Lymphatics Lab Flashcards
What are some indications for Lymphatic OMT
SD Sprain/strain Edema/tissue congestion Lymphatic stasis Pregnancy Infection Inflammation
What are the absolute contraindications for lymphatic OMT
Anuria
Necrotizing fasciitis
What are the relative contraindications for Lymphatic OMT
Malignancy
Fx
Certain infections
Some circulatory disorders
How and where to evaluate for cranial-cervical junction tenderness
Place fingerpads suboccipitally on the supine patient
Examine for tenderness, TTA
Introduce rotation to the R, monitoring the tissue response and compare to rotation to the L
What should be observed for the Cervical-Thoracic junction
The symmetry of the thoracic inlet
What should be observed in the thoracolumbar junction
The symmetry of the rib cage
Palpate for TTA with the entire hand over the ribs
What should be palpated in the lumbopelvic junction
The ASIS and iliac crests
What does the zink warmth provocative test indicate
Warmer areas may be a site of SD (infection)
What is the first step in treating lymph node SD
Open the thoracic inlet and or the pelvic inlet
Basically allow area for the lymph fluid to go to
Where should the physician’s hands be placed for thoracic inlet MFR
At cervicothoracic junction with the thumbs over posterior first rib, index fingers superior to clavicles at the SC joints
Define how to dome the diaphragm
Pt. Postion
Physician’s hand placement
Patient instructions
Pt. Supine with hips and knees flexed
Physician’s thumbs inferior to xiphoid process with thumbs pointing cephalad
Tell pt. To take a deep breath and exhale
On exhalation, press thumbs posteriorly and superiorly. Push further on exhalation and resist on inhalation
Define steps to perform doming pelvic diaphragm
Patient position
Hand placement
Actions
Patient is prone
Place thumbs medial to ischial tuberosities bilaterally
Apply cephalad and lateral force
Increase during exhalation and maintain on inhalation
Describe how to perform pectoral traction
Position
Hand placement
Technique
Pt. Supine with hips and knees flexed
Grasp inferior to pt.’s clavicles at anterior axillary fold
Extend arms and lean back to apply cephalad traction bilaterally
Pull when pt. Inhales and resist on exhale
Define how to perform a rib raise supine
Pt. Supine, physician on side to treat
Grasp ipsilateral posterior/inferior rib angles by flexing fingers
Starting with T12, apply anterolateral traction by rocking back and leaning elbows into table
Define how to perform a rib raise seated
Pt. Seated with arms crossed, physician facing pt.
Pt. Crosses arms and leans forward toward physician
Grasp bilateral posterior/inferior rib angles
Starting with T 12, pull superiorly and toward the physician
