Exam #2 Flashcards
Anterior Cervical 1
- location
- position
Location: Lateral aspect of the transverse process of C1
Position: RA
Ant Cervical 2-6
- location
- position
Location: anterolateral aspect of the corresponding anterior tubercle of the transverse process
Postion: F SARA
Ant Cervical 7
- location
- position
Location: clavicular attachment of the SCM
Postion: F STRA
Ant Cervical 8
- location
- position
Location: sternal attachment of the SCM on the medial end of the clavicle
Postion: F SARA
Cardiac Sympathetics
T1-6 with synapses in upper thoracic and cervical chain
Sympathetic Supply to Upper Extremity Vasculature
T2 to T8 levels
Sympathetic Supply to Lower Extremity Vasculature
T11 to L2 levels
Myocardium, Thyroid, Esophagus, Bronchus chapman point
- Ant
- Post
Anterior: 2nd intercostal space near sternum
Posterior: Midway between the spinous process and tips of the transverse process at T2
Upper Lung
chapman point
-Ant
-Post
Anterior: 3rd intercostal space near sternum
Posterior: Midway between the spinous processes and tips of the transverse processes of T3 and T4
Lower lung
chapman point
-Ant
-Post
Anterior: 4th intercostal space near sternum
Posterior: Midway between the spinous processes and tips of the transverse processes of T4 and T5
Adrenal gland
chapman point
-Ant
-Post
Anterior: 1” Lateral and 2” Superior to Umbilicus Ipsilaterally
Posterior: Intertransverse Spaces of T11 and T12 Ipsilaterally Midway Between Spinous and Transverse Processes
kidney
chapman point
-Ant
-Post
Anterior: 1” Lateral and 1” Superior to Umbilicus Ipsilaterally
Posterior: Intertransverse Spaces Midway Between Spines and Transverse Tips of T12-L1
Cardiac parasympathetics
CN X (Vagus nerve): OA, C1, C2 somatic dysfunction can affect CN X
Do not use cardiac lymphatic pump techniques on patients
Congestive Heart Failure (decompensated),
Acute Myocardial Infarction
Do not treat cardiac in supine position
Congestive Heart Failure
COPD
Chapman reflex Myocardium (MI)
- ant
- post
anteriorly: 2nd intercostal space near sternum
posteriorly: between T2 and T3
Anterior infarct- somatic diagnosis
T2-T3
Inferior wall somatic diagnosis
T3-T5, C2
…. associated with supraventricular tachyarrhythmia due to sympathetic nervous system
Right pectoralis major trigger point 5th intercostal space (ICS)
somatic dysfunction pattern for hypertension
C6
T2
T6
THIS IS WHERE ACE INHIBITORS WOULD WORK
(T10-T11)
Rib raising done for a short period of time (less than 2 minutes)
will usually stimulate the sympathetic effects. For example, bronchodilation
Rib raising done for a longer period of time (greater than 2 minutes)
will usually lessen the sympathetic effects
Diaphragm Biomechanically
Where the thoracoabdominal diaphragm attaches: lower ribs, thoraco-lumbar junction, T10-L3 are examples
pump-handle ribs
Ribs 1-5
bucket-handle motion ribs
Ribs 6-12
Acute asthmatic attack must address
- Oxygen
- Medications (β2 agonists, Anticholinergic, Steroids)
- Nebulizers
steroids for extended periods of can lead to
osteoporosis
diabetes mellitus
adrenal insufficiency
Bucket handle best palpated
mid-axillary
B.I.T.E
Bottom Rib is key rib in Inhalation dysfunction
Top Rib is key rib in Exhalation dysfunction
Exhaled ribs are prominent
posteriorly
Inhaled ribs are prominent
anteriorly
Anterior Rib Counterstrain Points are associated with (rib)
Exhalation Rib Somatic Dysfunction
Posterior Rib Counterstrain Points are associated with (rib)
Inhalation Rib Somatic Dysfunction
AR1-2 Counterstrain
Laying down STRT
AR3-10 Counterstrain
Sitting up STRT
-doc leg on opposite side of dysfunction
PR1 counterstrain
sitting up STRT
-doc leg on same side of dysfunction