Visceral OMT Flashcards

1
Q

In what direction are the viscera typically moved for fascia balance?

A

They are moved towards their fascial attachment

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2
Q

3 major indications for Large Intestine Visceral OMT?

A

Constipation, IBS, and viscerosomatic reflex findings

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3
Q

What are 3 relative contraindications for Large Intestine Visceral OMT?

A

Peritonitis, colon obstruction, and recent abdominal surgery

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4
Q

What 3 parts of the colon are retroperitoneal?

A

Ascending, descending, and sigmoid.

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5
Q

What two structures are anterior to each kidney?

A

Ascending and descending colon

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6
Q

What organs are considered upper GI, what is the cord level of those organs, which splanchnic nerve, which ganglia, and what is the parasympathetic innervation?

A

Distal esophagus, stomach, duodenum, liver, gallbladder, spleen, and parts of pancreas. T5-9. Greater splanchnic. Celiac. Vagus.

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7
Q

What are the middle GI organs, cord level, splanchnic nerve, ganglia, and parasympathetic innervation?

A

Distal duodenum, small intestine, ascending colon, proximal transverse, kidneys and adrenal glands. T10-11. Lesser splanchnic. Superior mesenteric. Vagus.

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8
Q

Lower GI organs, cord level, splanchnic, ganglia, and parasympathetic innervation?

A

Distal transverse colon, descending colon, sigmoid colon, rectum, lower ureters, bladder and pelvic organs. T12-L2. Least splanchnic. Inferior mesenteric. Sacral splanchnic s2-s4.

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9
Q

Say the anterior Chapman points

A

Ok

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10
Q

Where do we find the posterior Chapman points for the colon?

A

We start at the transverse processes of L2-L4 and make a triangle down to the iliac crest.

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11
Q

What is the patients position and physicians position for Collateral Ganglia Release? Include direction of force how the treatment is performed.

A

Patient is supine with knees bent. Physician directs a posterior gentle force at the feathers edge of the RB.

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12
Q

Explain how to do a Colon release? And what are the two goals of colon release?

A
  1. Enhance lymphatic and venous drainage.

2. Alleviate congestion secondary to visceral ptosis/dysfunction

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13
Q

What are the two treatment endpoints of treating Chapman Reflexes?

A

TART/Mass disappears or patient doesn’t tolerate it.

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14
Q

What are the 4 main indications for small intestine Visceral OMT?

A

Indigestion, delayed gastric emptying, cholestasis, and viscerosomatic reflexes

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15
Q

3 relative contraindications for small bowel visceral OMT?

A

Peritonitis, splenomegaly, and recent abdominal surgery

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16
Q

What is the order of mesenteric release?

A

SI Mesenteric Root, Cecum, Ascending, Transverse, Descending, and Sigmoid.

17
Q

What is the locations of the SI Root, Cecum, Ascending and Descending Colon, and Transverse colon.

A

1 inch lateral and inferior to umbillicus. Medial to the right ASIS. Both are posterolateral flank. Inferior to costal margin.

18
Q

3 indications for Liver Visceral OMT?

A
  1. Liver and Spleen Congestion
  2. CHF (especially right sided?
  3. Liver visceral dysfunction
19
Q

4 contraindications for Liver Visceral OMT?

A
  1. Fractures in the thorax
  2. Lymphatic system malignancy
  3. Acute hepatitis
  4. Friable hepatomegaly or splenomegaly as in sickle cell anemia
20
Q

How long do you do the liver pump for?

A

30-60 seconds

21
Q

How do you perform a liver pump with recoil activation?

A

Compress like the pump. Figure out indirect manner of flexion/extension, sidebending, rotation and stack it. Then have the patient take a few deep breaths and then at the start of inhalation, release the tissue like the thoracic pump one.