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OS Final Fall 1 > Viscerosomatic and Chapman's Reflexes > Flashcards

Viscerosomatic and Chapman's Reflexes Flashcards

1
Q

SC Gray Matter Layers

  • Upper
  • Lower
A 
-Upper
Layer 1,5: alpha delta fibers (fast pain)
Layer 2: small c fibers (slow pain)
Layer 3,4: mechanoreceptors
-Lower: MN cell bodies and interneurons
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2
Q

Sensitization

A

-when stimulus repeated, response to stimulus grows until there is a stable response level

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3
Q

Habituation

A

-decrease response with a continuous stimulation

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4
Q

Facilitation

A

maintenance of pool of neurons in state of subthreshold–> less afferent stimulus required to trigger impulse

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5
Q

Cause of Facilitation

A
  • stimulus strong enough to depolarize nociceptive path, impulses travel to cord and branch
  • release of peptides at MN and initiate inflammation–> lowers threshold and increases input to cord
  • inflammation disrupts balance between sensitization and habituation–> larger motor outputs to ANS and somatic
  • no nociceptors in brain and hyaline cartilage
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6
Q

Steps for Increasing Sensitivity of Neurons

A
  • ST sensitization: 1-2 sec afferent input 90-120 sec excitability
  • LT sensitization: several min input, hours of excitability
  • Fixation: 15-40 min input, days/weeks excitability
  • Permanent Excitability: forever, death of inhibitory interneurons
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7
Q

Facilitated Segment Concept

A

low threshold spinal reflexes with hyper-excited pathways being inputted

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8
Q

Allostasis

A

primary: hyperalgesia exaggerated response
secondary hyperalgesia develops
Dorsal Horn Neurons: lose inhibitory neuron function, Ca channel opens, aids in facilitation
Ventral Horn: outflows to autonomics (visceral function) and soma (TART findings)
Brainstem: decrease endogenous descending path
Arousal system releases glucocorticoids and catecholamines, and long term facilitation damages system–> loss of protective mech

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9
Q

Somatosomatic Reflex

A
  • cut finger and now protect finger because whole finger affected
  • Withdrawal response to pain, myostatic reflex
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10
Q

Somatovisceral Reflex

A
  • Somatocardiac: possibly more nociceptors increase HR and BP
  • Somatogastric: inhibition of peristalsis
  • Somatoadrenal: release of catecholamines from adrenal medulla
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11
Q

Viscerosomatic Reflex

A
  • feeling on soma associate with something going inside

- ex. pain in upper back early sign of heart attack

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12
Q

Viscerovisceral Reflex

A
  • gut reflex back to gut
  • distention of gut–> increase gut muscle contraction
  • afferents flow into SC and produces outflow to ANS MN
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13
Q

ENT Viscerosomatic Reflex

Head/Neck

A

Sympathetics

T1-T5

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14
Q

GI Viscerosomatic Reflex

A 
Sympathetics
-Upper GI T5-T10
-SI/Ascending Colon T9-T11
-Ascending Colon and Transverse Colon T10-T12
-Descending and Sigmoid T12-L2
Parasympathetics
-Upper GI Vagus
-SI/Ascending Colon Vagus
-Ascending Colon and Transverse Colon Vagus
-Descending and Sigmoid S2-S4
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15
Q

Extremities Upper/Lower Viscerosomatic Reflex

A

Sympathetics
Upper T2-T7
Lower T11-L2

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16
Q

Cardiovascular Viscerosomatic Reflex

A

Sympathetics
-Heart T1-T6
Parasympathetics
-Heart Vagus

17
Q

Pulmonary Viscerosomatic Reflex

A

Sympathetic
-Lungs T1-T7
Parasympathetics
-Lungs Vagus

18
Q

OB/GYN Viscerosomatic Reflex

A

Sympath
Gentiourin T10-L2
Parasympath
Repro organs, pelvis S2-S4

19
Q

Urology Viscerosomatic Reflex

A 
Sympath
Gentiourin T10-L2
Ureter-Upper T10-T11
Parasym
Upper Ureter Vagus
Bladder S2-S4
Lower Ureter S2-S4
Repro Organs S2-S4
20
Q

Components of Chapman’s Reflex

A
  1. Viscerosomatic Reflex
  2. Gangliform contraction
  3. tender points NEED BOTH ANTERIOR AND POSTERIOR TO DIAGNOSE
21
Q

Chapman’s Pulmonary System (Pneumonia)
Bronchus
Upper Lung
Lower Lung

A

Bronchus 2nd ICS, b/l TP2
Upper Lung 3rd ICS, b/l b/w TP3 TP4
Lower Lung 4th ICS, b/l b/w TP4 TP5

22
Q 
Chapman's GI System (GI Endoscopic FIndings)
Esophagus 
Liver
GB 
Pancreas 
SI 
Appendix
Pylorus 
Stomach Acidity 
Stomach 
Spleen 
R IT band area 
L IT band area
A 
Esophagus b/l 2nd ICS, b/l T2
Liver R 5th ICS, R b/w T5 T6
GB R 6th ICS, b/l b/w T5 T6
Pancreas R 7th ICS, R b/w T7 T8
SI R 8th-10th ICS b/l Upper blw T8 T9 , Middle T9 T10 Lower T11 T12
Appendix R 12th rib tip
Pylorus sternal
Stomach Acidity L 5th ICS, L b/w T5 T6
Stomach L 6th ICS
Spleen L 7th ICS, L b/w T7 T8
R IT band area Ascending colon
L IT band area Descending colon

OS Final Fall 1 (3 decks)

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