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30 Cards in this Set
- Front
- Back
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Functional versus Organic disorder...what are they and use of OMT in each
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Functional: present as a symptom but doesn't have a clear organic cause, normally due to some mechanical dysfunction or increase sympathetics (burping, nausea, constipation, etc) OMT is a PRIMARY tx
Organic: a condition that has an organic or pathologic cause. OMT is an ADJUNCT tx |
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Organic or functional? (name for each)
Irritable bowel syndrome Inflammatory bowel disorder Pancreatitis Stress Induced gastritis |
IBS- Functional
IBD- Organic Pancreatitis- Organic Stress- Functional |
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optimizing digestive functioning for the patient with OMT includes...3
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Normalize autonomic function
Enhance efficiency of circulatory/lymphatic system Optimize patient’s response to medication |
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remember the Thoracic inlet
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most of our lymph flow travels through here, so having dysfunction here can really fuck your house
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what is a non-pharmacological suggestion you can encourage for people with chronic constipation
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physical activity-->increase peristalsis
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sympathetic trunks are chains of paravertebral ganglia that terminate by uniting to form the ....
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ganglion impar
on the ventral aspect of the coccyx |
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what provides PNS innervation to the whole GI tract from mouth to mid-transverse colon? Where could you treat this with OMT
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Vagus nerve
C1 C2 tx |
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sympathetic reflexes occur between what spinal levels?
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T1-L2
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if you palpate a Chapman's point will it refer pain elsewhere?
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NO
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pt has rebound tenderness... what does this mean (general)
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Rebound tenderness is always significant and should prompt at least laboratory evaluation (CBC, C-reactive protein) and perhaps imaging studies or referral.
DO NOT DO OMT ON THESE PTS this is a visceral pain that requires medical intervention |
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45 year old female presents complaining of recurrent episodes of right upper quadrant pain.
Pain radiates to right shoulder. Patient rates pain 7/10. Pain is accompanied with nausea and once also with vomiting. Symptoms are worse in evening, and sometimes disturbs sleep. Symptoms worse after a fatty meal or a green salad. |
Cholecystitis
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if a pt had cholecystitis where would their tissue texture changes be
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Right sided paravertebral tissue texture changes at T6-9 due to facilitation.
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chapman's points
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spinal changes
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You prescribe OMT to help improve Lymphatic and Venous drainage of the GI tract. What is OMT's effect here?
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OMT can help relieve congestion and enhance the removal of waste products
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The ___ Diaphragm has influence on the collateral Autonomic Ganglia
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Respiratory Diaphragm
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The ___ Diaphragm has influence on the Sacral Autonomics
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Pelvic Diaphragm
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_______ inactivity retards peristalsis
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Physical Inactivity
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Poor intake of water and fiber _____ transit time
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decrease
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High levels of stress _____ SNS input and slows down the gut
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Increases SNS
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What spinal levels innervates the left half of the transverse colon, descending and sigmoid colon and rectum
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S2-S4 parasympathetics
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____ leads to increased efferent activity to all areas innervated by that segment
It makes segmentally related tissues more sensitive to exogenous stimulation (tenderness) |
Facilitation!
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Parasympathetic reflexes are found in the _______ and _____ regions
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high cervical
sacral |
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Segmental facilitation increases vascular tone (VC), decreases perfusion, decreases glandular secretion and perstalsis
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SNS
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Segmental Facilitation decreases vascular tone (VD), increases perfusion, increases glandular secretion and peristalsis
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PNS
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What is true about true visceral pain?
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Poorly localized, spreads by visceral afferents to the back/shoulders
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______ refers pain to the mid-thoracic region at the tip of the right scapula
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Acute cholecystitis
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What would be a good treatment to target the parasympathetics of a pt. with acute cholecystitis?
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Sub-occipital release
(Gall bladder is thru VAGUS) |
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What are some OMT treatments to influence PNS from the sacral region? (3)
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Sacral rocking
Sacral counterstarain/Myofascial release Craniosacral Techniques |
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What are some ways to ensure patient empowerment in combating their GI disorder?
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-Ingest adequate fiber and water
-Avoidances of substances that worsen GI disease (EtOH, Tobacco, sodas etc..) -Maintain optimal weight/excercise |
