OAT Pediatrics Flashcards
What treatment choices are helpful in kids regardless of their age?
- Art
- Still’s
- Myofascial
- FPR
- Lymphatic
- BLT
- Cranial
What are common compression points in infants after birth and what can result?
- Jugular foramen
- CN’s IX, X, and XI pass through here
- Inferior Petrosal and Sigmoid sinuses
- Hypoglossal canal
- CN XII
If CN XI is compressed what muscles will be weak?
Trapezius and SCM
If CN XII is compressed what will be weak?
Intrinsic and extrinsic muscles of the tongue
Compression of Jugular foramen may cause what dysfunction?
- Tongue motion → poor suck
- Intestinal peristalsis → constipation, GERD, colic
- SCM/Traps → torticollis
If the temporal bone is rotated in an infant, what can occur?
Internal rotation of the temporal bon increases the likelihood of OM and affects the most cranial nerves
If a newborn undergoes vaginal delivery with forceps or cacuum, what palsy may occur?
- CN VI → lateral rectus palsy
- CN VII → facial palsy
Which cranial bone is the most commonly dysfunctional in infants?
Occiput, resulting in:
- CN XII and IX → poor suck
- CN X → reflux, vomit, colic
- CN XI → colic, muscular dysfunction
How is most cranial dysfunction in infants treated? Which dysfxn is most common?
- self treated through crying and sucking
- Occiput
What is the preferred treatment types in infants?
- indirect treatment with short frequent sessions
How do you treat an infant with poor suck?
2 min:
- Sub occiput release (OA decompress)
- Condylar decomrpesssion
5 min:
- Venous sinus release
- Sub occiput release
- Condylar decompression
In infants what needs to be ruled out before cranial OMM treatment?
- Craniosynostosis
Plagiocephaly?
- parallelogram head
- flat head syndrome
- assoc wit htorricollis and lateral strain pattern
Brachycephaly?
- Head is wider than long
- back of head is flat rather than curved
- vertical strain or flexion strain
How to treat plagiocephay?
2 min:
- Suboccipt release
5 min:
- venous sinus release
- V spreat to tight sutures
Why do infants have higher incidence of OM than adults?
- Pacifier use and flattening and shortening of the eustachian tube
- also internal rotation of the temporal bone
How to treat OM with OMM?
- thoracic inlet release
- Galbreath or Periauricular drainage
- If sympathetically treated use rib raising or upper thoracic soft tissue
What is the most likely cause?
- localized alopecia
- spasm of SCM
- fractured clavicle during birth
- compression of right vagus n.
- premature fusion of left lamboidal suture
Torticollis caused by spasm of SCM
OMM for children with URI?
- Lymphatics→ thoracic inlet
- Sympathetic tx → T1-4
- Parasympathetic → CN7
Describe Bacterial sinusitis? OMM tx?
- URI sx >10 days
- URI improves then worsens
- Fever/pururlent discharge >3 days with facial tenderness or HA
- OMM treatment → lymphatics
Asthma treatments OMM?
- Parasympathetic → OA
- Accessory mm or respiration → scalenes or SCM
- C3-5 diaphragm
- T1-12 and ribs
- T2-7 sympathetic innervation
What are the three best treatments for asthma?
- Rib raising
- MET ribs
- MFR
what dysfunction would you find in this patient?
- inhalation dysfxn ribs 2-10
- exhalation ribs 2-10
- Chapman’s point lateral proimal humerus
- Chapmans point tip of 12th rib
Inhalation dysfunction or ribs 2-10
Parasympathetic OMT for upper GI?
Vagus (OA, AA)
Parasympathetic OMM treatment for decending colon, sigmoid, rectum?
Pelvic splanchnic nerves S2-4
increases peristalsis
Sympathetic treatment to Upper, middle, and lower GI tract?
- celiac ganglion T5-9
- Superior mesenteric ganglion T10-11
- Inferior mesenteric ganglion T12-L2
- decreases peristalsis
How to treat GERD parasympathetically, sympathetically, & biomechanically?
- para: OA
- symp: T5-9 (celiac ganglion)
- diaphragm biomechanical
How do you treat comstipation?
- Sympathetic Superior and inferior mestneteric ganglion (T10-L2)
- Sacral rock
In a 9 yr old boy with constipation for 2 weeks, where would you expect to find tissue texture changes associated with a vicerosomatic reflex?
- C2-5
- T1-4
- T10-L2
- L3-5
T10-L2 (inferior mesenteric ganglion)
