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OPP Chapter 5
Question | Answer |
---|---|
______ pathology is reflected along the spine as somatic dysfunction | Visceral. This is viscerosomatic reflexes. |
what are somatovisceral reflex signals carried on to reach the spinal cord | somatosensory nocioceptive neurons. (from a primary somatic dysfunction). |
What neurons are responsible for the refered pain from the viscerosomatic or somatovisceral reflex at the spinal cord level? | internuncial neurons. can become over loaded and over stimulated leading to refered pain long a derma or myotome. |
is there a disctinctive restrictive barrier created with somatic dysfunction due to viscerosomatic reflex? | NO |
How are the intensity of palpated pain and the causitive visceral pathology related in viscerosomatic relfex? | Directly proportional. **Viscerosomatic pain is best identified by palpation |
What are Chapman's reflexes? | pinpoint, non-radiating tenderness found in soft tissue, deep fascia or periosteum that can be used to recognize viscerosomatic reflex. **effect of SNS dysfunction upon segmentally related lymph vasculature. |
Red reflex | prolonged vasomotor reaction to tactile stimulation resulting in erythema. 1.Inc sweating. 2.Inc skin drag. 3.Tissue texture change (edema of interstitium) |
What can be used to confirm paraspinal viscerosomatic reflexes? | CHAPMAN'S POINTS. **They are paired anteriorly and posteriorly. |
Chapman's points associated with upper respiratory tract: Nasal Sinuses | Bilaterally, 7-9cm lateral to sternum on upper second rib. |
Chapman's points associated with upper respiratory tract: Pharynx | Bilaterally, on 1st rib 3-4cm medial to where 1st rib merges with clavicle. |
Chapman's points associated with upper respiratory tract: Larynx | Bilaterally, 5-7cm lateral to sternocostal junction on 2nd rib. |
Chapman's points associated with upper respiratory tract: Tonsils | Anterior: b/w 1st and 2nd rib adjacent to the sternum. Posterior: C1 b/w spinous and transverse processes. |
Chapman's points associated with upper respiratory tract: Middle ear | Anterior: superior anterior aspect of clavicle, just lateral to where they cross 1st rib. Posterior: tips of transverse processes C1 |
Chapman's points associated with upper respiratory tract: Eye | Anterior: Anterior humerus along surgical neck. Posterior: squamous portion of occipital bone below superior nuchal line. |
Autonomic innervation: Head & Neck | Symp: T1-T4. ParaSymp:Vagus. |
Autonomic innervation: Cardiovascular | Symp:T1-T5. Parasymp:Vagus |
Autonomic innervation: Respiratory | Symp: T2-T7. Parasymp:Vagus |
Autonomic innervation: Stomach, liver, gall bladder | Symp:T5-T9. Parasymp:Vagus |
Autonomic innervation: small intestine | Symp:T9-T11. Parasymp:Vagus |
Autonomic innervation: Testicles & ovaries | Symp:T9-T10. Parasymp:S2-S4 |
Autonomic innervation: Kidney, ureters, bladder | symp: T10-T11. Parasymp:S2-S4 |
Autonomic innervation: Large intestine | symp:T8-L2. parasymp: Vagus (ascending colon), S2-S4 for everything else. |
Autonomic innervation: Uterus | symp:T10-T11. Parasymp: S2-S4 |
3 things a positive Champman's point could indicate | 1.Congestion with or without inflammation. 2.Dilation or spasm of a hollow viscus. 3.Mass Lesion. **Usually tender (unless chronic) |
Wilson's Rule: a negative (non-tender) Chapman's point, by itself, indicates what? | NOTHING |
Which Chapman's points should be treated: Anterior or Posterior? | POSTERIOR, b/c anterior points are often sensitive and uncomfortable. |
Treatment of Champman's points | Light rotatory massage with fingertip for 10-30sec. **Treat 2-3X per day. |
Chapman's points: Upper lung | Anterior: Medial 3rd ICS. Posterior:T3 transverse process. |
Chapman's points: Lower lung | Anterior: Medial 4th ICS. Posterior:T4 transverse process |
Chapman's points: Esophagus, thyroid, heart | Anterior:Medial 2nd ICS. Posterior:T2 transverse process. |
Chapman's points: Pyloris | Anterior: Midline of body of sternum. Posterior: T9 transverse process. |
Chapman's points: Stomach acidity | Ant: L medial 5th ICS. Post: L T5 transverse process. |
Champman's points: Liver | Ant: R medial 5th & 6th ICS. Post: R T5 & T6 transverse process |
Chapman's points: Gall bladder | Ant: R medial 6th ICS. Post: R T6 transverse process. |
Chapman's points: Pancreas | Ant: R medial T7 ICS. Post:R T7 transverse process. |
Chapman's points: Spleen | Ant: L medial 7th ICS. Post: L T7 transverse process. |
Chapman's points: stomach peristalsis | Ant: L medial 6th ICS. Post: L T6 transverse process |
Chapman's points: Appendix | Ant: tip of rib 12. Post:R T11 transverse process. |
Chapman's points: Bladder | Ant: Periumbilical. Post:L2 transverse process |
Chapman's points: Kidneys | Ant: 1" lateral & 1" superior to umbilicus. Post:L1 transverse process. |
Chapman's points: Adrenals | Ant: 1" above kidney chapman's point. Post:T11 transverse process. |
Chapman's points: Ovaries | Ant: pubic tubercles. Post: T10 transverse process. |
Chapman's points: Urethra | Ant: Pubic tubercles. Post:L3 transverse process. |
Chapman's points: Rectum | Ant: Lesser trochanter. Post: Lateral aspect of midline sacrum. |
Chapman's points: Colon | Ant: Anterior IT band. Post: L2-L4 transverse proceses. |
Chapman's points: Prostate, Broad ligament | Ant: Lateral IT band. Post: PSIS. |