Visceral OMT Flashcards

1
Q

Visceral dysfunction

A

impaired or altered mobility or motility of visceral system and related fascial, neuro, vascular, skeletal and lymphatic elements

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2
Q

Visceral manipulation

A

system of diagnosis and tx directed to viscera to improve physiologic fx

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3
Q

When did Charles Sherrington publish “The Integrative Action of the NS”

A

1905

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4
Q

Louisa Burns’ research

A

early in 1900s, showed that stimulation caused contraction and steady pressure inhibited contractions

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5
Q

Significance of somatovisceral neuro

A

neuro interconnection allows for adaptations when demands on body change

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6
Q

Viscerovisceral

A

neuro stimulation in one area, causes neuro stimulation in another

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7
Q

Viscerosomatic patterns discovered…

A

JN Eble in 1960

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8
Q

Viscerosomatic patterns

A

visceral structure excites somatic structure

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9
Q

visceral pain

A

diffuse and poorly localized and is often referred to somatic structures

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10
Q

Indications for visceral treatment

A

primary dysfx-trauma or disease

Secondary dysfx-automatic input changing visceral fx, structural changes that affect visceral support, chapman points

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11
Q

Contraindications for visceral treatment

A

patient unable to tolerate tx

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12
Q

Order of treatment for visceral OMT

A
  1. biomechanical
  2. neurologic
  3. lymphatics
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13
Q

Indications for large intestine visceral OMT

A

constipation, IBS, post injury, viscerosomatic reflex findings

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14
Q

Relative contraindications for large intestine visceral OMT

A

active infection, colon obstruction, recent abdominal surgery, splenomegaly

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15
Q

Portions of colon that are retroperitoneal

A

ascending, descending, sigmoid

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16
Q

The mesentary is continuous with…

A

parietal peritoneum

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17
Q

Location for sigmoid colon release

A

anteromedial of L pelvic brim with force towardRUQ

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18
Q

Location for descending colon release

A

L posterolateral flank with medial force

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19
Q

Location for transverse colon release

A

inferior to costal margin with inferior force

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20
Q

Location for ascending colon release

A

right posterolateral flank with medially directed force

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21
Q

Sympathetic innervation for proximal colon

A

Lesser splanchnic via superior mesenteric

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22
Q

Parasympathetic innervation for proximal colon

A

Vagus

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23
Q

Sympathetic innervation for distal colon

A

least splanchnic via inferior mesenteric

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24
Q

Parasympathetic innervation for distal colon

A

sacral splanchnic

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25
location of superior mesenteric ganglia
midway between xiphoid and umbilicus
26
location of inferior mesenteric ganglia
midway between superior mesenteric and umbilicus
27
Collateral ganglia release
force directed posteriorly and engages the "feather's edge" of restrictive barrier
28
Posterior Chapman reflexes for colon
triangular area reaching from TP of L2-4 reaching to crest of ilium
29
Treating Chapman reflexes
slow circular massage with medium to firm pressure for 10-30 seconds
30
Indications for small intestine visceral OMT
indigestion, delayed gastric emptying, cholestasis, functional disorders, viscersomatic reflex findings
31
relative contraindications for small intestine visceral contact OMT
splenomegaly, active infection, colon obstruction, recent abdominal surgery
32
Mesenteric root release
starts 1 inch inferior and lateral to umbilicus, ends at cecum, medial to right ASIS
33
Sympathetic innervation of duodenum
greater splanchnic
34
Sympathetic innervation small bowel
lesser splanchnic
35
SI chapman points anterior
R on 8th, 9th and 10th intercostal space
36
Spleen anterior chapman
L 7th ICS
37
Indications for liver visceral OMT
passive congestion, immune incompetence, parenchymal dz, capsule or suspension dysfx
38
Contraindications for liver visceral OMT
fractures or dislocations in thorax, lymph malignancy, traumatic disruption of liver or adjacent organs, acute hepatitis, friable hepatomegaly
39
Fascial attachments of liver
falciform ligament, coronary and triangular ligaments
40
Fascial attachments of liver
falciform ligament, coronary and triangular ligaments
41
Activating force of liver pump with recoil activation
release during early inhalation
42
Liver chapman point
R 5th ICS
43
GB chapman point
R 6th ICS
44
Indications for renal visceral OMT
renal failure, nephrolithiasis, cystitis, interstitial cystitis, incontinence, prostate or uterine disease, pelvic floor sx
45
Constipation effects on bladder
can cause reflexive bladder spasms, prevent complete emptying of gall baldder
46
Bladder ligaments in female
pubic fascia, broad ligament, psoas fascia, sacral fascia
47
Releasing external visceral strain
patient supine, one hand at lumbosacral junction and other hand on low abdomen
48
Sympathetic innervation of ureters, bladders, pelvic organs
least splanchnic
49
Parasympathetic innervation of ureters, bladders, pelvic organs
sacral splanchnic
50
Adrenal chapman reflexes
2" above and 1" lateral to umbilicus; between T11 and T12
51
Kidney/Ureters chapman reflexes
1" above and lateral to umbilicus; b/n L1 and T12, L1, L2
52
Bladder chapman reflexes
periumbilical or umbilical; superior edge L2
53
Urethra chapman reflex
inner edge pubic ramus, superior edge L2
54
Lymphatic drainage of low pelvis
external iliac
55
Psoas release
supine or prone muscle energy
56
QL lateral recumbent
proximal forearms on iliac crest and inferior shoulder
57
Motion restrictions for thoracic visceral strain
L/R, superior/inferior, sidebending, torque
58
Reduce visceral strain on kidney
palpate for kidney and treat with indirect fascial release
59
Spinal levels of celiac ganglion
T5-T9
60
Spinal levels of superior mesenteric
T10-T11
61
Spinal levels inferior mesenteric
T12-L2
62
Goal of rib raising
sympathetic inhibition
63
Goal of sub-occipital release
parasympathetic inhibition
64
Goal of sacral rocking
increase parasympathetic tone
65
Goal of sacral inhibition
decrease parasympathetic tone