Peds Flashcards
how is HVLA used in pediatric patients
often not used and is relatively contraindicated in those with hypermobile joints.
Which techniques are most useful in young children
Articulatory Myofascial release FPR Lymphatic BLT Cranial treatment
What are some of the complications associated with compression of the jugular foramen
Tongue motion (poor suck) Intestinal peristalsis (Constipation, GERD, Colic) SCM/Trap motion (torticollis)
which cranial dysfunction affects the most cranial nerves
Temporal
Which cranial dysfunction is most common
Occiput
CN XII, IX
CN X
CN XI
At what age do the anterior fontanelles close
12-36 mo
At what age do posterior fontanelles close
2-3 months
as what age do sphenoid fontanelles close
6 mo
at what age do mastoid fontanelles close
6-18 mo
what percentage of infants showed cranial somatic dysfunction?
88%
compression of occiput most common
What class of techniques are preferred in infants
indirect techniques
describe the OS treatment of poor suck in infant
NO Allison it isn’t abortion!!!!
2 min treatment: suboccipital release and condylar decompression
5 min treatment: venous sinus release, sub occipital release condylar decompression
what is plagiocephaly
parallelogram head (flat head syndrome)
associated with torticollis and lateral strain
What is brachycephaly
head is wider than long, back of head is flat rather than curved
Vertical strain or flexion strain
What is scaphocephaly
head is long and narrow
Extension strain
What is the 2,5, and extended treatment for plagiocephaly
2 min - suboccipital release
5 min - Venous sinus release; V-spread to tight sutures
Extended - treat specific cranial dysfunctions
What is the most common SD with otitis media
internally rotated temporal bone
What are the sympathetics associated with otitis media
T1-T4
What is the 2 and 5 minute treatment for otitis media
2 min - thoracic inlet release; Galbreath or Periauricular drainage
5 min - Thoracic inlet release; Galbreath or periauricular drainage; Rib raising
What is the 2 and 5 minute treatment of torticollis
2 min - thoracic inlet release and Suboccipital release
5 min - thoracic inlet release, suboccipital release, cervical soft tissue
What are the osteopathic areas of focus for treatment of children with URI
Lymphatics (thoracic inlet)
Sympathetic T1-T4
PArasympathetic CN7
What are the areas of treatment for asthma
OA (be careful!)
Accessory muscles of respiration
C3-5 (diaphragm)
T1-12 and accompanying ribs
What is the 2 and 5 minute treatment of lower respiratory problems
2 min - rib raising
5 min- rib raising/thoracic soft tissue, C3-5, suboccipital release
What is the 2 and 5 minute treatment of the child with GERD
2 min - Suboccipital release & Celiac ganglion
5 min - Suboccipital release, Celiac ganglion, thoracic diaphragm release, T5-T9 release
add ganglion release to extended treatment
if you have MSK complaint what should you ecvaluate
joint above and below complaint
Excercises!!!
What should you use to treat constipation in kiddos
T10-L2
Superior and inferior mesenteric ganglion
Sacral rock! because THAT wont get you on a list.
What is the 2 and 5 minute treatment of constipation
2 min - Sacral rock
5 min - sacral rock. T/L junction inhibitory pressure or lower rib raising, Superior and inferior mesenteric ganglion release
