-L2
Prostate
T12-L2
what are 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
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
what are the clinical uses chapman’s reflex points
Diagnosis
Influencing the motion of fluids, mostly lymph
Influencing visceral function through the peripheral nervous system
