Reproductive system CIS Flashcards
Nerves for erection
Pudendal N- S2,3,4 (somatic)
Pelvic Splanchnic N- S2,3,4 (Parasympathetic)
Nerves for Orgasm
Lumbar Splanchnic N. L1,2 (sympathetic)
Nerves for Ejaculation
Lumbar Splanchnic N via hypogastric N (sympathetics) to Vas and Seminal vesicles
What promotes lymphatic flow?
- Pelvic diaphragm (active)
- Thoracic diaphragm (passive)
Anterior chapman point of prostate
Posterior margin if ITB
Anterior chapman point of ovaries/testes
Supra pubic bone
Other facilitation in erection
L1-2
Sacrum
Inferior Mesenteric Ganglion
Supine lumbar ME
Patient supine with knees bent
- Rotation: knees L or R
- Sidebend: feet L or R
Standard ME cycle
Pelvic Diaphragm Redoming
Patient supine with knees bent
- Fingers in ipsilateral Ischial Rectal Fossa on pelvic diaphragm
- Pt contracts pelvic floor, ME cycle
- Perform B/L
Congestive stage
- Poor drainage from legs
- Greater volume
- Ball-valve effect
- Impaired diaphragmatic motion
- Volume of abdomen
Treat: sacral, lumbar, thoracic, cervical
Useful techniques for pregnant woman in congestive stage
- SI joint articulation
- Supine sacral MET
Structure and function dysfunctions in dysmenorrhea
structural dysfunction: lymphatic and venous congestion- impedes the ability of the pelvic cavity to drain vascular and lymphatic fluids causing edema
Treat junctional areas to target diaphragms and improve fluid motion:
- Thoracolumbar junction
- Lumbosacral junction
- Diaphragms
Viscerosomatic dysfunction in dysmenorrhea
Visceral irritaiton causes reflex changes at the:
- Thoraco-lumbar junction
- Lumbosacral junction
- Sacrum/sacroiliac joints
Lumbo-sacral junction HVLA
- Evaluate for LSJ rotation
- Place pt on side with rotation side up
- Isolate to the LSJ from below and above
- Log roll to gain mechanical advantage
- Thrust into the barrier
- Recheck your findings
Sacral rocking
Effective for fluid mobilization.
Takes the sacral base anteriorly into the “extension phase” of the craniosacral mechanism which is equivalent to performing a CV4 cranial technique.
Improves pt’s parasympathetic outflow to the involved organ
Reasons for impotence
Reduction of parasympathetic tone resulting in the impairment of erectile capabilities
Reduction of sympathetic activity resulting in dysfunctional ejaculation disorders
Hypersympathetic tone producing premature ejaculation could come from the facilitation of the thoracolumbar level, L1-2
Where is pain arising from fallopian tubes refer to?
Flank, iliac fossa, and down the anterior thigh to the knee
Where is uterine pain felt?
Thoracolumbar junction, abdomen, and occassionally the sacral region
What muscle may be a cause of anovulation?
Chronic psoas spasm
It is also reflective of the genitoiliopsoatic syndrome where chronic ovarian inflammation causes relfex psoas spasm
Why is there congestion in the pregnant pt?
More blood gets to the tissues than can be returned by the venous system- Therefore the lymphatic system is essential
What comprises the valveless venous system and how can it produce stress
The CNS, spinal cord, and bony vertebral column
The valveless system can produce patterns of flow which result in venous congestion in the tissues they are supposed to drain and decrease organ function
When does primary dysmenorrhea occur?
only with ovulatory cycles
How is the LS junction named when performing the pelvic roll
Named based on the position of ease.
If the left side of the pelvis lifts easier, inducing rotation to the right, then the LS junction is rotated right.
Articular technique for the sacroiliac joint AKA Zink airplace
Dysfunction: sacroiliac, ilosacral
- Have the patient in either the Sims’ position or on their side.
- Stand behind the patient and place one hand on the sacrum at S2.
- Grasp the top leg just below the knee and flex the knee and hip.
- Flex the hip up to the S2 level (palpate for motion at S2). Abduct the thigh until you feel a slight resistance.
- While maintaining abduction, circumduct and extend the leg allowing it to fall off the table at the end of extension. Take up slack during the entire motion. Respiratory cooperation may be added with the patient holding their breath during this maneuver.
- Repeat on the opposite side.
- This technique may also be used to mobilize a Type II Non-Neutral SD in the lumbar spine. Have the patient lie with the side of the rotated transverse process down, have them hug the table in the Sim’s position. Flex the patient’s top lower extremity until motion is palpated at the dysfunctional segment. The rest of the treatment is the same as the SI joint technique.
