Viscerosomatic and Chapmans reflexes

Question 1

Spinal cord gray matter fibers and their corresponding parts?

a) Layers 3,4
b) layers 1 and 5alpha
c) layer 2

Answer 1

a) mechanoreceptors
b) fast pain fibers
c) slow pain fibers (small C fibers)

Question 2

Afferent visceral signals from damages/dysfunctional viscera cause…

Answer 2

somatic musculoskeletal issues which can then again reflexively alter visceral function!

Question 3

Nociception Theory

Answer 3

A stimulus activates nociceptive pathways, peptides are released in peripheral tissues that cause inflammation (prostaglandins etc). The inflammation lowers nociceptive thresholds increasing pain sensitivity in the affected area and larger than normal outputs to autonomics
FACILITATION

Question 4

Allostasis

Answer 4

The body balancing multiple effects on its systems that affect homeostasis. Strikes a balance between habituation, sensitization and facilitation

Question 5

Viscerosomatic

Answer 5

localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures
Heart attack and arm pain

Question 6

Viscerovisceral

Answer 6

localized visceral stimuli producing patterns of reflex response in segmentally related visceral structures
Gas cramps

Question 7

Chapman’s Reflexes Definition

Answer 7

A group of palpable points occurring in a predictable location on the surfaces of the body that are considered to be reflexions of visceral dysfunction or disease
Used by Frank Chapman but described by Charles Owens

Question 8

Chapman’s Reflexes Definition

Answer 8

A group of palpable points occurring in a predictable location on the surfaces of the body that are considered to be reflexions of visceral dysfunction or disease
Used by Frank Chapman but described by Charles Owens

Question 9

Gangliform Contractions

Answer 9

believed to be congestions within fascia due to lymph stasis secondary to visceral dysfunction
small smooth, firm nodule with paired anterior and posterior points (usually) anout 2-3mm in diameter that may be confluent

Question 10

Dx/Treating a Chapmans Reflex

Answer 10

Palpate the gangliform, and apply gentle but firm pressure. Pt will feel sharp, and non-radiating. Rotate finger clockwise and counterclockwise to move lymphatic material underneath for 10-30 seconds. Should be a corresponding point of the posterior aspect of the body used for confirmation

Question 11

Contraindications for using CR

Answer 11

Patient needs emergent care, patient refusal, fracture, cancer, and other patient instability