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30 Cards in this Set

  • Front
  • Back
4 Basic Principles of Osteopathic Medicine
Principle 1: The body (human being) is a unit.

Principle 2: Structure & function are reciprocally related

Principle 3: Self-regulatory mechanisms

Principle 4: Inherent capacity to defend and repair itself
Goals of OMM
-Restore correct anatomical/functional relationships (correct somatic dysfunction)
-Restore normal vascular supply (arterial)
-Improve venous/lymphatic drainage (reduce stagnation, congestion)
-Improve neurological function (reduce entrapments/balance ANS)
-Remove viscersomatic or somatovisceral facilitated reflexes and other impedances to homeostasis
-Reduce/Eliminate pain
-Stimulate the immune system
-Use appropriate adjunctive therapies
-Prevent recurrences
-Restore bioenergetic balance
Tx affecting cranial parasympathetic outflow
-OA or AA manipulation*
-Occipital condylar decompression
-Cranial Manipulation
Tx affecting pelvic splanchnics
-Sacral/SI manipulation*
-Ventral abdominal techniques (visceral)
-Ischiorectal fossa techniques
C2, C4/5, C6/7
superior, middle, & inferior chain ganglia, respectively
Cardiac sympathetic fibers originating on the right primarily innervate

Hypersympathetic activity of these fibers predisposes to
Right heart and SA node

supraventricular tachyarrhythmias
Cardiac sympathetic fibers originating on the left primarily innervate _

Hypersympathetic activity of these fibers predisposes to _
Left heart and AV node

malignant ventricular arrhythmias
In general, hypersympathetic activity results in
-Increased myocardial oxygen demand
-Increased heart rate
-Increased contractility
-Increased cardiac irritability
-Coronary artery vasospasm
The right vagus nerve primarily innervates

Hyperactivity results in _
SA node

Sinus bradyarrhythmias
The left vagus nerve primarily innervates

Hyperactivity results in _
AV node

AV block
In general, increased vagal tone results in:
Slowing of the sinus nodal rate
Predisposition to SA nodal and AV block
A statistically significant correlation has been demonstrated between hypertension and _ somatic dysfunction
Hypersympathetics increase or reduce lymphatic flow
Impaired lymphatic flow results in
-Increased central venous pressure
-Increased tissue congestion
Three major components of lymphatic system
capillaries, collecting vessels, lymph nodes
main avenue for lymph flow. Begins with Cysterna Chyli @
approx. level of L2. Three major components are Right and Left lumbars and
intestinal trunks.
Thoracic duct
The Thoracic duct has three parts:
abdominal,thoracic and cervical
• Areas devoid of lymphatics:
Brain, Spinal Cord, Bone Marrow
Major lymphoid organs:
Tonsils,Adenoids, Spleen and Thymus
Largest lymphoid organ
short vessel, passes down on scalenus anterior muscle
and enters juncture of right internal jugular and right subclavian vein.
Right lymphatic duct
Thoracic inlet clinically consists _
T1-T4, Ribs 1&2, Manubrium
Thoracic inlet anatomically consists
T1, 1st rib, superior aspect of manubrium
Functions of lymphatic system
Maintaining fluid balance Maintaining fluid balance in the body
• Purification and cleansing of tissues
• Defense
• Nutrition
major stimulator of the lymphatic pump
Goals of lymphatic treatment
Increased resorption of fluids
• Increased circulation and respiration
• Mobilize fluids
• Treat sympathetic imbalance
main extrinsic pump for the lymphatic system.
Redome diaphragm, treat posterior attachments L1,L2,L3. Phrenic nerve
Thoracoabdominal diaphragm