Forgot Flashcards
HF pts biomechnical
treat cerv/tho/ribs
HF pts neuro
parapsin rel
sub occ
chap
HF resp/circ
rib raise lymp
lymphatic tx for HF
- sub occ release
- thoracic inlet MFR
- dome diaphragm
- pedal pump
- seated rib raising
- Eff/petr
- quad/lumb TOs
GI OMT is directed toward
improving blood/lymohatic flow and balancing autonomics
DEFINITION : VISCERAL MANIPULATION
Dx and tx viscera to improve physiologic function.
move viscera to where they attach to gascia to get fascial balance
what is important to figure out in biomechanical model
is SD primarily MSK or due to viscerosomatic relfex
if SD persists after OMT =>
secondary to viscerosomatic
severity of palpated tissue tecture abnormality=> severity of _______ problem
visceral
Abdominal cavity spans from diaphragm
(excluding esophagus) to_____
pelvic diaphragm
what kind of pain is this
(irritation, stretch, spasm) of GI nerves causes poorly localized (irritation, stretch, spasm) like cramping and burning
true visceral pain
what kind of pain is this
well localized pain that is asymmetric, sharp worse with specifc motions
somatic pain
what is phrenic pain
pain due to hemidiaphragm or liver capsule => goes to ipsilateral shoulder
viscerosomatic pain:
visceral disturbances can cause activation of
somatic muscle activity => somatic changes paraspinally
viscerosomatic pain causes changes in parvertebral tissue and increased tenderness due to
increase sensitivity of segment d.t spinal faciliation
pain is usually located directly over the inflamed organ and is
produced by DIRECT irritation of the parietal peritoneum and the
abdominal wall
somatic pain
which type of pain shows rebound tenderness and abdominal guarding
somatic pain
GI
symphathetic
Thoracic splaninic N =>
Lumbar splanchnic n. =>
Thoracic splanchnic n. => Celiac and Superior Mesenteric Ganglion
Lumbar splanchnic n. => Inferior Mesenteric Ganglion
GI Parasympathetic component
Vagus n. (CN X)
Pelvic Splanchnic n. (S2 S4)
Celiac ganglion (___):
T5-9 distal eso stomach proximal duodenm liver GP spleen pancrease
Sup. Mesenteric Ganglion (____)
T10-11
Distal duodenum,
portions of the pancreas,
jejunum,
ascending colon,
Inf. Mesenteric Ganglion (____)
T12-L2
distal 1/3 of transverse colon
descending colon
sigmoid colon
rectum
Upper GI + Lower GI (1/2) tract supplied by _______
VAGUS N. (CN X)
R Vagus nerve supplies
lesser curv of stomach
liver GB
SB
R colon -mid-transverse colon
L vagus n supplies
greater curvature of stomach
ends at duodenum
pelvic splanchnic supplies
lower gi 1/2
decending colon
sigmoid
rectume
+ sympathetic tone of GI tract causes
- ileus
- constip/flatualance
- abdominal distanceion
+ parasympathetic tone of GI tract causes
- inc secretion rate of GI glands
- diarrhea and decal incontin bc dec h20 absoprtion
Any form of SD to the pelvic diaphragm can lead to_____________
This then causes what?
fluid stasis within the pelvis
- pelvic congestion
- viscerosomatic pain ,
- inability to
clear infections efficiently
the GI tract is holistically linked through the ______ system
vascular
lymphatics in GI drain into
cisterna chyli (L1-L2) => thoracic duct => L subclavian vein
Celiac LN gets lymph from
stom
duoden
spleen
liver
Superior mesenteric LN gets lymph from
Jejunum,
ileum,
ascending/transverse colon
Inferior mesenteric LN gets lymph from
descending/sigmoid colon
rectum
A patient presents to your clinic with abdominal pain. As part of your
treatment plan, you decide to use the Respiratory/Circulatory
model. Which lymphatic treatment is most appropriate for this patient,
assuming you have opened the thoracic inlet first?
a) Release diaphragmatic restrictions
metabolic energieticf for GI
hyperthyroidism =>
Hypothyroidism =>
Hyperthyroidism => diarrhea
Hypothyroidism => constipation
metabolic energieticf for GI
=> constipation
=> diarrhea
Hypercalcemia & hypokalemia => constipation
Hyperkalemia => diarrhea
Anterior and posterior points occur for the same organ • Anterior points are primarily \_\_\_\_\_ • Posterior point usage focused on \_\_\_\_\_\_
diagnostic
tx
CI for lymphaticsi n GI pt
cancer
CI for sacral tx
local infecition
incision in area
debutis ulcer
CI for mesenteric release
aortic aneurysm
open surgical wound
CI for ME
Fracture, avulsion or dislocation of involved joint
Infection, hematoma, or tear of involved muscle
Severe osteoporosis
Metastatic disease of bone or muscle
Cervical spine instability (rheumatologic conditions)
