Viscerosomatic/Chapman's Flashcards

1
Q

What’s a reflex? myotactic reflex?

A

a. The common concept of the reflex is basically one of a relationship between an input stimulus to the body and an output action to either a muscle or a secretory organ
b. tonic contractions of the muscles in response to a stretching force due to stimulation of muscles receptors

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2
Q

What is the basis of activation of somatic muscle activity seen in visceral disturbances?

A

the overlap of visceral and somatic afferents

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3
Q

What is decompensation of homeostasis?

A

altered or impaired function thus becomes the basis for loss of health

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4
Q

What is habituation?

A

The process of decreasing response of a neural pathway with a continuous stimulation
Ubiquitous phenomenon

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5
Q

How are habituation and sensitization work together?

A

These two processes exist together to help maintain a homeostasis between over-reaction and under-reaction to a stimulus

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6
Q

What is pain?

A

conscious perception of nociception

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7
Q

What is the facilitated segment?

A

• Inflammation disrupts the balance between habituation and sensitization
Results in larger than normal motor outputs to the autonomics and somatic systems
This then is thought to set up the low-threshold spinal reflexes Korr and Denslow talked about:
THE FACILITATED SEGMENT

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8
Q

What is allostasis? central sensitization?

A
  1. long term neural effect of segmental facilitation

2. secondary hyperalgesia develops

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9
Q

What effects on the body can allostasis have?

A

CV – HTN, Increased risk of MI
Neuro – Depression, Anxiety, Memory loss, Decreased cognition
Immune – Immunosupression, autoimune disease

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10
Q

Somatosomatic

A

localized somatic stimuli producing patterns of reflex response in segmentally related somatic structures.

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11
Q

Somatovisceral

A

localized somatic stimulation producing patterns of reflex response in segmentally related visceral structures.

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12
Q

Viscerosomatic

A

localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures.

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13
Q

Viscerovisceral

A

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

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14
Q

Withdrawal response

A

A somatosomatic reflex response that occurs when a noxious stimulus is applied to a somatic structure.
 Complex withdrawal due to pain…

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15
Q

Myotatic response

A

The somatosomatic reflex response that occurs when a stretch receptor is stimulated and the stretched muscle receives the impulse to fire, while its antagonist receives an inhibitory message

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16
Q

Head/Neck (includes upper esophagus)

A

S: T1-5

17
Q

Upper GI (includes upper esophagus)

A

S: T5-10
P: Vagus n. (OA, AA)

18
Q

SI/AC

A

S: T9-11
P: Vagus n. (OA, AA)

19
Q

A/T Colon

A

S: T10-L2
P: Vagus n. (OA, AA)

20
Q

D/S Colon/Rectum

A

S: T12-L2
P: S2-4 (sacrum)

21
Q

UE/LE

A

S: UE T2-7
S: LE T11-L2

22
Q

Heart

A

S: T1-6
P: Vagus n. (OA, AA)

23
Q

Adrenals

A

S: T5-10
P: Vagus n. (OA, AA)

24
Q

Lungs

A

S: T1-7
P: Vagus n. (OA, AA)

25
Q

Genitourinary Tract (includes bladder)

A

S: T10-L2

Bladder P: S2-4 (sacrum)

26
Q

Ureter (upper)

A

S: T10-11
P: Vagus n. (OA, AA)

27
Q

Ureter (lower)

A

S: T12-L2
P: S2-4 (sacrum)

28
Q

Reproductive organs

A

P: S2-4 (sacrum)

29
Q

What are chapman’s reflexes?

A

A group of palpable points occurring in predictable locations on the anterior and posterior surfaces of the body that are considered to be reflections of visceral dysfunction or disease.

30
Q

What are the three components of Chapman’s Reflexes?

A

• Viscerosomatic reflex of both
diagnostic and treatment value
• Gangliform contraction that blocks lymphatic drainage and causes SNS dysfunction (neurolymphatic)
• A consistent reproducible series of points both anterior and posterior related to specific organs or conditions

31
Q

Palpatory Features of Chapman’s Reflexes

A
  • Located deep to the skin in the subcutaneous areolar tissue on deep fascia or periosteum
  • Paired anterior and posterior points in most cases
  • Small, smooth and firm nodule (boba tea pearls)
  • Approximately 2-3 mm in diameter • May be confluent
  • Dense but not hard
32
Q

What is the pain like in chapmans?

A
  • Pinpoint, Sharp and Non-radiating
  • Located under the physician’s finger tip
  • Pain is greater than is expected
  • Pt. is usually previously unaware of the sore spot.
33
Q

What are the contraindications of Chapman’s Reflexes?

A

• Anytime a patient needs emergent care the emphasis is always on Airway, Breathing & Circulation, not OMT.
• Patient refusal
• Relatively contraindicated with a fracture, cancer,
and other patient instability