Reproductive lab

Question 1

orgasm autonomics

Answer 1

sympathetics
via inferior mesenteric ganglion
lumbar splanchnic N (L1,2)

Question 2

erection and innervation

Answer 2

Pudendal N. (S2,3,4)- somatic
Pelvic splanchnic n. (S2,3,4)- parasympathetic

vasodilation is important; HTN and diabetes can interfere

Question 3

sexual function and paralysis

Answer 3

still totally capable as the loop is just through the spinal cord

Question 4

tobacco and vasculature

Answer 4

constricts

Question 5

methamphetamine and vasculature

Answer 5

constricts

Question 6

erectile dysfunction and anti-hypertensives

Answer 6

all of them interfere except ACE inhibitors

Question 7

osteopathic tenets

Answer 7

body unit
structure function
self-healing/ regulating
rational treatment

Question 8

ejaculation and innervation

Answer 8

lumbar splanchinc n. via hypogastric n. (symp) to vas. and seminal vesicles

Question 9

Lymphatics for sexual dysfunction

Answer 9

Pelvic Diaphragm (passive)
Thoracic Diaphragm (active)

Question 10

Anterior Chapman: Ovaries/Testes

Answer 10

Sup Pub Bone

Question 11

Anterior Chapman: Prostate

Answer 11

Post Margin ITB

Question 12

Viscerosomatic facilitation for erectile dysfunction other than chapman points

Answer 12

L1-2
Sacrum
Inferior Mesenteric Ganglion (T12-L2)

Question 13

Supine Lumbar ME

Answer 13

Patient supine with knees bent
Rotation: Knees L or R
Sidebend: Feet L or R
Standard ME cycle

Question 14

to flex lumbar vertebra in supine position

Answer 14

take it cephalad.

to extend, take it caudad

Question 15

Pelvic Diaphragm Redoming

Answer 15

Patient Supine knees bent
Fingers in ipsilateral IRF on pelvic diaphragm
Patient contracts pelvic floor, ME cycle
Perform bilaterally

Question 16

sympathetics and pain threshold

Answer 16

increased sympathetics decreases pain tolerance

Question 17

Structural dysfunction

- dysmenorrhea

Answer 17

Lymphatic and venous congestion

Question 18

treating junctional areas to target diaphragms and improve fluid motion

Answer 18

Thoracolumbar junction
Lumbosacral junction
Abdominal & Pelvic diaphragms

Question 19

Visceral irritation (dysmenorrhea) causes reflex changes at

Answer 19

Thoraco-lumbar junction (TLJ) 
Lumbosacral junction (LSJ)
Sacrum/sacroiliac joints (SIJ)

Question 20

Presacral Release, Direct/Indirect indications/ contraindications

Answer 20

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

Question 21

Presacral Release,

Answer 21

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

Question 22

Sacral Rocking

Answer 22

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

Question 23

Marian Clark Drainage

Answer 23

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.