Lymphatics, NMT and general soft tissue

Question 1

What is NMT

Answer 1

A combined diagnostic and therapeutic technique using a variety of pressure and stretch techniques.

Question 2

What are the 3 NMT techniques

Answer 2

Cross fibre, longitudinal or inhibitory

Question 3

Effect of NMT

Answer 3

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.

Question 4

Biomechanics response to NMT

Answer 4

Reduced tissue adhesion
Increased ROM
Increased muscle compliance

Question 5

Physiological response to NMT

Answer 5

Increased arterial supply- increase O2 delivery
Increased serotonin, reduced cortisol
Increased lymphatic drainage

Increased relaxation
Reduced anxiety

Question 6

Neurological response to NMT

Answer 6

Reduced neuromuscular excitability
Reduced muscle tension- through activating muscle spindles (longitudinal)

Question 7

Things that move lymph

Answer 7

Contraction of smooth muscles
Thoracic: abdominal gradient
Exercise
Manual therapy

Question 8

Pedal pump

Answer 8

Dorsiflexion= lymphatic vessels compressed between gastrocnemius and soles
–> pushes lymph towards heart
Release= -ve pressure = sucking more lymph upwards

Question 9

Knee drainage

Answer 9

Milks local lymphatics, subsequent techniques drain

Question 10

Thigh twist

Answer 10

Wringing effect= suction effect

Question 11

Femoral triangle

Answer 11

Superior side= inguinal ligament
Medial= adduction longus
Lateral= border of sartorial

Question 12

Inguinal pump

Answer 12

Drains deep + superficial inguinal nodes
–> between inguinal ligament and femoral artery
Circumduction of hip with alternating pressure + release over femoral triangle drains nodes

Question 13

Cisternae chyli

Answer 13

PSIS- L4- TPs of L1/2
Receives lymph from legs + gut
Left rotation + traction (extends lumbar spine)= lymph moves upwards

Question 14

Hepatic pump

Answer 14

RIGHT, below rib 5
Rhythmical compression/release of lower rib + traction/release of upper extremity helps drain liver

Question 15

Splenic pump

Answer 15

LEFT, level with rib 9, 10, 11
Rhythmical compression/release of lower rib + traction/release of upper extremity helps drain spleen

Question 16

Clavicular pump

Answer 16

Supraclavicular fossa= supraclavicular nodes
Drainage= circumduction of GH + compression/release over supraclcavicualr fossa
Lymph drains to left/right subclavian vein to superior vena cava

Question 17

Sibsons fascia

Answer 17

Connective tissue that covers apex of lungs

Question 18

Shoulder pump

Answer 18

Assists drainage of clavicular nodes
Rhythmical depression= natural elastic recoil

Question 19

Thoracic pump

Answer 19

Increased tension + sudden release upon inspiration= produces sudden -ve intrathoracic pressure= suction= opens thoracic duct

Question 20

Right lymphatic drainage

Answer 20

Right lymphatic duct drains right side of head, chest + right arm

Question 21

Left lymphatic drainage

Answer 21

Left thoracic duct receives lymph from rest of body

Question 22

OSD definition

Answer 22

Impaired or altered function to the somatic systems
START- symptom reproduction, tension, asymmetry, restriction, tenderness

Question 23

Example of OSD

Answer 23

OSD to Sibsons Fascia can cause reduced lymphatic drainage anywhere in body

Question 24

5

Answer 24

Diplopia- double vision
Dizziness
Drop attacks
Dysarthria- difficulty speaking
Dysphagia- swallowing problems

Question 25

3N’s

Answer 25

Nausea
Numbness
Nystagmus- involuntary side-to-side, up and down movements,ent of the eyes

Question 26

A

Answer 26

Ataxia- effect coordination/balance