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OSIII > Midterm: Visceral OMT Lab > Flashcards

Midterm: Visceral OMT Lab Flashcards

1
Q

Treatment order for Visceral OMT

A
  1. Mechanical
  2. Reduce Visceral support and capsule stress
    3 Normalize autonomic tone
    -OA, Sacrum, T1-L2,
  3. Reduce Chapmans points
  4. Lymphatics
    -diaphragm, Thoracic inlet
  5. Pump lymphatics
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2
Q

How do you perform Psoas Release?

A

Pt supine, doc ipsi

Drop leg off table

  • apply superior pressure to ASIS to prevent anterior rotation
  • Provide pressure at knee to engage hip flexors

Hold for myofascial release, or muscle contractions 3x3 seconds

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3
Q

How do you perform QL Lateral Recumbent?

A

Pt lays on side, affected side up

  • Forearms on iliac crest and shoulders
  • Fingers grasp QL and fascia

Lean forward to create separation on shoulders and hips, lengthen the QL.
-apply kneading component rhythmically

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4
Q

OMM techniques on Spleen and Liver

A

Splenic Pump
Liver Pump
Liver Pump with activation recoil

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5
Q

Ascending and descending colon are peritoneal or retroperitoneal? Do they move a lot when treating?

A

They are retroperitoneal, so they do not move much.

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6
Q

Contact and Force direction for Sigmoid colon release

A

Start on anteromedial of left pelvic brim and force is directed to RUQ

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7
Q

Contact and Force direction for descending colon release

A

Left of posterolateral L flank with a medial force

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8
Q

Contact and Force direction for transverse colon

A

start inferior to costal margin with inferior force

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9
Q

Contact and Force direction for ascending colon

A

start on posterolateral R flank with medial force

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10
Q

Kidney Palpation and release of visceral strain

A

Flex pts knees, lift kidney from posterior
-medial to A/D colon, inferior to T colon

Engage kidney gently
-test for best movement (A/P, M/L, S/I)

Tx: Indirect Fascial release

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11
Q

If a kidney is found to be anterior, medially rotated, and superior where do you hold it for fascial release

A

Indirect

-hold it where it likes to go: Anterior, Medial, Superior

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12
Q

Which direction does the small intestine root run?

A

Diagonal

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13
Q

How do you treat the superior edge of the small intestine with indirect mesenteric release?

A

Start 1 inch inferior and lateral to umbilicus

scoop and hold, with a slow release bringing the side toward the mesenteric root

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14
Q

How do you treat the inferior edge of the small intestine with indirect mesenteric release?

A

Cecum-medial to right ASIS

scoop and hold, with a slow release bringing the side toward the mesenteric root

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15
Q

Pelvic Visceral strain release

A

Pt supine, with one hand on lumbosacral junction and other on anterior lower abdomen

anterior hand provides focused transabdominal pressure to provide indirect MFR to the:

  • uterus
  • bladder
  • other
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16
Q

What structures are supplied by the Celiac Ganglion?

A

T5-T9

Distal esophagus, stomach, proximal duodenum
Liver
Spleen
Gallbladder
Some panc
17
Q

What structures are supplied by the superior mesenteric ganglia?

A

T10-T11

Distal duodenum to Splenic flexure of T colon
Pancreas

18
Q

What structures are supplied by the inferior mesenteric ganglia?

A

T12-L2

Distal T Colon–>rectum
Kidneys
GU stuff

19
Q

Rib Raising Sympathetic inhibition

A

Pt supine, doc with hands underneath TPs

Gently press anterior bringing slight vertebral rotation
-maintain until muscles relax

20
Q

What does sacral rocking do?

A

Increases PSym tone

21
Q

what does sacral inhibition do?

A

Decreases PSym tone

22
Q

How do you do sacral inhibition?

A

Limit sacral motion by resisting respiratory motion with pressure

23
Q

Abdominal Diaphragm Combined Indirect and direct treatment

A

Pt supine

Doc grasp ribs across costal margin
-assess for activity/lack of it

Carry rib cage through all three planes until pull is gone

Have pt take 2-3 medium breaths, then move to direct position and have them take one deep breath

24
Q

How do you dome the pelvic diaphragm?

A

Press superiorly on the tip of the ischial tuberosity
-engage the pelvic floor

Have pt inhale and hold for 3-5s to activate stretch
-repeat 2-3x

OSIII (18 decks)

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