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OMM cardio/pulm
OMM cardio pulm chapman OMS2 Exam 1
| Question | Answer |
|---|---|
| Chapman myocardial reflex, anterior | 2nd intercostal space at sternal border (B/L) |
| Chapman myocardial reflex, posterior | T2 and T3, between spinous and transverse process (B/L) |
| Chapman adrenal reflex, anterior | Lateral aspect of rectus abdominus, at inferior costal margin (B/L) |
| Chapman adrenal reflex, posterior | T11 and T12, between spinous and transverse process (B/L) |
| Scoliosis at ____ degrees compromises CV funvtion | 60 to 75 |
| Kyphosis at ____ degrees compromisises CV function | 60 or more |
| Flattening of thoracic kyphosis or postural crossovers results in _____ | Tachyarrythmia |
| Triggerpoint in _____ muscle initiates/perpetuates _______ | R. Pec major, supraventricular tachyarrhythmia |
| Sympathetic innervation of the heart, levels | T1 to T6, L side dominant |
| SA node sympathetic innervation; disfunction causes | R sided T1 to T6, supraventricular tachy |
| AV node sympathetic fibers; dysfunction causes | L sided T1 to T6, ectopic foci, V-fib |
| Sympathetic supply to organ controls | Function and vascular tone |
| Symp. supply to arm | T2 to T8 |
| Symp. supply to leg | T11 to L2 |
| Parasympathetic fibers consist of | Vagus nerve + C1 and C2 roots |
| Vagus stimulation to the heart ____ rate. It is most affected by ____ branches | Slows, pulmonary |
| Reflex slowing of heart can be acheived by pressure on the 1)___ , 2)____ and 3)___ | Carotid body, globe of the eye, laryngeal irritation |
| Deep pressure over this bone can slow the heart | Occipitomastoid suture |
| Parasympathetic effect on peripheral vasculature | Vasoconstriction |
| Parasympathetic special effect on vasculature | Dilation in submaxillary, parotid, blush region, tongue, penis and clitorus |
| Heart lymph drains to | Right lymphatic duct |
| Sympathetic effect on lymph flow | constricts the duct, reducing flow |
| Post MI OMM; focus on | OA release, C1, C2, thoracic inlet, rib raising, T1 to T6, lymphatics (lower sympathetic tone) |
| Post MI, use soft tissue for | 72 hrs |
| HTN is | SBP >140 and DBP >90 on 2 occasion |
| Primary essential is ___% of total HTN | 85 |
| HTN caused by (4 things) | 1) hypersensitivity to sympathetic stim 2) prolonged symp. to kidneys -> retention 3) vasoconstriction -> increased cardiac output 4) baroreceptors reset to high value |
| HTN treated by | Sympathetic bed manipulation; T1 to L2 |
| In CHF, lymphatic flow is | Increased 3 to 40 times |
| In CHF, treatment directed to | Lymphatics |
| What to look out for before applying lymphatic pumps? | That CV system can handle increased fluid load |
| Diameter of thoracic duct is under | Sympathetic control |
| Anterior MI, changes in | T2, T3 |
| Posterior MI, changes in | T3-T5 |
| Acute MI treatment (what not to do; position) | NO DIRECT, pumps are too vigorous, semi recumbent |
| Chronic MI treatment | Upper thoracic, diaphragm, OA/C2, fascia and thoracic inlet |
| Gait abnormality can increase cardiac work by | 300% |
| HTN dysfunction pattern levels | C6, T2, T6 |
| Pectoralis triggerpoint eponym | Travells |
| Facilitation is driven by | Nociception |
| Faciliation is a ___, ___ threshold | loop, lowers |
| Due to facilitation, | normal stimuli can be pain, pain can drive sympathatic output |
| Heart suregery affects the __ sided ribs | Left |
| Rib spreaders moves ribs into ___ dysfunction | Inhalation |
| Surgeons spread ___ ribs most | Lower sternal |
| Rib heads are ___ into the vertebral bodies | Compressed |
| Posterior cervical chapman points | C1 Flex, C3 Flex and STRAW. All others, extend and SARA |
| Anterior cervical tenderpoints | C1 rotate away, C7 Flex and STRAW. All others, flex and SARA |
| Anterior T1 tenderpoint | Midline episternal notch |
| Anterior T2 tenderpoint | Midline Angle of Louis |
| Anterior T3 to T5 tenderpoint | Respective ribs, |
| Anterior T6 tenderpint | Xiphisternal junction |
| Anterior T7 tenderpoint | Tip of xiphoid |
| Anterior T8 tenderpoint | 3 cm below xiphoid at level of T12 |
| Anterior T9 tenderpoint | 1–2 cm above umbilicus at level of L2 |
| Anterior T10 tenderpoint | 1–2 cm below umbilicus at level of L4 |
| Anterior T11 tenderpoint | 5–6 cm below umbilicus below level of iliac crests at superior L5 level |
| Anterior T12 tenderpoint | Superior, inner surface of iliac crest at mid-axillary line |
| Describe Chapman points | Small, smooth, firm, subcutaneous, 2-3 mm |
| Treatment of Chapman points | 15 seconds of rotary force; up to 2 minutes |
| Still Technique | Indirect, then direct |
| Thoracic khyposis increases during _ and decreases during _ | exhalation, inhalation |
| Respiratory rate is manipulated by | Chemo and baro receptors; aortic and carotid bodies + respiratory center in medulla |
| Scoliosis and khyposis _ the lung space | Decrease |
| 1st rib ME muscles | Anterior and Middle scalene |
| 2nd rib ME muscle | Posterior Scalene |
| Rib 3-5 ME muscles | Pec Major |
| Rib 6-8(9) ME muscles | Serratus Anterior |
| Rib 9-12 ME muscles | Lat Dorsi |
| Rib 12 ME muscle | Quadratus Lumborum |
| Pulmonary Sympathetics | T1-T6 |
| Pulmonary Parasympathetics | CNX, OA, C1/C2 |
| Pulmonary Lymphatics | R lymphatic duct |
| Diaphragmatic flattening causes | Reduced movement [of lymph] |
| Anterior Chapman point, bronchial | 2nd inter space, parasternal |
| Anterior Chapman point, upper lung | 3rd inter space, parasternal |
| Anterior Chapman point, lower lung | 4th inter space, parasternal |
| Anterior Chapman point is for | Diagnosis |
| Posterior Chapman point is for | Treatment |
| Ciliated epithelium does what | remove particulates |
| Musculoskeletal pulmonary tx | rib motion, myofascial, abdominal diaphragm |
| Sympathetic innervation to the lungs, trachea, bronchi and visceral pleura | T1 to T6 ( T2 to T7) |
| Sympathetic innervation to the parietal pleura | T1 to T11 |
| Sympathetic stimulation _ goblet cells and _ ciliated cells | increase goblet, decrease ciliated |
| Sympathetic stimulation _ secretion | inhibits, decreased motility |
| Posterior Chapman point, bronchial | between spinous and transverse process, T2 |
| Posterior Chapman point, upper lung | between spinous and transverse process T3 and T4 |
| Posterior Chapman point, lower lung | between spinous and transverse process, T4 and T5 |
| Carotid body innervation and function | BP, CO2, O2 regulation, CNIX and CNX |
| Stretch receptor transmit via the _ nerve | Vagus |
| Stretch receptor are excitatory or inhibitory | inhibitory |
| Carotid body causes _ respiratory rate | increased |
| Hering Breuer reflex to congestion | decreased excursion (due to fluid stretch) + increased breathing (due to fluid affecting O2) result in shallow rapid breathing |
| Treating bronchospasm, 1st treat the_ because | parasympathetics, prevent acute bronchospasm |
| Diaphragm’s greatest excursion is in _ position | supine |
| Diaphragm attachments (3) | xiphoid, ribs 6-12, T12 to L3 |
| Brachial plexus emerges between | anterior and middle scalenes |
| Normal quiet resp requires _ body work | 2-3% |
| Exercise resp requires _ total body work | 3-4% |
| Asthma, pulmonary dx requires _ total body work | 33% or more |
| Intercostal neuralgia w/out structural dsfx means | organic pathos |
| Inhalation dsfx key rib is | bottom (holds up) |
| Exhalation dsfx key rib is | top (pins down) |
| Inhalation dsfx causes spine to | extend |
| Exhalation dsfx causes spine to | flex |
| Rib 1 axis | horizontal |
| Rib 7 axis | 45 degrees below horizontal |
| Thoracic inlet is made of (4) | manubrium, clavicles, ribs, T1 |
| Asthma reflex is | T2 rotated left |
| Bronchial mucosa, typical somatic dsfx | T2 and 3, rotated right |
| How to prevent pneumonia, pre and post op | pre C3 to C5, post C3 to C5 AND ribs raising |
| COPD diaphragm shape is | flattened |
| Level of sternal notch | T2 |
| Level and rib for angle of Louis | Rib2, T4 |
| Rib for spine of scapula | rib 3 |
| Rib for xiphoid and inferior angle of scapula | rib 7 |
| Counterstrain technique | position of ease for 90 seconds |
| HVLA on thoracic, hand placed _ dysfunctional segment | below |
| HVLA thoracic, thrust is directed | 45 degrees cephelad |
| When doing thoracic muscle energy, which hand should be placed behind the head? | The rotated side |
| When doing thoracic muscle energy, where should the DO's hand be placed in type I mechanics and in type II mechanics | Under in I; Over in II |
| When doing indirect respiratory cooperation for the thoracic and lumbar spine, the doc should be sitting on the _ side of the curvature | Covexity |
Created by:
asindhidude
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