CPA 3 - Irritable Bowel Disease

Question 1

What are 3 components of the Biomechanical model for Irritable Bowel Disease?

Answer 1

MFR to thoracic/lumbar SD - decrease tension on paraspinal ms.
Kirksville crunch - normalize thoracic neuron firing/SNS tone
Ob Roll - normalize lumbar neuron firing/SNS tone

Question 2

What are 3 components of the Respiratory/Circulatory model for Irritable Bowel Disease?

Answer 2

Doming diaphragm - increase pressure gradient and lymph flow
Mesenteric release - increase lymph/venous drainage from SI and colon
Rib raising = increase lymph drainage

Question 3

What are 2 components of the Neurologic model for Irritable Bowel Disease?

Answer 3

Paraspinal inhibition (T10-L2) - normalize SNS tone
Ganglion inhibition - normalize SNS tone

Question 4

What are 2 components of the Metabolic/Energy model for Irritable Bowel Disease?

Answer 4

Stool softeners - soften bowel movement

alpha-4 integrin inhibitors - decrease inflammatory response

Question 5

What are 2 components of the Behavioral model for Irritable Bowel Disease?

Answer 5

Food diary

Drink Metamucil

Question 6

What is the first area to assess and what are the TART findings?

Answer 6

Abdomen
Tissue texture change
Bloating, distension, erythema
Tenderness

Question 7

What is the second area to assess and what are the TART findings?

Answer 7

Innominate
Tenderness
Asymmetry
Erythema, swelling, ecchymosis

Question 8

What is the third area to assess and what are the TART findings?

Answer 8

Sacrum
Tenderness
Asymmetries
Sacral ROM (F/E)

Question 9

How would you diagnose an SD in the abdominal spinal levels for a pt with IBD?

Answer 9

Evaluate T10-L2 in seated position

Question 10

How would you diagnose an SD in the innominate for a pt with IBD?

Answer 10

Standing flexion test (SD side will move first)
Reset hips
ASIS height
ASIS to midline
Medial malleoli heights
Pubic tubercles
PSIS heights

Question 11

What Tx would you use to Tx an SD in T10-L2 and is it an indirect or direct Tx?

Answer 11

MFR for T10-L2

Indirect

Question 12

What Tx would you use to Tx an posterior innominate rotation SD and is it an indirect or direct Tx?

Answer 12

ME for posterior innominate

Direct

Question 13

What is an OMM ANS Tx for IBD?

Answer 13

Sacral inhibition - normalize PNS tone

Question 14

What is an OMM lymphatic Tx for IBD?

Answer 14

Mesenteric release

*Open thoracic inlet first