| Question | Answer |
| How is OMT used for routine care for treatment of visceral disease? | as a complimentary treatment |
| Sympathetic inervation of the head and neck | T1-T4 |
| Cardiovascular sympathetic innervation | T1-T5 |
| Respiratory sympathetic innervation | T2-T7 |
| Stomach, liver and gall bladder sympathetic innervation | T5-T9 |
| What is important about the posterior Horn neurons and OMT? | There is a lot of cross talk |
| Small intestine Sympathetic Innervation | T9-11 |
| Ovary and Testicle sympathetic innervation | T9-10 |
| Kidney, ureter and bladder sympathetic innervation | T10-11 |
| Large intestine sympathetic innervation | T8-L2 |
| Uterus sympathtic innervation | T10-11 |
| Spine sign for heart disease | doughy tissue texture changes at T1-T5 due to lymphatic congestion |
| Prostate sympathetic innervation | L1-2 |
| Location of diagnosis of spinal reflexes associated with sympathethic nervous system. | Thoracic and lumbar |
| What is the typical somatic dysfunction found with the systematic nervous system. | Commonly Type 2 somatic dysfunction |
| TART criteria for SNS | Tissue texture changes
Red reflex
Chapman's Reflexes |
| Chapman's Points | tender nodules along sympathetic dermatomes
associated with specific organ dysfunctino |
| Diagnosis of abdominal plexus tension | Celiac
Superior mesenteric
Inferior mesenteric |
| Normalizing autonomic tone | treatment of type 2 spinal somatic dysfunction
rib raising
abdominal plexus release
Chapman's Point stimulation |
| Rib Raising | Stretches the connective tissue around the sympathetic chain ganglia that causes an effect. First is an up-regulation of sympathetic followed by a down regulation |
| What is normally seen with treatment of parasympathetics? | First a down regulation then an up regulation |
| Treatment of sympathetic component of bowel dysfunction | Push posterioroly into celiac, superior mesenteric, or inferior mesenteric ganglion.
Hold until tissue release, about 10-20 seconds. |
| When is treatment of bowel dysfunction contraindicated? | Ganglion inhibition is contraindicated in patients with peritonitis, bowel obstruction |
| Head and neck PNS | Vagus |
| Cardiovascular PNS | Vagus |
| Respiratory PNS | Vagus |
| Treatment of parasympathtic component of visceral disease | upper cervical soft tissue
sacral rocking |
| Stomach, liver, gall bladder PNS | vagus |
| Small intestine PNS | vagus |
| Ovary, testicle PNS | S2-S4 |
| Kidney, ureter, bladder PNS | S2-S4 |
| Large intestine PNS | Vagus, S2-S4 |
| Uterus | S2-S4 |
| Ileus | bowel shuts down and fills up with air |
| Prostate | S2-S4 |
| Lymphatic Pumps | Thoracic Pump
Pectoral Traction
Pedal pump |
| Ventral Techniques | Mesenteric Lifts
Organ pumps/recoil |
| What is located in the mesentary? | Intestinal nerves, arteries, veins and lymphatics |
| What do mesenteric lifts do? | passively shorten a mesentery to reduce tension, normalize autonomics, and improve circulation and drainage |
| What are the 3 mesenteric lifts? | Descending colon lifted toward umbilicus
Transverse colon lifted toward epigastric area
Ascending colon lifted toward umbilicus |
| Barral Abdominal Sphincter Release | Direct or indirect myofascial release for fascial rotation restriction over sphincter |
| Indications for Barral Abdominal Sphincter Release | Hiatal hernia
Gastroesophageal reflux
Cholestasis
Malabsorption
Diarrhea |
| Diagnosis to use Barral Abdominal Sphincter Release | fascial rotation restriction over sphincter |
| What four areas do you do myofascial release for Barral Abdominal Sphincter Release? | Pyloric sphincter
Hepatopancreatic sphincter (Oddi)
Duodenojejunal junction
Ileocecal valve |
| Sympathetic treatments for normalization | Rib raising
Abdominal ganglion inhibition
Chapman’s point stimulation |
| Parasympathetic normalization | Suboccipital inhibition or other upper cervical treatment
Sacral rocking or other sacral treatment |
| Lymphatic treatment | Thoracic pump
Pectoral traction
Pedal pump
Effleurage |
| Organ treatment | Organ pumps
Visceral manipulation |
