Reproductive lab Flashcards
orgasm autonomics
sympathetics
via inferior mesenteric ganglion
lumbar splanchnic N (L1,2)
erection and innervation
Pudendal N. (S2,3,4)- somatic
Pelvic splanchnic n. (S2,3,4)- parasympathetic
vasodilation is important; HTN and diabetes can interfere
sexual function and paralysis
still totally capable as the loop is just through the spinal cord
tobacco and vasculature
constricts
methamphetamine and vasculature
constricts
erectile dysfunction and anti-hypertensives
all of them interfere except ACE inhibitors
osteopathic tenets
body unit
structure function
self-healing/ regulating
rational treatment
ejaculation and innervation
lumbar splanchinc n. via hypogastric n. (symp) to vas. and seminal vesicles
Lymphatics for sexual dysfunction
Pelvic Diaphragm (passive) Thoracic Diaphragm (active)
Anterior Chapman: Ovaries/Testes
Sup Pub Bone
Anterior Chapman: Prostate
Post Margin ITB
Viscerosomatic facilitation for erectile dysfunction other than chapman points
L1-2
Sacrum
Inferior Mesenteric Ganglion (T12-L2)
Supine Lumbar ME
Patient supine with knees bent
Rotation: Knees L or R
Sidebend: Feet L or R
Standard ME cycle
to flex lumbar vertebra in supine position
take it cephalad.
to extend, take it caudad
Pelvic Diaphragm Redoming
Patient Supine knees bent
Fingers in ipsilateral IRF on pelvic diaphragm
Patient contracts pelvic floor, ME cycle
Perform bilaterally
sympathetics and pain threshold
increased sympathetics decreases pain tolerance
Structural dysfunction
- dysmenorrhea
Lymphatic and venous congestion
treating junctional areas to target diaphragms and improve fluid motion
Thoracolumbar junction
Lumbosacral junction
Abdominal & Pelvic diaphragms
Visceral irritation (dysmenorrhea) causes reflex changes at
Thoraco-lumbar junction (TLJ) Lumbosacral junction (LSJ) Sacrum/sacroiliac joints (SIJ)
Presacral Release, Direct/Indirect indications/ contraindications
Indications:
Enhance lymphatic drainage and relieve venous congestion in the lower abdomen, pelvic region, and lower extremities
Contraindications:
Acute abdominal incision, acute ischemic bowel disease, obstruction or similar condition
Presacral Release,
Patient supine, physician at side of patient
Physician makes a C shape with fingers
Places fingers and thumb downward in lower abdominal region just above ramus of pubic bone
Check for asymmetry in posterior, superior/inferior, clockwise/counterclockwise motions
Apply force in direct or indirect manner until meeting the ease or bind barriers
Hold position until physician palpates a release, follow the movement (fascial creep) to the new barrier and continue until no further improvement is detected
Sacral Rocking
Indications: Dysmenorrhea, pelvic congestion syndrome, sacroiliac dysfunction
Contraindications: Undiagnosed pelvic pain, pelvic malignancy
Technique:
The patient is prone, physician at side of table
Physician places cephalad hand with heel of hand at sacral base, fingers pointing toward the coccyx
Physician’s caudad hand reinforces the cephalad hand with fingers pointing in the opposite direction
Physician, keeping the elbows straight, exerts gentle pressure on the sacrum
Physician introduces a rocking motion to the sacrum synchronous with the patient’s respiration. Sacral extension occurs during inhalation, sacral flexion occurs during exhalation
Technique continued for several minutes
Marian Clark Drainage
Indications: Improve passive venous and lymphatic drainage from the lower abdomen and pelvis; helps to alleviate menstrual cramps
Semiprone on all fours with contact points: hands, elbows, knees
Physician at side of patient, facing foot of table
Physician hooks pads of fingers medial to both ASISs
Physician pulls cephalad
Physician continues abdominal traction and the patient can be instructed to arch the back like a cat
Physician encourages this movement along with a cephalad rocking of the body
Slow rocking movement repeated for several minutes. May be used as an exercise for home.
