OS correlations

Question 1

Kidney

Answer 1

T10-T11

Vagus n.

Question 2

Upper ureters

Answer 2

T10-T11

Vagus n.

Question 3

Lower ureters

Answer 3

T12-L2

Pelvic splanchnic n.

Question 4

Bladder

Answer 4

T12-L2

Pelvic splanchnic n.

Question 5

Kidney Chapman Pt

Answer 5

Anterior: 1 inch lateral/1 inch superior to umbilicus
Posterior: b/w TP of T12 and L1 (ipsilateral)

Question 6

Biomechanical approach to kidney

Answer 6

SD of OA, AA
SD of thoracic spine @ viscerosomatic levels
SD of psoas muscles

Question 7

Respiratory/circulatory approach to kidney

Answer 7

O2 via cannula or mask

Lymphatics

Question 8

Lymphatics treatments for kidney

Answer 8

• Thoracic inlet MFR
• Diaphragms (thoracolumbar, pelvic)
• Thoracic area (pectoral traction, doming diaphragm, thoracic pump)
• Abdominal area (abdominal pump, sacral rocking, pelvic diaphragm)
• Extremities (effleurage, petrissage, pedal pump)
• Rib raising

Question 9

Neurological approach to kidney

Answer 9

Spinal levels and Chapman’s points

Rib raising

Question 10

Metabolic/energetic/immune approach to kidney

Answer 10

• Loop diuretics
• Fluid restriction
• Remove offending agents (NSAIDs, PPIs)
• Adjust meds based on renal function
• Monitor I/O; weights

Question 11

Behavioral approach to kidney

Answer 11

• Exercise
• Diet (restrict fluids)
• Avoid offending agents
• Better CHF management

Question 12

Heart failure parasympathetics

Answer 12

• Increased tone as bradycardia
• Vagus n
• OA, AA, C2

Question 13

Heart failure parasympathetic tender points

Answer 13

• TTC over cervical pillars
• rotated vertebrae
• compression of occipitomastoid structures as well as OA joint

Question 14

HF sympathetics

Answer 14

Increased tone as tachycardia

T1-T6

Question 15

HF sympathetics TPs

Answer 15

• TTC over TPs

- Rotated vertebrae

Question 16

HF motor

Answer 16

C3-C5 (phrenic n)

Question 17

HF motor TPs

Answer 17

• TTC over cervical pillars

- Rotated vertebrae

Question 18

Other HF SDs

Answer 18

• Dependent extremity edema
• Rib dysfunction
• Flattened diaphragm
• Scalene hypertonicity/TPs
• Pectoralis minor hypertonicity and TPs

Question 19

2 minute tx for HF

Answer 19

Pedal pump

Question 20

5 minute tx for HF

Answer 20

Rib raising

Question 21

Extended tx for HF

Answer 21

• Head (vagus) - OA release/V spread
• Head - decreased CRI/CV4 hold
• Abdomen - diaphragm
• Doming
• Thoracolumbar jxn (ME, MFR, HVLA)
• Thoracic (MFR)
• Rib dysfunction (ME)
• Cervical (C2, C3-5; MFR, ME or FPR)
• LE/UE - effleurage
• Cervical (scalenes) - CS or ME
• UE (pectoralis minor) - CS or MFR
• Abdomen/viscerosomatic - Chapman’s for heart

Question 22

Chapman’s point for heart

Answer 22

B/w ribs 2/3 parasternally

Superior border of T3

Question 23

Sympathetic innervation of heart

Answer 23

T1-T6

Question 24

Sympathetic innervation of lungs

Answer 24

T1-T7

Question 25

Chapman’s point for lungs

Answer 25

Anterior 2,3,4th ICS along sternum

Posterolateral T2 SP & inter-transverse space b/w T2/3; T3/4; T4/5

Question 26

Biomechanical approach to lungs

Answer 26

• Improve thoracic cage compliance/skeletal motion

Question 27

Neuro approach to lungs

Answer 27

• Normalize autonomic tone

Question 28

Resp/Circ approach to lungs

Answer 28

• maximize efficiency of diaphragm and enhance lymphatic return

Question 29

Met/energetic/immune approach to lungs

Answer 29

• enhance self-regulatory and self-healing mechanism s

Question 30

Behavioral approach to lungs

Answer 30

• improve psychosocial components of health