Homeostasis And 5 Models Flashcards
Bronchitis
Cough and SOB, rib stiffness
Treatment for sympathetic innervation bronchitis t1-6
Paraspinal muscle inhibition
Rib raising
OMT to appropriate region
Acute bronchitis parasympathetic innervation OA AA treatment
Suboccipital inhibition
Acute bronchitis lymphatic and vascular drainage treatment
Thoracic inlet and abdominal diaphragm (must diagnose both)
Thoracic inlet release
Abdominal diaphragm release
Rib raising
Why do paraspinal inhibition
Paraspinal (iliocostalis, longissimus and spinalis) interact with paravertebral sympathetic ganglia along the spinal column
Sympathetic tone can be decreased by inhibiting the paraspinal muscles
Useful in hospitalized patients -gentle technique for patients who cant tolerate a lot of treatment, can be done in any position
How do paraspinal inhibition set up
Supine patient physician on side
Hand under thoracolumbar spine with the fingertips over the opposite paraspinal tissues and the the lateral and hype the arch eminences over the ipsilateral paraspinal tissues
Focus on areas of maxilla tissue texture abnormality
Activating force paraspinal inhibiton
Gently squeeze your fingers and palms together causing the paraspinal muscles to approximate and induce thoracolumbar spine extension
Maintain pressure until muscles relax 6090 s
Repeat until tissue tension is greatly reduces or eliminated
Rib racing set up
Patient seated cross arms pt lean on doc and doc grasp bilateral posterior/inferior rib angles (lateral to TP_
Or supine doc contacts rib angles by flexing fingers
Rib raising force
Starting with t12 apply anterolateral traction while pulling cephalad toward you continue up ribs
(May use respiration to assis)
Or
Starting t12 apply anterolateral traction by rocking backward continue up ribs
May use respiration
OA parasympathetic
Free parasympathetic response to structures innervated by cranial nerves IX and X by freeing passage through jugular foramen -balance parasympathetic influence to the viscera
OA treatment newborns
Condylar compression to fix sucking difficulting
Manipulation of OA AA or C2 joints will influence parasympathetic tone via ___
CNX
Suboccipital release
Finger pads on suboccipital region
Kneading 2 min
Or
Inhibition apply sontant inhibitory pressure 30 seconds to a minute
What are Chapman reflexes
Viscerosomatic reflex for diagnostic and treatment value
Gangliform contraction
Blocks lymphatic drainage and causes SNS dysfunction (neurolymphthi)
Palpatory features of Chapman’s points
Deep to the skin int he subcutaneous areolar tissue on deep fascia or periosteum
Paired anterior and posterior points in most cases
Small, smooth and firm nodules
Approximately 2-4 mm in diameter
May be confluent
Dense but not hard
How test Chapman point
Apply gentle but firm pressure which will usually cause a deep, disagreeable pain response in the pt
Tissue near will be mild
Pain of Chapman
Pinpoint, sharp, non radiating
Located under the physicians finger tip
Pain is greater than is expected
Pt usually previously unaware of the sore spot
Treat Chapman
Firm pressure with the finger pad of one finger
Apply somewhat heavy and even uncomfortable pressure to the gangliform mass
Slowly move the tip of the finger in a circular fashion
Continue the moving pressure 10-30 seconds
Can alternate clockwise/counter clockwise
Cease/stop treatment -the mass disappears of cant tolerate anymore
Bronchus
2nd ICS right
Bl TP2
Upper lung
3rd ICS right
Bl between tp3 and tp4
Lower lung
4th ICS
Bl between tp4 and tp5
Where do we feel for palpating lymphatic congestion
The regional collection sites where lymph collects prior to drainage into the thoracic duct
What do we feel when palpating lymphatic congestion
Normal or boggy, when severe may feel enlarged lymph nodes
Lymphatic assessment
Cranio cervical
Cervico thoracic
Thoraco lumbar
Lumbo pelvic
Cranial cervical junction
Compare rotation
Cervical thoracic jucntion
Rotation
Thoracolumbar junction
Rotation
Lumbopelvic jucntion
Rotation
Cervicothoracic (necklace) technique
Physician thumbs rest posteriorly to superior trapezium bl, finger pads are anterior and nefarious to the clavicles Engage barrier in 3 planes Rotation (right left translation) Sidebending(clockwise/cc) Flexion/extension (anterior/posterior)
Force applied gentle
Hold 20-60 seconds
Reasssesse tart
Add hula
Dome diaphragm
Thumbs inferior to xiphoid process with thumbs pointing cephalad
Take deep breath and exhale on exhalation press thumbs posteriorly and superiorly
3-5 times