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OPP Midterm > Facilitation levels and chapmans points > Flashcards

Facilitation levels and chapmans points Flashcards

1
Q

Pupils

A

T1-4

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2
Q

Sinuses

A

T1-4

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3
Q

carotid body and sinus

A

T1-4

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4
Q

lacrimal and salivary glands

A

T1-T4

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5
Q

trachea and bronchi

A

T1-6

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6
Q

heart

A

T1-6

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7
Q

upper extremity

A

T2-6

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8
Q

Lungs, visceral pleura

A

T1-6

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9
Q

esophagus

A

T1-6

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10
Q

gall bladder

A

R T5

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11
Q

spleen

A

L T7

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12
Q

pancreas

A

R T7

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13
Q

adrenal glands

A

T10-11

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14
Q

Small intestine

A

T10-11

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15
Q

ascending, transverse colon

A

T10-11

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16
Q

urinary bladder

A

T12-L2

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17
Q

kidneys

A

T10-11

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18
Q

ureters-proximal

A

T10-11

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19
Q

testes/ovaries

A

T10-11

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20
Q

uterus

A

T10-L2

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21
Q

lower extremity

A

T10-L3

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22
Q

appendix

A

T12

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23
Q

ureters-distal

A

T12-L1

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24
Q

descending, sigmoid colon, rectum

A

T12-L2

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25
Q

prostate

A

T12-L2

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26
Q

What are the PANs dumbbells

A 
diarrhea/defecation
urination
meiosis- pupillary contraction
bradycardia
bronchospasm
emesis
lacrimation
salivation
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27
Q

What levels are the SANs thoracolumbar

A

T1-L2

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28
Q

Which branch of ANS has greater divergence

A

SANs

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29
Q

nociceptive fibers travel with what branch of ANS

A

sympathetics

30
Q

the vagus n is mainly afferent or efferent

A

afferent even though carries all PANs to abdominal and thoracic viscera

31
Q

describe the type of fibers that carry light touch vibration and proprioception

A

large caliber myelinated
A- beta
terminate in pacinian, meissner, merkel discs, ruffini endings

32
Q

describe type of fibers that carry nociception

A

small caliber unmyelinated
C fibers
high energy stimuli with naked nerve endings
sensitization

33
Q

What are some examples of somato-somatic reflexes

A

DTRs, withdrawl reflex, gallbladder referral to right shoulder

34
Q

what are some viscero-visceral reflexes

A 
gut distention- gut contraction
baroreceptro reflex (dec HR and vasodilation)
35
Q

what are some viscero-somatic reflexes

A

cardiac disease has the SD at T1-5 RSL

36
Q

when do we see somatovisceral reflexes

A

with spinal manipulation there are changes in HR BP and sympathetic activity of the kidney and adrenal gland

37
Q

what causes neutral type I SD

A

chronic process, postural compensation

38
Q

what causes non-neutral type II SD

A

acute process, trauma, viscera-somatic reflexes

39
Q

What causes spinal facilitations

A 
increased dynorphin(excitability)
destruction of inhibitory interneurons
activation of glial cells that amplify inflammation
neuropeptide and aa NT
spinal memory
40
Q

what is the definition of a tenderpoint by Jones

A

small hypersensitive point in myofascial tissues of body used as diagnostic cirteria and Tx monitors

41
Q

What causes tenderpoint

A

initial injury causes sudden unanticipated lengthening of the antagonistic muscle to the originally strained and painful agonist m

42
Q

if a locailized small area of pain radiates is it a tender point or trigger point

A

trigger- Travells

43
Q

what is a travell point

A

hyperirritable spot in skel m that is assoc with hypersensitive palpable nodule in a taut band

44
Q

how do we Tx trigger points

A

inhibitory soft tissue, deep massage, injection, isometric MET, vapocoolant spray with myofascial stretch

45
Q

describe a trigger point difference than fibromyalgia

A

fibromyalgia exhibit local twitch

46
Q

Where are tender points usually found

A

tendinous attachments or belly of mm

47
Q

What is a galgliform contraction

A

may block lymph drainage. sympathetic dysfunction

found in areas that overlap visceral sympathetic efferent innervation

48
Q

chapmans points are used for Dx, Tx and evaluation of what reflex type

A

viscero-somatic

49
Q

Anterior chapmands points do or don’t radiate

A

do not

50
Q

What is a chapmans point

A

small smooth firm discrete nodule in fixed anatomical location
deep to skin and subcutaneous
feel like a split pea

51
Q

what is the Tx for a chapmans point

A

firm circular pressure attempting to flatten for 10-30 seconds

52
Q

where roughly are the chapmans points for nose tonsils tongue, pharynx, sinuses

A

left and right of sternum near sternal angle

b/l on sides of spinous processes C2-5

53
Q

where is the chapmand point for middle ear

A

under clavicle parasagittal of sternum

lateral to superior nuchal line

54
Q

where is chapmans point for cerebellum

A

under ac joint

just lateral to inferior nuchal line

55
Q

where is chapmans point for esophagus and thyroid

A

sternal angle and then inferior

lateral spinous process T2

56
Q

where are chapmans points for myocardium, upper lung and lower lung

A

sternocosto joints b/l
myocardium and upper lung T3 spinous process
lower lung is T4

57
Q

where are chapmands points for the liver and stomach

A

liver is R rib 7 and posterior T5-6
stomach is L rib 7-8
posterior (acidity LT5, peristalsis LT6)

58
Q

where are chapmand points for pyloric stenosis

A

directly R of the sternum

posterior T9

59
Q

where are chapmans points for the gallbladder

A

R rib 8

posterior T6 R

60
Q

Where are chapmands points for pancreas, small intestine

A

pancreas R rib 9 posterior RT7

small intestine rib 10 b/l posterior LT8-10

61
Q

Where are chapmans points for spleen

A

L rib 9

posterior LT7

62
Q

where are chapmands points for sppendix

A

R iliac crest

R T11 posterior

63
Q

where are chapmans points for adrenals kidney and bladder

A

adrenals around L3 ant vertebral body posterior T11
kidney L4 posteiror L1
bladder R side of vertebral body L4/5 posterior L2 b/l

64
Q

where are chapmans points for ovaries, testes, urethra

A

inferior to pubic symphysis
ovaries T10
testes T11
urethra L3

65
Q

where are chapmans points for abdomen

A

inferior pubic ramus

posterior L3

66
Q

Where are chapmands points for rectum

A

medial superior R femur

posterior S2 b/l

67
Q

where are chapmans points for colon

A

lateral length of femur

posterior L2-4

68
Q

where are chapmands poins for prostate and broad ligament

A

lateral length femur

SI joint posteriorly

69
Q

where are chapmands points for inguinal lymph

A

L medial condyle of femur and beneath L tibial tuberosity

inferior SI joint posteriorly

70
Q

where are chapmands points for vagina and clitoris

A

sacral coccyx joint
and under ischium
vagina also has medial inferior femur

71
Q

where are chapmans points for sciatic n

A

at superior SI joint, acetabulum joint, lesser tubercle of femur and lateral condyle of femur

OPP Midterm (5 decks)

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