Peds

Question 1

how is HVLA used in pediatric patients

Answer 1

often not used and is relatively contraindicated in those with hypermobile joints.

Question 2

Which techniques are most useful in young children

Answer 2

Articulatory
Myofascial release
FPR
Lymphatic 
BLT
Cranial treatment

Question 3

What are some of the complications associated with compression of the jugular foramen

Answer 3

Tongue motion (poor suck)
Intestinal peristalsis (Constipation, GERD, Colic)
SCM/Trap motion (torticollis)

Question 4

which cranial dysfunction affects the most cranial nerves

Answer 4

Temporal

Question 5

Which cranial dysfunction is most common

Answer 5

Occiput

CN XII, IX
CN X
CN XI

Question 6

At what age do the anterior fontanelles close

Answer 6

12-36 mo

Question 7

At what age do posterior fontanelles close

Answer 7

2-3 months

Question 8

as what age do sphenoid fontanelles close

Answer 8

6 mo

Question 9

at what age do mastoid fontanelles close

Answer 9

6-18 mo

Question 10

what percentage of infants showed cranial somatic dysfunction?

Answer 10

88%

compression of occiput most common

Question 11

What class of techniques are preferred in infants

Answer 11

indirect techniques

Question 12

describe the OS treatment of poor suck in infant

Answer 12

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

Question 13

what is plagiocephaly

Answer 13

parallelogram head (flat head syndrome)

associated with torticollis and lateral strain

Question 14

What is brachycephaly

Answer 14

head is wider than long, back of head is flat rather than curved

Vertical strain or flexion strain

Question 15

What is scaphocephaly

Answer 15

head is long and narrow

Extension strain

Question 16

What is the 2,5, and extended treatment for plagiocephaly

Answer 16

2 min - suboccipital release
5 min - Venous sinus release; V-spread to tight sutures
Extended - treat specific cranial dysfunctions

Question 17

What is the most common SD with otitis media

Answer 17

internally rotated temporal bone

Question 18

What are the sympathetics associated with otitis media

Answer 18

T1-T4

Question 19

What is the 2 and 5 minute treatment for otitis media

Answer 19

2 min - thoracic inlet release; Galbreath or Periauricular drainage

5 min - Thoracic inlet release; Galbreath or periauricular drainage; Rib raising

Question 20

What is the 2 and 5 minute treatment of torticollis

Answer 20

2 min - thoracic inlet release and Suboccipital release

5 min - thoracic inlet release, suboccipital release, cervical soft tissue

Question 21

What are the osteopathic areas of focus for treatment of children with URI

Answer 21

Lymphatics (thoracic inlet)
Sympathetic T1-T4
PArasympathetic CN7

Question 22

What are the areas of treatment for asthma

Answer 22

OA (be careful!)
Accessory muscles of respiration
C3-5 (diaphragm)
T1-12 and accompanying ribs

Question 23

What is the 2 and 5 minute treatment of lower respiratory problems

Answer 23

2 min - rib raising

5 min- rib raising/thoracic soft tissue, C3-5, suboccipital release

Question 24

What is the 2 and 5 minute treatment of the child with GERD

Answer 24

2 min - Suboccipital release & Celiac ganglion

5 min - Suboccipital release, Celiac ganglion, thoracic diaphragm release, T5-T9 release

add ganglion release to extended treatment

Question 25

if you have MSK complaint what should you ecvaluate

Answer 25

joint above and below complaint

Excercises!!!

Question 26

What should you use to treat constipation in kiddos

Answer 26

T10-L2
Superior and inferior mesenteric ganglion
Sacral rock! because THAT wont get you on a list.

Question 27

What is the 2 and 5 minute treatment of constipation

Answer 27

2 min - Sacral rock

5 min - sacral rock. T/L junction inhibitory pressure or lower rib raising, Superior and inferior mesenteric ganglion release