WVSOM -- OPPI

Description:	Manipulation for Systemic Dysfunction
Category:	Osteopathic Principl
Created by:	null on 2008-11-06

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