Lymphatics, NMT and general soft tissue Flashcards
What is NMT
A combined diagnostic and therapeutic technique using a variety of pressure and stretch techniques.
What are the 3 NMT techniques
Cross fibre, longitudinal or inhibitory
Effect of NMT
General compression reduces sensitivity of muscle spindles, leading to a decreased tendency to muscle shortening
Direct pressure/longitudinal stretch of Golgi Tendon bodies leads to muscle relaxation
Has Physiological, Neurological and Biometrical benefits.
Biomechanics response to NMT
Reduced tissue adhesion
Increased ROM
Increased muscle compliance
Physiological response to NMT
Increased arterial supply- increase O2 delivery
Increased serotonin, reduced cortisol
Increased lymphatic drainage
Increased relaxation
Reduced anxiety
Neurological response to NMT
Reduced neuromuscular excitability
Reduced muscle tension- through activating muscle spindles (longitudinal)
Things that move lymph
Contraction of smooth muscles
Thoracic: abdominal gradient
Exercise
Manual therapy
Pedal pump
Dorsiflexion= lymphatic vessels compressed between gastrocnemius and soles
–> pushes lymph towards heart
Release= -ve pressure = sucking more lymph upwards
Knee drainage
Milks local lymphatics, subsequent techniques drain
Thigh twist
Wringing effect= suction effect
Femoral triangle
Superior side= inguinal ligament
Medial= adduction longus
Lateral= border of sartorial
Inguinal pump
Drains deep + superficial inguinal nodes
–> between inguinal ligament and femoral artery
Circumduction of hip with alternating pressure + release over femoral triangle drains nodes
Cisternae chyli
PSIS- L4- TPs of L1/2
Receives lymph from legs + gut
Left rotation + traction (extends lumbar spine)= lymph moves upwards
Hepatic pump
RIGHT, below rib 5
Rhythmical compression/release of lower rib + traction/release of upper extremity helps drain liver
Splenic pump
LEFT, level with rib 9, 10, 11
Rhythmical compression/release of lower rib + traction/release of upper extremity helps drain spleen
Clavicular pump
Supraclavicular fossa= supraclavicular nodes
Drainage= circumduction of GH + compression/release over supraclcavicualr fossa
Lymph drains to left/right subclavian vein to superior vena cava
Sibsons fascia
Connective tissue that covers apex of lungs
Shoulder pump
Assists drainage of clavicular nodes
Rhythmical depression= natural elastic recoil
Thoracic pump
Increased tension + sudden release upon inspiration= produces sudden -ve intrathoracic pressure= suction= opens thoracic duct
Right lymphatic drainage
Right lymphatic duct drains right side of head, chest + right arm
Left lymphatic drainage
Left thoracic duct receives lymph from rest of body
OSD definition
Impaired or altered function to the somatic systems
START- symptom reproduction, tension, asymmetry, restriction, tenderness
Example of OSD
OSD to Sibsons Fascia can cause reduced lymphatic drainage anywhere in body
5
Diplopia- double vision
Dizziness
Drop attacks
Dysarthria- difficulty speaking
Dysphagia- swallowing problems
3N’s
Nausea
Numbness
Nystagmus- involuntary side-to-side, up and down movements,ent of the eyes
A
Ataxia- effect coordination/balance
