Pediatric Special Considerations Flashcards
cranial nerve XI innervates what?
SCM and trapezius
cranial nerve XII innervates
intrinsic and extrinsic muscles of the tongue
poor tongue motion gives you
poor suck
intestinal peristalsis gives an infant
constipation, GERD, colic
SCM/Trapezius disruption causes?
toritcollis
what is the most common cranial dysfunction in infants
occiput
what cranial bone affects the most cranial nerves
temporal bone (internally rotated)
cranial nerve that contribute to poor suck
XII and IX
cranial nerves for reflux and colic
X
cranial nevere that contibutes to msucluar dysfunction and colic
cranial nerve 11
compression of _ is the most common in infants
bone
occipital (most is self treated by crying and sucking)
most of the joints in infants are?a
cartilaginous and have maximal flexbility ( sutures are not formed )
what are some preffered treatments for OMT in infants
indirect: BMT, CONDYLAR DECOMPRESSION
poor suck treatments
treat the occiput: suboccipital release, condylar decompression
upper GI system:
parasympathetic innervation:
small intestine, ascending and transverse colon
PSNS: Vagus (oa/AA)
lower GI system:
PSNS:
descending colon, sigmoid, rectum
PSNS: pelvic splanchnic
increased parasympathetic to the intestines is increased peristalisis
upper gi tract:
viscerosomatics
sympathetics:
to the duodenum
celiac ganglion
T5-T9
middle gi tract :
ganglion:
viscerosomatics:
ligament of trietz to splenic flexure
superior mesenteric ganglion
T10-T11
lower GI tract :
ganglion:
viscerosomatics (SNS)
splenic flexure to rectum
Inferior mesenteric ganglion
T12-L2
Gerd parasympathetic
gerd sympathetic
biomechanical
OA
T5-T9/celiac ganglion
digaphrams
treatment for gerd
suppocitial release (OA)
celiac ganglion release- T5:T9
_ needs to reuled out or considered before OMM treatment
craniosyntosis
- sutures abnomrally formed: not a parallogram, required helment and possible surgery
plagiocephaly
positional flatettening
unilateral bald spot
lateral strain
associated with torticollis
brachycephaly
strain type?
head wider than long
flat back head
vertical/flexion strain
scaphocephaly
strain type
long narrow head
extension strain
treatment for plagiocephaly
suboccipital release
v spread
torticollis treatment
thoracic inlet- clavicles
suboccipital release- OA
left tight SCM in torticollis
SB left
rotate right
is the cranum ossified in school aged children?
are the sinuses formed
are the epiphyseal plates formed
yes, yes, no (still growin, growing pains)
treatment for URI
lymphatics- thoracic inlet, galbreath techniques
T1-T4
CN7
otitis media treatment
T1-T4 SNS
lymphatic
internally rotated temportal bone
same as URI
asthma treatment
C3-C5 diaphgram
Oa
T1-T12 (inhalation SD)- rib raising
viscerosomatic changes of asthma
T2-T6
constipation ganglia, viscerosomatic, PNS
inferior and superior mesenteric ganglion
S2-S4
T10-L2
treatment for constipation
sacral rock
innominated fuse by?
20
sacrum fuses?
late adolescens