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Board Review -D- OPP! > Facilitation > Flashcards

Facilitation Flashcards

1
Q

3 parts spinal reflex

A

afferent limb- sensory
central limb- spinal
efferent limb- motor

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2
Q

areas that spinal cord segment can recieve input

A

brain
viscera via sympathetic or parasympathetic visceral afferents
somatic afferents (muscle spindles, golgi tendons etc)

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3
Q

what do facilitated segments lead to

A

TART changes

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4
Q

viscero somatic

A

visceral stimuli produce patterns seen in segmentally related somatic structures

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5
Q

somato-visceral

A

somatic cause visceral reflex

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6
Q

how do visceral dysfuntions transmit information

A

autonomic afferents

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7
Q

sympathetic control of bladder

A 
relax destrusor
contracts sphincter (trigone)
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8
Q

CN with PAN

A

III ciliary ganglion for pupils
VII sphenopalantine ganglion for lacrimal and nasal glands
submandibular ganglion for submandibular and sublingual glands
IX otic ganglion for parotid gland
X heart, bronchial tree, esophagus, stomach, SI, liver, gallbladder, pancreas, ascending colon and transverse, ovaries and testes, kidney and upper ureter

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9
Q

Pelvic Splanchnics

A

S2-4
lower ureter and bladder
uterus prostate and genitalia
descending colon and sigmoid

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10
Q

head and neck sympathetic levels

A

T1-4

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11
Q

heart sympathetic levels

A

T1-5

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12
Q

respiratory system sympathetic levels

A

T2-7

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13
Q

esophagus sympathetic levels

A

T2-8

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14
Q

upper GI sympathetics

A

T5-9

greater splanchnic and celiac ganglia

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15
Q

middle GI tract extends where and what sympathetics

A

portions pancreas duodenum- 2/3 transverse colon
T10-11
lesser splanchnic and superior mesenteric ganglia

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16
Q

lower GI tract sympathetics

A

T12-L2

least splanchnic and inferior mesenteric ganglia

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17
Q

appendix sympathetic

A

T12

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18
Q

kidneys sympathetic

A

T10-11 superior mesenteric

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19
Q

adrenal medulla sympathetic

A

T10

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20
Q

upper ureters sympathetic

A

T10-11 sup mesenteric

21
Q

lower ureters sympathetic

A

T12-L1 inferior mesenteric

22
Q

bladder sympathetic

A

T11-L2

23
Q

gonads sympathetic

A

T10-11

24
Q

uterus and cervix sympathetic

A

T10-L2

25
Q

penis and clitoris sympathetic

A

T11-L2

26
Q

prostate sympathetic

A

T12-2

27
Q

extremities sympathetics

A

arms T2-8

legs T11-L2

28
Q

vagus GI

A

all above diaphragm
all small intestine
ascending and transverse colon

29
Q

what supplies parasympathetic to descending colon and rest

A

pelvic splanchnic

30
Q

GU system Parasympathetics

A

vagus- kidneys and upper ureter

pelvic splanchnic- lower ureter and bladder

31
Q

why are ovaries and testes vagus

A

because embryologically start higher up in abdomen so therefore they are vagus

32
Q

ligament of treitz

A

divides duodenum and jejunum

33
Q

splenic flexure

A

divides transverse and descending colon

34
Q

anything above lig treitz

A

T5-9

35
Q

anything after splenic flexure

A

T12-L2

36
Q

between lig treitz and splenic flexure

A

T10-11

37
Q

purpose of rib raising

A

decrease sympathetic activity
increase lymph flow
encourage maximum inhalation

38
Q

patient has post-op ileus

OMT Tx?

A

rib raising and paraspinal inhibition

39
Q

purpose soft tissue paraspinal inhibition

A

decrease sympathetic (ileus prevention)

40
Q

soft tissue paraspainal inhibition location

A

L1 L2, because no ribs, direct pressure on erector spinae have same effect

41
Q

how to decrease sympathetic over celiac, sup and inf mesenteric ganglia

A

midline abdominal P over these ganglia until fascial release is palpable

42
Q

contraindications to working on the celiac, sup or inf mesenteric ganglia

A

aortic aneurysm, open surgical wound

43
Q

to influence sympathetics to head and neck where is OMT directed

A

superior C1-3 middle C6-7 and inferior C7-T1

44
Q

techniques to influence parasympathetics

A

cranial manipulation, sphenopalantine ganglion, condylar decompression, treatment vagus nerve influnce, sacral inhibition

45
Q

where do we manipulate vagus

A

OA AA or C2

46
Q

what suture do we manipulate for jugular foramen (condylar compression for suckling reflex)

A

occipito-mastoid

47
Q

affect on labor from sacral inhibition

A

reduce labor pain caused by cervical dilation

48
Q

indications for sacral inhibition

A

dysmenorrhea, labor pain, constipation

49
Q

CI sacral inhibition

A

local infections or incisions

Board Review -D- OPP! (15 decks)

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