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(OMS2) OS III Midterm > Visceral OMT > Flashcards

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
Q

location of superior mesenteric ganglia

A

midway between xiphoid and umbilicus

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26
Q

location of inferior mesenteric ganglia

A

midway between superior mesenteric and umbilicus

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27
Q

Collateral ganglia release

A

force directed posteriorly and engages the “feather’s edge” of restrictive barrier

28
Q

Posterior Chapman reflexes for colon

A

triangular area reaching from TP of L2-4 reaching to crest of ilium

29
Q

Treating Chapman reflexes

A

slow circular massage with medium to firm pressure for 10-30 seconds

30
Q

Indications for small intestine visceral OMT

A

indigestion, delayed gastric emptying, cholestasis, functional disorders, viscersomatic reflex findings

31
Q

relative contraindications for small intestine visceral contact OMT

A

splenomegaly, active infection, colon obstruction, recent abdominal surgery

32
Q

Mesenteric root release

A

starts 1 inch inferior and lateral to umbilicus, ends at cecum, medial to right ASIS

33
Q

Sympathetic innervation of duodenum

A

greater splanchnic

34
Q

Sympathetic innervation small bowel

A

lesser splanchnic

35
Q

SI chapman points anterior

A

R on 8th, 9th and 10th intercostal space

36
Q

Spleen anterior chapman

A

L 7th ICS

37
Q

Indications for liver visceral OMT

A

passive congestion, immune incompetence, parenchymal dz, capsule or suspension dysfx

38
Q

Contraindications for liver visceral OMT

A

fractures or dislocations in thorax, lymph malignancy, traumatic disruption of liver or adjacent organs, acute hepatitis, friable hepatomegaly

39
Q

Fascial attachments of liver

A

falciform ligament, coronary and triangular ligaments

40
Q

Fascial attachments of liver

A

falciform ligament, coronary and triangular ligaments

41
Q

Activating force of liver pump with recoil activation

A

release during early inhalation

42
Q

Liver chapman point

A

R 5th ICS

43
Q

GB chapman point

A

R 6th ICS

44
Q

Indications for renal visceral OMT

A

renal failure, nephrolithiasis, cystitis, interstitial cystitis, incontinence, prostate or uterine disease, pelvic floor sx

45
Q

Constipation effects on bladder

A

can cause reflexive bladder spasms, prevent complete emptying of gall baldder

46
Q

Bladder ligaments in female

A

pubic fascia, broad ligament, psoas fascia, sacral fascia

47
Q

Releasing external visceral strain

A

patient supine, one hand at lumbosacral junction and other hand on low abdomen

48
Q

Sympathetic innervation of ureters, bladders, pelvic organs

A

least splanchnic

49
Q

Parasympathetic innervation of ureters, bladders, pelvic organs

A

sacral splanchnic

50
Q

Adrenal chapman reflexes

A

2” above and 1” lateral to umbilicus; between T11 and T12

51
Q

Kidney/Ureters chapman reflexes

A

1” above and lateral to umbilicus; b/n L1 and T12, L1, L2

52
Q

Bladder chapman reflexes

A

periumbilical or umbilical; superior edge L2

53
Q

Urethra chapman reflex

A

inner edge pubic ramus, superior edge L2

54
Q

Lymphatic drainage of low pelvis

A

external iliac

55
Q

Psoas release

A

supine or prone muscle energy

56
Q

QL lateral recumbent

A

proximal forearms on iliac crest and inferior shoulder

57
Q

Motion restrictions for thoracic visceral strain

A

L/R, superior/inferior, sidebending, torque

58
Q

Reduce visceral strain on kidney

A

palpate for kidney and treat with indirect fascial release

59
Q

Spinal levels of celiac ganglion

A

T5-T9

60
Q

Spinal levels of superior mesenteric

A

T10-T11

61
Q

Spinal levels inferior mesenteric

A

T12-L2

62
Q

Goal of rib raising

A

sympathetic inhibition

63
Q

Goal of sub-occipital release

A

parasympathetic inhibition

64
Q

Goal of sacral rocking

A

increase parasympathetic tone

65
Q

Goal of sacral inhibition

A

decrease parasympathetic tone

(OMS2) OS III Midterm (7 decks)

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