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Homeostasis And 5 Models Flashcards

1
Q

Bronchitis

A

Cough and SOB, rib stiffness

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2
Q

Treatment for sympathetic innervation bronchitis t1-6

A

Paraspinal muscle inhibition

Rib raising

OMT to appropriate region

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3
Q

Acute bronchitis parasympathetic innervation OA AA treatment

A

Suboccipital inhibition

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4
Q

Acute bronchitis lymphatic and vascular drainage treatment

A

Thoracic inlet and abdominal diaphragm (must diagnose both)

Thoracic inlet release

Abdominal diaphragm release

Rib raising

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5
Q

Why do paraspinal inhibition

A

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

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6
Q

How do paraspinal inhibition set up

A

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

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7
Q

Activating force paraspinal inhibiton

A

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

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8
Q

Rib racing set up

A

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

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9
Q

Rib raising force

A

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

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10
Q

OA parasympathetic

A

Free parasympathetic response to structures innervated by cranial nerves IX and X by freeing passage through jugular foramen -balance parasympathetic influence to the viscera

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11
Q

OA treatment newborns

A

Condylar compression to fix sucking difficulting

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12
Q

Manipulation of OA AA or C2 joints will influence parasympathetic tone via ___

A

CNX

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13
Q

Suboccipital release

A

Finger pads on suboccipital region

Kneading 2 min

Or

Inhibition apply sontant inhibitory pressure 30 seconds to a minute

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14
Q

What are Chapman reflexes

A

Viscerosomatic reflex for diagnostic and treatment value

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15
Q

Gangliform contraction

A

Blocks lymphatic drainage and causes SNS dysfunction (neurolymphthi)

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16
Q

Palpatory features of Chapman’s points

A

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

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17
Q

How test Chapman point

A

Apply gentle but firm pressure which will usually cause a deep, disagreeable pain response in the pt

Tissue near will be mild

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18
Q

Pain of Chapman

A

Pinpoint, sharp, non radiating

Located under the physicians finger tip

Pain is greater than is expected

Pt usually previously unaware of the sore spot

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19
Q

Treat Chapman

A

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

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20
Q

Bronchus

A

2nd ICS right

Bl TP2

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21
Q

Upper lung

A

3rd ICS right

Bl between tp3 and tp4

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22
Q

Lower lung

A

4th ICS

Bl between tp4 and tp5

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23
Q

Where do we feel for palpating lymphatic congestion

A

The regional collection sites where lymph collects prior to drainage into the thoracic duct

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24
Q

What do we feel when palpating lymphatic congestion

A

Normal or boggy, when severe may feel enlarged lymph nodes

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25
Q

Lymphatic assessment

A

Cranio cervical

Cervico thoracic

Thoraco lumbar

Lumbo pelvic

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26
Q

Cranial cervical junction

A

Compare rotation

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27
Q

Cervical thoracic jucntion

A

Rotation

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28
Q

Thoracolumbar junction

A

Rotation

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29
Q

Lumbopelvic jucntion

A

Rotation

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30
Q

Cervicothoracic (necklace) technique

A 
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

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31
Q

Dome diaphragm

A

Thumbs inferior to xiphoid process with thumbs pointing cephalad

Take deep breath and exhale on exhalation press thumbs posteriorly and superiorly
3-5 times

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32
Q

Thoracic pump

A

Thenar eminence over pectoral muscles

As breathe apply a rhythmic compressive force over the rib cage at the rate of 2 sec for 1-2 minutes

33
Q

Constipation sympathetic innervation

A

T10-l2

Paraspinal msucle inhibiton

Collateral ganglia inhibiton (avoid incision area)

34
Q

Chronic constipation parasympathetic innervation

A

Sacrum OA, AA

Suboccipital inhibition

Sacral inhibiton and/or rocking

35
Q

Chronic constipation lymphatic and vascular drainage

A

Thoracic inlet and abdominal diaphragm, pelvic diaphragm, mesenteric

Thoracic inlet release

Abdominal diaphragm release

Mesenteric lifts

Pelvic diaphragm release

36
Q

Paraspinal inhibiton t10-l2 set up

A

Supine patient
Place hands under thoracolumnar spine with fingertips over opposite paraspinal tissues and thenar and hypothenar eminences over ipsilateral paraspinal tissue
Focus on area of maximal tissue texture abnormality

37
Q

Paraspinal inhibitoin t10-l2 activating force

A

Gently squeeze your fingers and palms together causing the paraspinal msucles to approximate and induce thoracolumnar spine extension

Maintain pressure until the muscles relax (usually 60-90 seconds)
Repeat until better

38
Q

Collateral ganglia

A

Celiac

Superior mesenteric

Inferior mesenteric

39
Q

Celiac

A

Distal esophagus, stomach, proximal duodenum, liver, gallbladder, spleen, portions of the pancreas

40
Q

Superior mesenteric

A

Distal duodenum, portions of the pancreas, jejeunum, ileum, ascending colon, proximal 2/3 of transverse colon

41
Q

Inferior mesenteric

A

Distal 1/3 of transverse colon
Descending colon
Sigmoid colon
Rectum

42
Q

Palpate collateral ganglia

A

Fullness, bogginess, or increased tissue texture abnormalities at any of the 3 ganglia locations needs to be clinically correlated with

43
Q

Upper GI origin of parasympathetic

44
Q

Upper GI organs

A

Esophagus, stomach, proximal duodenum, liver, gallbladder, spleen, portions of pancreas

45
Q

Upper GI impingement sites

A

Occipitomastoid suture

OA/AA, C2

46
Q

Origin of parasympathetic middle GI

47
Q

Organs of middle GI

A

Distal duodenum, portions of pancreas, jejunum, ileum, ascending colon, proximal 2.4 transverse colon

48
Q

Impingement sites of middle GI

A

Occipitomastoid suture

OA/AA, C2

49
Q

Lower GI origin of parasympathetic

A

Vagus, s2-s4

50
Q

Organs of lower GI

A

Distal 1/3 of colon, rectum

51
Q

Lower GI impingement sites

A

Occipitomastoid suture, OA/AA, C2

Sacrum

52
Q

OA muscle energy

A

Support posterior arch and lateral masses with v hold

Into restrictive Barrie’s

Return to Norma 3-5

Reassess

53
Q

AA muscle energy direct

A

Place pals on sides of pt head, contact both lateral masses of atlas w lateral margin of index or middle fingers

Extend head over fingers and rotate AA joint to restrictive barrier

Return to normal force

54
Q

SI gapping

A

More flexion addresses lower SI

Less hip flexion for superior SI joint

55
Q

Sacral rocking SI gapping

A

Increases parasympathetic tone

56
Q

sacral inhibition SI gapping

A

Decreases parasympathetic tone

57
Q

Pyloric Chapman

A

Stern also

58
Q

Stomach chapmen

A

Left 5th ICS

59
Q

Liver

60
Q

Esophagus

A

Bl 2nd ICS

61
Q

Spleen

62
Q

Pancreas

63
Q

Small intestine

A

8-10 ICS R?

64
Q

Appendix

A

Tip of 12th rib

65
Q

Prostate

A

Broad ligament postior

Ileocecal valve top/sigmoid colon

Ascending colon middle/descending colon

Right transverse colon /left 3/5 of transverse colon

66
Q

Esophagus back

67
Q

Stomach back

A

L bw T5 and T6

68
Q

Liver back

A

R bw T5 and T6

69
Q

Gallbladder back

A

Bl bw T5 and T6

70
Q

Pancreas back

A

R bw T7 and T8

71
Q

Spleen back

A

L bw T7 and T8

72
Q

Pylorus back

A

R T10 at costotransverse joint

73
Q

SI

A

Upper bt t8 and t9 bl

Middle bw t9 and t10 bl

Lower bw t11 and t12 bl

74
Q

Ischiorectal fossa release

A

Cephalad and lateral force over ischial tuberosity

Increase force during exhalation maintain on inhalation

75
Q

Innominate MFR

A

Physician contact ASIS with palms on iliac crest with fingers

Position innominate through the fascia in an indirect or direct manner for
A/P innominate rotation
S/I innominate shear
Inflare/outflare

Hold force for 20 seconds or until rlerease palpated can use deep inhalation

Reassess tart

76
Q

Lumbar pelvic INR, standing

A

Stand contact psi’s with thenar eminence and iliac crest with fingers

Engage fascia
A/P innominate rotation
R/L translation
Inflare/outflare

REMS overhear with/without sidebending
Can also rotate arms right/left

Preform until no further release

77
Q

Pubic MFR

A

Thenar eminence on symphysis pubic , thumbs pointed superiorly and anteriorly

Indirect or indirect

Pubic compression/separation

Superior inferior pubic shear
Pelvic shift right left translation

Hold for 20-60 seconds or until a release is palpated
Deep inhalation can be used

Reassess

78
Q

Pedal pump

A

Contact plantar portion of feet, dorsiflex the feet

Apply an on and off rhythmic cephalad force to hyperdorsiflex the feet watching nose for movement and feeling rebound wave at feet

Other (17 decks)

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