Visceral OMT Flashcards
impaired or altered mobility or motility of the visceral system and related fascial neurologic, vascular, skeletal and lymphatic elements
visceral dsyfunction
a system of diagnosis and treatment directed to the viscera to improve physiologic function
move them towards fascial attachments
visceral manipulation
ventral techniques
indicatinos for large intestine visceral OMT
constipatino
ibs
other functional disorders
viscerosomatic reflex findings
relative CI for large inetstine visceral OMT
peritonitis
colon obstruction
recent abdominal surgery
portions of LI that are retroperitoneal
ascending, descending and sigmoid colon
colon chapman reflexes are located
in a triangular area reahing from the transverse processes of L2-L4 reaching to the crest of the ilium
indications for SI visceral OMT
indigestion delayed gastric emptying cholestasis other functional disorders viscerosomatic reflex findings
relative CI for SI visceral OMT
peritonitis
splenomegaly
recent abdominal surgery
sympathetic innervation of stomach, duodenum, liver, gallbladder, pancreas and spleen
t5-T9
greater splachnic
celiac
parasympathetic innervation of stomach, duodenum, liver, gallbladder, pancreas and spleen
vagus n
sympathetic innervation of small bowel, proximal 2/3 of colon, kidneys, adrenals
T10-T11
lesser splachnic
superior mesenteric
parasympathetic innervation small bowel, proximal 2/3 of colon, kidneys, adrenals
vagus
sympathetic innervatino of distal 1/3 of colon, lower ureters, bladder, pelvic organs
T12-L2
least splachnic
inferior mesenteric
para = sacral splachnic S2-S4
ileocecal vavle, ascending colon, right 2/5 of transerse colon Chapmans reflexes
right IT band, in descending order
sigmoid colon, descending colon, left 3/5 of transverse colon
left IT band, in descending order
SI anterior and posterior chapman reflexes
anterior: 8th, 9th, 10th rib spaces on hte right
posterior: T8, T9, T10 between spinous and transverse processes
appendix chapman reflex
r 12th rib tip
indications for liver visceral OMT
passive congestion of liver and spleen CHF to improve host inmmunity parenchymal liver disease liver visceral dysfunction
CI for liver visceral OMT
fractures, dislocations in the thorax
lymphatic system malignancy
truamatic disruption of liver, spleen or adjacent organs
acute hepatitis
friabile hepatitis or splenomegaly in mononucleosis or sickle cell anemia
liver chapmans points anterior and posterior
anterior: liver - 5th ICS, gallbladder - 6th ICS
posterior: liver - T5-T6, gallbladder - T6-T7
sympathetic innervaiton of the liver
T5-T9, greater splachnic, celiac
para = vagus n