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19 Cards in this Set

  • Front
  • Back
Describe the Somato-somatic reflex
1. afferent axon to somatic structure and then efferent motor to somatic structure
- may use at least 1 inter neuron
ex. touch a hot object, cat righting reflex
Describe visceral-visceral reflex
sensory from viscera to cord, efferent motor to viscera (via ANS- Para/Symp)
ex. distended bowel reflexing back to cause spasm in muscular layer of bowel
Describe viscero-somatic/somato-visceral refelex
Used palpatory diagnosis and treatment... the sensory information rsults in excitatory or inhibitory actions into motoneurons
Afferent sensory axon from viscera or somatic, efferent motor terminates on somatic or visceral strucutre, uses interneurons
- specific pain... appendix, chest pain
Explain how myocardial infarction is part of viscero-somatic/somato-reflex...
Artery clots--
sensory to cord- motor output to shoulder/neck/arm/sympathetic (sweat glads & adrenal gland)
What type of osteopathic findings help with viscero-somatic/somato-visceral reflex? Treatment results?
TART changes
-despite ongoing treatments
Treatments- better control of problems from reflexes to maintain homeostasis "not a cure" (i.e. decrease vasoconstriction, more fluid in lymph)
What are clinical application process of the chapman reflexes (5 steps)?
1. locate point by anatomy over points of where organs lie (anterior diagnose/ posterior to treat)
2. Verify by palpating
3. GENTLY rotate tip of finger
4. treat posterior points 10-30 seconds
5. Continue until tissue changed
Discuss fibrous joints in respect to:
a. types
b. motion
c. examples of each type
Are synarthrosis "come together" connected by dense fibrous tissue
a. squamous- overlapping edges... serrated- interlocking
b. limited to expansion and contraction
c. examples of types
i. cranial articulations,
ii.syndesmosis- distal tibofibular articulation
iii. gomphosis- peridontal ligament anchoring tooth
Discuss cartilaginous joints in respect to:
a. types
b. motion
c. examples of each type
two continual surfaces united by fibrocartilaginous disks, no cavity
a. Types
Type I- fibrocartilage
Type II- hyaline
b. motion- rocking and sliding-
c. examples of types
Type I- (symphyses)center of pads or disc, (i.e. nucleous pulposus), the jelly that keeps weight evenly distributed
Type II- (synchondroses)- epiphyseal plate, slight bending early in life
Name the three distinguishing features of synovial joint
1. articular surface covered by hyaline cartilage
2. enclosed by fibrous joint capsule, strengthened by ligament and attached to margins of articular cartilage
3. synovial membrane lines joint capsule secreting fluid that is vital to hyaline cartilage
What are the 7 types of synovial joints
1. Plane
2. Ginglymus- hinge
3. Spheroidal-
a. ball and socket
b. ellipsoid
c. condylar
6. Trochoid
7. Sellar
Explain Plane joints... movement, example
Explain ginglymus joints...movement, example
plane- Two flat surfaces, minimal sliding motion (ex. triquetreum-pisiform)

ginglymus- hinge- large motion in one plane... ex. elbow
Explain spheroidal joints... movement, example
three types:
a. ball and socket- round convex head articulates with concave, greatest degree of motion- hip, shoulder
b. condylar- patial flattening of both surfaces that limits motion-ex. metacarpal- phalangeal
c. ellipsoid- head is football shaped, ex. radiocarpal
c. ellipsoid
Explain trocoid joints... movement, example
trochoid- has ball shape surrounded by circle composed bone and ligament
- mostly rotation
ex. C1 (atlas), C2 (axis)
Explain sellar joints... movement, example
one concave and on convex bone
greater motion for all planes
ex. thumb
What other features are distinguishing factors that may be associated with synovial joints
a. articular discs (meniscus)
b. firbrocartilaginous (labrum)
c. tendons within the capsule of the joint
Describe the innervation and vascular concept of the joints...
Joints are rich in nerve supply
- more peripheral more nerves
- innervation of joint also includes innervation of muscle moving joint and skin covering muscle
- allows for proprioception
What are three basic forms of joint degeneration...
known as Arthritis...
1. Inflammatory- most commonly Rhematoid Arthritis- joint swelling due to inflammatory response by immune system after fluid attacking fibrocartalage
2. Osteoarthritis- no swelling due to wearing down
3. Tramatic- blood supply to bone cut off
What are some facts about osteoarthritis and explain the three types.
- most common type of arthritis, no swelling, cartilage starts to erode and bone grinds together
1. Fibrillation- water content increased on chondrocytes, to yellow discolouration and ground-glass appearance
2. Eburnation- articular cartilage chunks off, cyst forms, ivory- like appearance
3. Joint mice (osteochondromatosis)- bone/cart free floating in synovial fluid, degenerative joint disease "osteochondrosis dissecans"- stops movement
What are some facts about RA (inflammatory arthritis) and explain radiographic findings...
- most common type of inflammatory
- mostly women
fluid in joint becomes inflamed and causes chemical released that damage cartilage and bone
X-ray
- erosions at intrascapular articular margins from chemical reaction
- uniform joint space narrowing