Midterm: Visceral OMT Lab Flashcards
Treatment order for Visceral OMT
- Mechanical
- Reduce Visceral support and capsule stress
3 Normalize autonomic tone
-OA, Sacrum, T1-L2, - Reduce Chapmans points
- Lymphatics
-diaphragm, Thoracic inlet - Pump lymphatics
How do you perform Psoas Release?
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
How do you perform QL Lateral Recumbent?
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
OMM techniques on Spleen and Liver
Splenic Pump
Liver Pump
Liver Pump with activation recoil
Ascending and descending colon are peritoneal or retroperitoneal? Do they move a lot when treating?
They are retroperitoneal, so they do not move much.
Contact and Force direction for Sigmoid colon release
Start on anteromedial of left pelvic brim and force is directed to RUQ
Contact and Force direction for descending colon release
Left of posterolateral L flank with a medial force
Contact and Force direction for transverse colon
start inferior to costal margin with inferior force
Contact and Force direction for ascending colon
start on posterolateral R flank with medial force
Kidney Palpation and release of visceral strain
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
If a kidney is found to be anterior, medially rotated, and superior where do you hold it for fascial release
Indirect
-hold it where it likes to go: Anterior, Medial, Superior
Which direction does the small intestine root run?
Diagonal
How do you treat the superior edge of the small intestine with indirect mesenteric release?
Start 1 inch inferior and lateral to umbilicus
scoop and hold, with a slow release bringing the side toward the mesenteric root
How do you treat the inferior edge of the small intestine with indirect mesenteric release?
Cecum-medial to right ASIS
scoop and hold, with a slow release bringing the side toward the mesenteric root
Pelvic Visceral strain release
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
What structures are supplied by the Celiac Ganglion?
T5-T9
Distal esophagus, stomach, proximal duodenum Liver Spleen Gallbladder Some panc
What structures are supplied by the superior mesenteric ganglia?
T10-T11
Distal duodenum to Splenic flexure of T colon
Pancreas
What structures are supplied by the inferior mesenteric ganglia?
T12-L2
Distal T Colon–>rectum
Kidneys
GU stuff
Rib Raising Sympathetic inhibition
Pt supine, doc with hands underneath TPs
Gently press anterior bringing slight vertebral rotation
-maintain until muscles relax
What does sacral rocking do?
Increases PSym tone
what does sacral inhibition do?
Decreases PSym tone
How do you do sacral inhibition?
Limit sacral motion by resisting respiratory motion with pressure
Abdominal Diaphragm Combined Indirect and direct treatment
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
How do you dome the pelvic diaphragm?
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
