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53 Cards in this Set
- Front
- Back
Order of tx for systemic dysfunction
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Tx cause of facilitation
Reduce SNS Lymphatic Effect PSNS |
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How can one influence the SNS effect on systemic dysfunction
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Rib raising
(Inhibition technique for lumbar segments) Collateral ganglionic inhibition Chapman's points |
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When do you want to assess for Chapman's reflexes?
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BEFORE any manipulation is performed that could alter sympathetic pathways
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Location of superior cervical ganglion
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TP of C2, 3, 4
(sympathetics to C1-4 n. & cardiac plexus) |
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Location of middle cervical ganglion
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TP C6
(sympathetics to C5, 6 n. & cardiac plexus) |
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Location of inferior cervical ganglion
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Anterior surface of head of 1st rib
(sympathetics to C7, 8, T1 n. & cardiac plexus) |
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What is a chapman's reflex
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Well-defined point of pain d/t viscero-somatic reflex
|
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What is the difference of anterior and posterior chapman points
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Anterior - dx (more sensitive)
Posterior - tx |
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What must you tx before tx Chapman points
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All pelvic SD
|
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What is a trigger point
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Myofascial trigger points are focal areas of irritation on body that are usually a/w hypertonic sk. m. or taut fascia
(referred pain) |
|
Tx trigger points
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Vapocoolant spray w/ stretch
Focal anesthetic injection ME MFR |
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What is a tenderpoint
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Small area of focal irritability in m. & fascia painful to compression
(NO referred pain) |
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Anterior Chapman point for ME
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Medial superior clavicle
|
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Anterior Chapman point for Sinuses
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Medial inferior clavicle
|
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Anterior Chapman point for Pharynx
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Inferior to sternoclavicular joint
|
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Anterior Chapman point for tonsils
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Medial 1st intercostal space
|
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Anterior Chapman point for tongue
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Medial 2nd rib
|
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Anterior Chapman point for esophagus, thyroid, heart
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Medial 2nd IC space
|
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Anterior Chapman point for upper lung
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Medial 3rd IC space
|
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Anterior Chapman point for lower lung
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Medial 4th IC space
|
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Anterior Chapman point for Liver
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Right medial 5th & 6th IC spaces
|
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Anterior Chapman point for Stomach acidity
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Left medial 5th IC space
|
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Anterior Chapman point for GB
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Right medial 6th IC space
|
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Anterior Chapman point for Pancreas
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Right medial 7th IC space
|
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Anterior Chapman point for stomach peristalsis
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Left 6th IC space
|
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Anterior Chapman point for spleen
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Left 7th IC space
|
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Anterior Chapman point for small intestine
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Medial 8th-10th IC spaces
|
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Anterior Chapman point for pyloris
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Midline body of sternum
|
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Anterior Chapman point for appendix
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Tip of 12th rib on R
|
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Anterior Chapman point for adrenals
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1' lateral & 2" superior to umbilicus
|
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Anterior Chapman point for Kidneys
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1" lateral & 1" superior to umbilicus
|
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Anterior Chapman point for bladder
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Periumbilical
|
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Anterior Chapman point for Intestinal peristalsis
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1-2" inferior & lateral ASIS
|
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Anterior Chapman point for ovaries & urethra
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Pubic tubercles
|
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Anterior Chapman point for uterus
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Inferior pubic rami
|
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Anterior Chapman point for rectum
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Lesser trochanters
|
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Anterior Chapman point for Colon
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Anterior IT band
|
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Anterior Chapman point for prostate & broad ligament
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Lateral IT bands
|
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Another name for cervicothoracic diaphragm
|
Sibson's fascia
Thoracic inlet |
|
Order of tx of transverse diaphragms
|
Cervicothoracic
Abd diaphragm Pelvic diaphragm Craniocervical diaphragm |
|
Respiratory diaphragms attachments
|
L1-3
Ribs 6-12 Xiphoid process |
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Common compensated pattern of diaphragms
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L,R,L,R
|
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Attachments of the dura mater
|
Cranial bones
Foramen magnum C2 & 3, S2 |
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Normal CRI
|
10-14 cycles/min
|
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Physiologic movements of SBS
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F/E
Torsion SB - rotations |
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Flexion of SBS
|
SBS goes superior
External rotation of paired bones Sacrum goes backward (counternutates) "FAT HEAD" |
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Extension of SBS
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SBS inferior
Internal rotation of paired bones Sacrum dips forward (nutates) "Skinny - long head" |
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SBS torsion named for what?
|
Most superior greater wing of sphenoid
|
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SBS sidebending-rotation named for what? Axis?
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Convex side (larger side)
Rotation - AP axis via SBS SB - Foramen magnum, Sphenoid bone's center |
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SBS vertical strain named for? Axis?
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Sphenoid base (superior/inferior)
2 transverse axis |
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SBS lateral strain named for what?
|
Side that sphenoid base moves
|
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Complications of craniosacral tx
|
HA
Tinnitits Dizziness Altered HR, BP, RR |
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Absolute contraindications for craniosacral tx
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Skull fx
Intracranial bleed Increased ICP |