OMM for respiratory

Question 1

What are the parasympathetic effects on the lungs?

Answer 1

Bronchoconstriction
Gland secretions (mucus)

Question 2

What is the effect of the sympathetics on the lungs?

Answer 2

Bronchodilation

Vasoconstriction of arterioles in the area of tissue injury

Question 3

What is the sympathetic supply to the head and UE?

Answer 3

Cervical ganglia

Question 4

What is the sympathetic supply to the lower extremities?

Answer 4

Lumbar splanchnic nerves

Question 5

What are the three major issues with sympathetic tone?

Answer 5

Vasoconstriction
Thickened secretions
Decrease drainage

Question 6

What is breathing (ventilation)?

Answer 6

Physical movement of air into the lugs

Question 7

What is respiration?

Answer 7

Air exchanged for CO2 at the cellular level

Question 8

What are the three major factors that play a role in adequate ventilation?

Answer 8

• proper motions of the thoracic cage
• mechanical properties of the airways
• lung parenchymal units

Question 9

What are the three major factors that play a role in adequate respiration?

Answer 9

• Vd and blood flow through pulmonary circulation
• Vd and distribution of ventilation in the lungs
• Diffusion characteristics of CO2 across the air-blood barrier

Question 10

What are the accessory muscles used in elevating the diaphragm/rib cage? (5)

Answer 10

SCM
Serratus anterior
Scalenes
Pecs
External intercostals

Question 11

What are the accessory muscles used in depressing the diaphragm/rib cage? (4)

Answer 11

• Rectus abdominus
• Internal intercostals
• serratus posterior inferior
• lat dorsi

Question 12

What is the effect of fixing the arms while trying to breath?

Answer 12

The muscles of the shoulder girdle elevate and expand the thorax

Question 13

What is the role of the vagus nerve in respiration?

Answer 13

Innervation to the carotid bodies

Question 14

What is the role of the phrenic nerve is respiration?

Answer 14

Diaphragmatic control

Question 15

What is the role of the intercostal nerves (T1-L2) on respiration?

Answer 15

Intercostal muscles

Question 16

What are the four major fascial planes that should be treated for respiratory complaints?

Answer 16

Thoracoabdominal
Cervicothoracic
Urogenital
Tentorium cerebelli

Question 17

What is the histological change that can occur with parasympathetic overtone in the lungs?

Answer 17

Increased goblet cells

Question 18

What is the dominant parasympathetic innervation to the lungs?

Answer 18

Vagus

Question 19

What is the normal lymphatic return rate?

Answer 19

Entire serum in 24 hours

Question 20

Why is it important to address the OA in respiratory complaints?

Answer 20

-vagus and ganglia

Question 21

What is the common cause if increase sympathetic tones to the lungs? Why?

Answer 21

Rib dysfunctions since sympathetic ganglia lie in front of the ribs

Question 22

What happens to the ribs with chronic coughing?

Answer 22

Locked down SD

Question 23

Why do you not want to treat rib SDs with HV/LA for sympathetic overtone?

Answer 23

May increase sympathetic tone from quick motion

Question 24

At what degree of scoliosis is respiratory function compromised?

Answer 24

More than 50 degrees

Question 25

What are the bony attachments of the diaphragm? (4)

Answer 25

L1-L2 on the left L1-L3 on the right Lower 6 ribs Xiphoid

Question 26

What are the two major muscles of the back that have attachments to the diaphragm?

Answer 26

Psoas | QL

Question 27

What is the role of the QL in breathing?

Answer 27

Locks down the 12th rib

Question 28

What are the two major muscles of the UE that play a role in respiration

Answer 28

Pecs | Lat dorsi

Question 29

What happens to the tissues with lung congestion?

Answer 29

Hardening of the tissues

Question 30

What spinal levels are affected with lung problems?

Answer 30

T1-T6 or T1-T12.

Question 31

RUL levels = ?

Answer 31

T-T3

Question 32

RML levels = ?

Answer 32

T3-T4

Question 33

RLL levels = ?

Answer 33

T5-T6

Question 34

LUL levels = ?

Answer 34

T1-T3

Question 35

LLL levels = ?

Answer 35

T4-T6

Question 36

Palpatory findings of SDs d/t pneumonia will precede radiographic findings by how many hours

Answer 36

24-48 hours

Question 37

Name that disease: Inflammation of the pulmonary parenchyma by a microbial agent

Answer 37

Pneumonia

Question 38

Name that disease: chronic inflammatory disease of the airways that causes spasms and edema leading to narrowing of the airways.

Answer 38

Asthma

Question 39

Name that disease: Inflammation of the bronchi that causes acute onset of cough, sputum production, and ssx of a URI

Answer 39

Acute bronchitis

Question 40

Name that disease: recurrent cough with sputum production that persists for at least 3 months in at least 2 consecutive years

Answer 40

Chronic bronchitis

Question 41

When should the OA and AA be treated in patients with asthma? Why?

Answer 41

Only after all else has been completed. If done before, will heighten parasympathetic response and make them worse

Question 42

Besides the OA and AA, what other area should be addressed? Why?

Answer 42

T10-L1 to increase anti-inflammatory effects

Question 43

Why should the IT spread be utilized for respiratory issues?

Answer 43

Address UG diaphragm

Question 44

Why should the QL be treated for respiratory concerns?

Answer 44

Attached to rib 12