OMM for respiratory Flashcards

1
Q

What are the parasympathetic effects on the lungs?

A
Bronchoconstriction
Gland secretions (mucus)
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2
Q

What is the effect of the sympathetics on the lungs?

A

Bronchodilation

Vasoconstriction of arterioles in the area of tissue injury

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3
Q

What is the sympathetic supply to the head and UE?

A

Cervical ganglia

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4
Q

What is the sympathetic supply to the lower extremities?

A

Lumbar splanchnic nerves

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5
Q

What are the three major issues with sympathetic tone?

A

Vasoconstriction
Thickened secretions
Decrease drainage

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6
Q

What is breathing (ventilation)?

A

Physical movement of air into the lugs

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7
Q

What is respiration?

A

Air exchanged for CO2 at the cellular level

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8
Q

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

A
  • proper motions of the thoracic cage
  • mechanical properties of the airways
  • lung parenchymal units
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9
Q

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

A
  • Vd and blood flow through pulmonary circulation
  • Vd and distribution of ventilation in the lungs
  • Diffusion characteristics of CO2 across the air-blood barrier
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10
Q

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

A
SCM
Serratus anterior
Scalenes
Pecs
External intercostals
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11
Q

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

A
  • Rectus abdominus
  • Internal intercostals
  • serratus posterior inferior
  • lat dorsi
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12
Q

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

A

The muscles of the shoulder girdle elevate and expand the thorax

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13
Q

What is the role of the vagus nerve in respiration?

A

Innervation to the carotid bodies

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14
Q

What is the role of the phrenic nerve is respiration?

A

Diaphragmatic control

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15
Q

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

A

Intercostal muscles

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16
Q

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

A

Thoracoabdominal
Cervicothoracic
Urogenital
Tentorium cerebelli

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17
Q

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

A

Increased goblet cells

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18
Q

What is the dominant parasympathetic innervation to the lungs?

A

Vagus

19
Q

What is the normal lymphatic return rate?

A

Entire serum in 24 hours

20
Q

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

A

-vagus and ganglia

21
Q

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

A

Rib dysfunctions since sympathetic ganglia lie in front of the ribs

22
Q

What happens to the ribs with chronic coughing?

A

Locked down SD

23
Q

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

A

May increase sympathetic tone from quick motion

24
Q

At what degree of scoliosis is respiratory function compromised?

A

More than 50 degrees

25
Q

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

A

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

26
Q

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

A

Psoas

QL

27
Q

What is the role of the QL in breathing?

A

Locks down the 12th rib

28
Q

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

A

Pecs

Lat dorsi

29
Q

What happens to the tissues with lung congestion?

A

Hardening of the tissues

30
Q

What spinal levels are affected with lung problems?

A

T1-T6 or T1-T12.

31
Q

RUL levels = ?

A

T-T3

32
Q

RML levels = ?

A

T3-T4

33
Q

RLL levels = ?

A

T5-T6

34
Q

LUL levels = ?

A

T1-T3

35
Q

LLL levels = ?

A

T4-T6

36
Q

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

A

24-48 hours

37
Q

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

A

Pneumonia

38
Q

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

A

Asthma

39
Q

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

A

Acute bronchitis

40
Q

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

A

Chronic bronchitis

41
Q

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

A

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

42
Q

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

A

T10-L1 to increase anti-inflammatory effects

43
Q

Why should the IT spread be utilized for respiratory issues?

A

Address UG diaphragm

44
Q

Why should the QL be treated for respiratory concerns?

A

Attached to rib 12