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ECOS IV Final > OAT Pediatrics > Flashcards

OAT Pediatrics Flashcards

1
Q

What treatment choices are helpful in kids regardless of their age?

A
  • Art
  • Still’s
  • Myofascial
  • FPR
  • Lymphatic
  • BLT
  • Cranial
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2
Q

What are common compression points in infants after birth and what can result?

A
  • Jugular foramen
    • CN’s IX, X, and XI pass through here
    • Inferior Petrosal and Sigmoid sinuses
  • Hypoglossal canal
    • CN XII
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3
Q

If CN XI is compressed what muscles will be weak?

A

Trapezius and SCM

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4
Q

If CN XII is compressed what will be weak?

A

Intrinsic and extrinsic muscles of the tongue

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5
Q

Compression of Jugular foramen may cause what dysfunction?

A
  • Tongue motion → poor suck
  • Intestinal peristalsis → constipation, GERD, colic
  • SCM/Traps → torticollis
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6
Q

If the temporal bone is rotated in an infant, what can occur?

A

Internal rotation of the temporal bon increases the likelihood of OM and affects the most cranial nerves

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7
Q

If a newborn undergoes vaginal delivery with forceps or cacuum, what palsy may occur?

A
  • CN VI → lateral rectus palsy
  • CN VII → facial palsy
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8
Q

Which cranial bone is the most commonly dysfunctional in infants?

A

Occiput, resulting in:

  • CN XII and IX → poor suck
  • CN X → reflux, vomit, colic
  • CN XI → colic, muscular dysfunction
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9
Q

How is most cranial dysfunction in infants treated? Which dysfxn is most common?

A
  • self treated through crying and sucking
  • Occiput
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10
Q

What is the preferred treatment types in infants?

A
  • indirect treatment with short frequent sessions
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11
Q

How do you treat an infant with poor suck?

A

2 min:

  • Sub occiput release (OA decompress)
  • Condylar decomrpesssion

5 min:

  • Venous sinus release
  • Sub occiput release
  • Condylar decompression
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12
Q

In infants what needs to be ruled out before cranial OMM treatment?

A
  • Craniosynostosis
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13
Q

Plagiocephaly?

A
  • parallelogram head
  • flat head syndrome
  • assoc wit htorricollis and lateral strain pattern
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14
Q

Brachycephaly?

A
  • Head is wider than long
  • back of head is flat rather than curved
  • vertical strain or flexion strain
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15
Q

How to treat plagiocephay?

A

2 min:

  • Suboccipt release

5 min:

  • venous sinus release
  • V spreat to tight sutures
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16
Q

Why do infants have higher incidence of OM than adults?

A
  • Pacifier use and flattening and shortening of the eustachian tube
  • also internal rotation of the temporal bone
17
Q

How to treat OM with OMM?

A
  • thoracic inlet release
  • Galbreath or Periauricular drainage
  • If sympathetically treated use rib raising or upper thoracic soft tissue
18
Q

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
A

Torticollis caused by spasm of SCM

19
Q

OMM for children with URI?

A
  • Lymphatics→ thoracic inlet
  • Sympathetic tx → T1-4
  • Parasympathetic → CN7
20
Q

Describe Bacterial sinusitis? OMM tx?

A
  • URI sx >10 days
  • URI improves then worsens
  • Fever/pururlent discharge >3 days with facial tenderness or HA
  • OMM treatment → lymphatics
21
Q

Asthma treatments OMM?

A
  • Parasympathetic → OA
  • Accessory mm or respiration → scalenes or SCM
  • C3-5 diaphragm
  • T1-12 and ribs
  • T2-7 sympathetic innervation
22
Q

What are the three best treatments for asthma?

A
  • Rib raising
  • MET ribs
  • MFR
23
Q

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
A

Inhalation dysfunction or ribs 2-10

24
Q

Parasympathetic OMT for upper GI?

A

Vagus (OA, AA)

25
Q

Parasympathetic OMM treatment for decending colon, sigmoid, rectum?

A

Pelvic splanchnic nerves S2-4

increases peristalsis

26
Q

Sympathetic treatment to Upper, middle, and lower GI tract?

A
  • celiac ganglion T5-9
  • Superior mesenteric ganglion T10-11
  • Inferior mesenteric ganglion T12-L2
  • decreases peristalsis
27
Q

How to treat GERD parasympathetically, sympathetically, & biomechanically?

A
  • para: OA
  • symp: T5-9 (celiac ganglion)
  • diaphragm biomechanical
28
Q

How do you treat comstipation?

A
  • Sympathetic Superior and inferior mestneteric ganglion (T10-L2)
  • Sacral rock
29
Q

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
A

T10-L2 (inferior mesenteric ganglion)

ECOS IV Final (8 decks)

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