Lab 7: Visceral OMT

Question 1

Palpation postioning and force direction for Sigmoid colon release?

Answer 1

Anteromedial of the left pelvic brim w/ force directed toward RUQ

Question 2

Palpation postioning and force direction for Descending colon release?

Answer 2

Left posterolateral flank w/ medially directed force

Question 3

Palpation postioning and force direction for Transverse ​colon release?

Answer 3

INFERIOR to costal margin w/ an INFERIOR force

Question 4

Palpation postioning and force direction for Ascending ​colon release?

Answer 4

Right posterolateral flank w/ a medially directed force

Question 5

3 relative contraindications for Large Intestinal Visceral OMT?

Answer 5

1. Peritonitis
2. Colon obstruction
3. Recent abdominal surgery

Question 6

Which areas do we do a TART screen for the PNS related to visceral dysfs.?

Answer 6

• Suboccipital region = Vagus N. (prox. 2/3 of colon)
• Sacral region = Pelvic splanchnics (S2-S4) –> (distal 1/3 colon)

Question 7

3 relative contraindications for small intestine visceral OMT?

Answer 7

• Peritonitis
• Splenomegaly
• Recent abdominal surgery

Question 8

For mesenteric/colonic release where is the palpation point for the SI Mesenteric Root?

Answer 8

1 inch INFERIOR and 1 inch LATERAL to the umbilicus

Question 9

How would you treat T6 E RL SL with Still’s Technique?

Answer 9

• Extend to localize to T6, then add rotation L and SB L
• Add compression thru shoulders to the segment
• Move T6 thru RB via shoulder contact (F Rr Sr) while maintaining compression

Question 10

What are some indications for Liveral Viscral OMT?

Answer 10

• Passive congestion of liver and spleen
• CHF (especially right-sided HF)
• Liver visceral dysfunction

Question 11

Contraindications for Liver Visceral OMT?

Answer 11

• Fractures, dislocations thorax
• Lymph system malignancy
• Traumatic disruption of liver, spleen, or adjacent organs
• Acute hepatitis
• Friable hepatomeglay or splenomegaly as in mononucleosis or sickle cell anemia

Question 12

Palpation position for Liver pump treatment?

Activating force and direction?

Answer 12

• Caudad hand is placed on anteroinferior, right inferior ribs and costal margin
• Cephalad hand placed on posteroinferior, right inferior ribs and costal margin
• Use gentle alternating compressive, pumping force thru the rib cage to pump liver tissues for 30- 60 secs.

Question 13

In the Liver Pump w/ Recoil Activation what is the force/direction and how are barriers stacked?

What is the activating force with this method?

Answer 13

• Compressive force, evaluate F/E, SB/R –> STACK in INDIRECT manner
• Have pt take few deep breaths and follow tissue release, then during early inhalation RELEASE compression and other forces

Question 14

How is FPR performed for a Dx of T7 E Rr Sr?

Answer 14

• Neutralize sagittal curve, while monitoring segment, have pt extend spine to straighten kyphotic curve
• Add compression ≤1 lb localized to segment
• Indirect positioning: triplanar indirect positioning (T7 E Rr Sr) and hold 3-5 seconds

*FPR is essentially BLT w/ some compression!