osteopathic reflexes

Question 1

myotatic reflex

Answer 1

contraction in response to a stretching force

Question 2

where do afferents synapse (spinal cord gray matter)

Answer 2

posterior horn upper layers 1-6

Question 3

what synapses in layers 3,4

Answer 3

mechanoreceptors

Question 4

what synapses in layers 1 and 5

Answer 4

a(delta) fast pain fibers

Question 5

what synapses in layer 2

Answer 5

small c fibers of slow pain

Question 6

what is the basis for activation of the somatic m activity seen with visceral disturbances

Answer 6

the overlap between visceral and somatic afferent fibers

Question 7

what is the somatic component of disease

Answer 7

musculoskeletal palpatory findings may correlate with visceral disturbances

Question 8

what is habituation

Answer 8

process of decreasing response of a neural pathway with a continuous stimulation

ubiquitous phenomenon

opposite sensitization

Question 9

what works together to maintain homeostasis between over-reaction and under-reaction of afferents

Answer 9

habituation and sensitization

Question 10

what does secondary hyperalgesia develop

Answer 10

central sensitization

Question 11

somatosomatic reflex

Answer 11

localized somatic stimuli producing patterns of reflex response in segmentally related somatic structures

Question 12

somatovisceral reflex

Answer 12

localized somatic stimuli producing patterns of reflex response in segmentally related visceral structures

Question 13

viscerosomatic reflex

Answer 13

localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures

Question 14

viscerovisceral reflex

Answer 14

localized visceral stimuli producing patterns of reflex response in segmentally related visceral structures

Question 15

withdrawal response

Answer 15

a somatosomatic reflex response that occurs when a noxious stimuli is applied to a somatic structure

Question 16

example of viscerovisceral reflex

Answer 16

distention of the gut results in increased contraction of the gut muscle

Question 17

example of viscerosomatic reflex

Answer 17

heart attack – pain up shoulder, down arm

Question 18

3 component characteristics of a chapman reflex

Answer 18

viscerosomatic reflex
gangliform contraction
a consistent reproducible series of points both anterior and posterior related to specific organs or conditions

Question 19

characteristics of pain of a chapman point

Answer 19

pinpoint, sharp, non-radiating
pain is greater than expected
pt usually unaware of sore spot

Question 20

for a chapman reflex, how long do you continue the moving pressure

Answer 20

10-30 seconds

Question 21

contraindications of CR

Answer 21

anytime a pt needs emergent care
patient refusal
relative contraindicated w/ a fracture, cancer, and other patient instability