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OPP Chapter 5

QuestionAnswer
______ 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.
Created by: WeeG
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