Midterm: Visceral OMT

Question 1

Distension or spasm of the ureter may cause referred pain to which spinal levels?

Answer 1

T11-L2

Question 2

In 1905, who talked about the somatovisceral structures?

Answer 2

Charles Sherrington

-said neurons send substances to end organs

Question 3

Who confirmed somatovisceral reflexes (facilitated segments) with EMG?

Answer 3

Korr

Question 4

Denslow and Sato confirmed what?

Answer 4

Somatovisceral reflexes

Question 5

Every interneuron that receives input from a visceral nociceptor also receives input from a ____source

Answer 5

somatic

Question 6

When dealing with a somatovisceral reflex, which issue should you treat first?

Answer 6

Biomechanical first

-muscular and visceral ligaments

Question 7

After treating biomechanical for somatovisceral, what should you treat next?

Answer 7

Neurologic

Psym: Vagus and Pelvic splanchnic
Sym: T1-L2

Question 8

What is the order when treating viscerosomatic reflexes?

Answer 8

1. Biomechanical
2. Neurological
3. Lymphatics

Question 9

Stomach, Duodenum, Liver, GB, Pancreas, and Spleen are all supplied by what nerves?

Answer 9

T5-9
sym: Greater Splanchnic from Celiac ganglia
Psym: vagus n

Question 10

Small bowel to splenic flexure, kidneys and adrenals are all supplied by what nerves?

Answer 10

T10-11
Sym: Lesser Splanchnic from Superior Mesenteric Ganglia
PSym: Vagus

Question 11

Distal colon, lower ureters, bladder, and pelvic organs are all supplied by what nerves?

Answer 11

T12-L2
Sym: Least Splanchnic from Inferior mesenteric ganglia
Psm: Sacral (S2-S4)

Question 12

Celiac Ganglia ganglia

Answer 12

2 inches below xiphoid process

All foregut structures: basically stomach–>duodenum, panc, GB, liver, spleen

Question 13

Superior mesenteric ganglia

Answer 13

Half way between xiphoid and umbilicus

All midgut: duodenum->Splenic Flexure, kidneys

Question 14

Inferior mesenteric ganglia

Answer 14

Just superior to distal duodenum

Hindgut: Splenic flexure->rectum, GU

Question 15

How do you perform collateral ganglia release?

Answer 15

Force is directed posteriorly towards feathers edge until softening

Question 16

Describe CPs on the legs for colon.

Answer 16

Goes down the right side: Ileocecal valve->ascending-> T-colon (knee)

Comes up Left side: T colon (knee)->descending colon-> sigmoid (hip)

Question 17

L2-L4 CP overlying the Q lumborum would be evident of what?

Answer 17

Colon

Question 18

Small Intestine Mesenteric Release

Answer 18

Indirect!

Start 1 inch inferior and lateral to umbilicus, just medial to right ASIS

Gently lift and hold rhythmically with pumping effect

Question 19

Liver Pump

Answer 19

Caudad hand is placed anteroinferior ribs at costal margin, cephalad hand on posteroinferior, right inferior ribs at costal margin

Gently alternate between compression and releasing to pump the liver

Question 20

Liver pump w recoil

Answer 20

Caudad hand is placed anteroinferior ribs at costal margin, cephalad hand on posteroinferior, right inferior ribs at costal margin

Apply indirect-flex/extend, SB, rotate liver fascia and then instruct patient to take a rapid breath in
-release on inhale

Question 21

What muscles are around the kidney/ureter?

Answer 21

Q Lumborum
Psoas
Transversus abdominus (to front)
Diaphragm (above)

Question 22

A tight psoas muscle could potentially pull on what GU structures?

Answer 22

Ureter and other GU vasculature