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57 Cards in this Set

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Which way do the vertebrae rotate in a visceral dysfunction
Vertebrae rotate towards visceral dysfunction
sympathetic innervation of the heart has its origins ___
cord segments T 1-6
The parasympathetic innervation of the heart has its origins from ___
Vagus Nerve
When the Ventricles are involved in production of pain, it tends to refer to
C8 to T3 dermatomes
When the Atria are responsible for the pain, it tends to occur
lower in the chest wall in the T4 to T6 dermatomes
Where are the posterior Chapman reflex points?
Midway between the spinous process and the tips of the transverse processes in the space between the transverse processes of T2 & T3 bilaterally
Where are the anterior Chapman Myocardial Reflexes?
2nd intercostal space at the Sternal Border
Where are the posterior Chapman Myocardial Reflexes?
The space between the transverse processes of T2 and T3 midway between the spinous process and the tip of the transverse process
Where are the anterior Chapman Adrenal Reflexes?
Lateral Aspect of rectus abdominus at the level of the inferior margin of the costal margin
Where are the posterior Chapman Adrenal Reflexes?
Intertransverse spaces on both sides of T11 and T12 midway between the spinous processes and transverse processes
Severe Scoliosis with thoracic curve greater than ____ seriously compromises cardiac function
60-75 degrees
Severe Kyphosis measuring greater than __ degrees compromises cardiac function
60 degrees
Patients with flattening of the thoracic kyphosis or with postural crossovers in the upper thoracics, tend to develop _____ when subjected to other stressors
tachyarrhythmias
triggerpoint located in the right pectoralis major muscle which serves an initiating or perpetuation role in Supraventricular tachyarrhythmias
5th intercostal space
Abnormal gait patterns may increase cardiac work by up to ___%
300%
Autonomics Innervation of the heart emanates from
cord segments T1-T6
Right sided fibers of the heart innervate ___
right heart and sinoatrial (SA) node.
Hypersympathecotonia in heart right sided fibers predisposes
supraventricular tachyarrhythmias
autonomic heart Left sided sympathetic fibers innervate ___
left heart and atrioventricular (AV) node
Hypersympathecotonia in LEFT heart sympathetic fibers predisposes to
ectopic foci and ventricular fibrillation
Reduction in sympathetic tone in blood vessels produces
relative vasodilation
Vasculature of the arms receives its sympathetic supply from
T2 to T8 levels
Vasculature of the legs receives its sympathetic supply from
T11 to L2 levels
Vagus nerves have fibers join and course to them from
C-1 & C-2 nerve roots
Observation of patients has demonstrated that correction of high cervical somatic dysfunction results in
transient increase in vagal tone followed by a reduction in vagal effect
Right Vagus innervates what part of the heart?
Sino Atrial Node
Hyperactivity of the right vagus predisposes
sinus bradyarrythmias
Left Vagus innervates the ___
Atrio Ventricular Node
Hyperactivity of left vagus predisposes
AV Blocks
Deep pressure over the ______ on the skull will reflexly slow the heart
occipitomastoid suture
Lymphs Heart drains predominantly to the
right lymphatic duct
Lymphatic drainage from the heart and lungs is carried back to the heart primarily by the
right lymphatic duct
Head and neck Lymph drains to
Right Jugular Trunk
Heart, Lungs, Liver Lymph drain to
Right Bronchomediastinal Trunk
Right Limb lymph drains to
Right Subclavian Trunk
Pleural causes of chest pain
effusion, consolidation, bronchospasm, pulmonary embolism, pulmonary hypertension, pneumothorax, hemothorax, atelectasis, asthma, copd, pneumonia
Musculoskeletal disorders of chest pain
strain, sprain, contusion, fracture, costochondritis, fibrositis, myositis, thoracic outlet syndrome, diaphragmatic dysfunction, ankylosing spondylitis, disc disease
Cardiac causes of chest pain
coronary ischemia, myocardial infarction, arrhythmias
Infections that cause chest pain
viral, bacterial, parasitical, fungal, mediastinitis, pleurisy, interstitial pneumonitis, bronchitis, tracheitis
In CHF, lymphatic flow through the thoracic duct increases ___ times the resting level
3-40 times
Acute MI autonomics Techniques are directed at dysfunctions located
OA, C1, C2, T1 to T4 and R1 to R4
Acute MI autonomics Paraspinal soft tissue techniques may be performed from
T1 to L2 to generally diminish sympathetic tone and decrease peripheral vascular resistance
Cranial Acute MI autonomics treatment is ___
Treat dysfunction of the skull base and occipitomastoid suture, if present
"Acute MI Lymphatics
Apply indirect techniques to the_____
Apply _____ to assist inhalation and promote lymphatic flow
Redome diaphragm using_____ technique
"
"Lymphatics
Apply indirect techniques to the thoracic inlet
Apply pectoral traction to assist inhalation and promote lymphatic flow
Redome diaphragm using indirect AP diaphragm technique
"
Autonomics treatment for hypertension is directed to
"entire sympathetic bed (T1 to L2) to generally decrease peripheral vascular resistance
Study of 100 hypertensive patients
Drop of 33 mm Hg Systolic
Drop of 9 mm Hg Diastolic
"
What are the chapman points for hypertension
"Treat Posterior Adrenal Points
Drop of 15 mm Hg Systolic
Drop of 8 mm Hg Diastolic
Serum Aldosterone decreased for 36 hours post-treatment
"
"CHF Lymphatics
Treat any restriction at the ____
Treat dysfunctions of the ___, _____, and rib cage
_____ the diaphragm
Apply thoracic, abdominal and pedal lymphatic pumps"
"Lymphatic
Treat any restriction at the thoracic inlet
Treat dysfunctions of the thoracic spine, L1 to L3, and rib cage
Redome the diaphragm
Apply thoracic, abdominal and pedal lymphatic pumps
"
What OMT treatment was used for Post-Coronary Artery Bypass Graft
"Balanced Ligamentous Tension
Bilateral Posterior Thoracic Cage Release
Indirect Myofascial Release of the Sternum
Antero-Posterior Thoracic Cage Release
Indirect Myofascial Release of the Diaphragm
Antero-Posterior Diaphragm Release
Occipito-Atlantal Decompression
Condylar Decompression
Rib Raising
From the Head of the Table R1-5 only
Sibson’s Fascia Release
Direct Myofascial Release version
"
Where are the anterior Chapman reflex points?
"Close to the sternum in the second intercostal space bilaterally
(between the second and third ribs)"
"In the healthy heart, increased sympathetic tone
_____ the force of contraction
_____ the time of systole
______ ventricular output
______ the rate of contraction
______ the blood pressure
"
"In the healthy heart, increased sympathetic tone
Increases the force of contraction
Shortens the time of systole
Increases ventricular output
Increases the rate of contraction
Raise the blood pressure
"
Consequences of Increased Sympathetic Tone in cardiovascular
"Vasospasm
Increases morbidity following myocardial infarction
Predisposes to arrhythmias
Inhibits development of collateral circulation
Adversely affects degree of recovery post-MI
"
"Consequences of Increased Sympathetic Tone
Vasomotor nerves are _____
_______ peripheral vascular resistance
_______ cardiac work-load
________ tone implicated in essential hypertension due to vascular changes with the kidneys"
"Vasomotor nerves are unopposed
Increased peripheral vascular resistance
Increased cardiac work-load
Increased tone implicated in essential hypertension due to vascular changes with the kidneys"
"Consequences of Increased Sympathetic Tone
______ lymphatic drainage
_______ bronchodilation
_______ gastrointestinal activity
Transmits ____sensitive, ______sensitive, and ____ from the heart
Is involved in almost all disease processes"
"Diminished lymphatic drainage
Increases bronchodilation
Decreases gastrointestinal activity
Transmits chemosensitive, mechanosensitive, and pain fibers from the heart
Is involved in almost all disease processes
"
What is the Oculocardiac Reflex?
"Pressure on the carotid body or the globe of the eye (Oculocardiac Reflex) will also slow the heart
Slows heart by 5-13 bpm
Will not slow at all in sympathecotonic patients"
Parasympathetics cause peripheral arteriolar vasodilation in select situations (5)
"Vessels of Submaxillary Gland
Vessels of Parotid Gland
Vessels in the Blush Region of the Face
Vessels in the tongue
Vessels of the penis & clitoris (erection & engorgement)"
"Parasympathetics
_____ heart rate and contractility
______ bronchoconstriction
______ gastrointestinal activity
Only rarely causes _____
"
"Decrease heart rate and contractility
Increase bronchoconstriction
Increase gastrointestinal activity
Only rarely causes vasodilation
"
OMM Treatment for Acute Myocardial Infarction
"General
Use indirect methods or soft tissue techniques for at least first 72 hours
post MI
Somatic
Search for right Pectoralis Major trigger point
Treat if present
"