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108 Cards in this Set
- Front
- Back
What is the C5 sensory area?
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Lateral Arm
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What is the C6 sensory area?
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volar index finger (palm)
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What is the C7 sensory area?
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volar middle finger
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What is the C8 sensory area?
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volar 5th finger
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What is the T1 sensory area?
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volar medial forearm
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What is the Biceps DTR spinal level?
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C5
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What is the brachioradialis DTR spinal level?
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C6
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What is the triceps DTR spinal level?
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C7
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What is the deltoid motor exam spinal level?
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C5
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what is the wrist extension motor exam spinal level?
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C6
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What is the triceps motor exam spinal level?
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C7
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What is the finger flexion motor exam spinal level?
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C8
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What is the finger abduction motor exam spinal level?
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T1
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What are the Codmans Exercises?
what are they used to treat? |
these treat a frozen shoulder/ capsulitis.
Pt bends forward, uses elevation, abduction and circumduction |
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What is Neer's test used for? How is it preformed
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this is used to test for impingment of the supraspinatus
internally rotate the straightened arm, and elevate to 180 |
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What is the apprehension test used for? how is it preformed?
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this is a shoulder stability test
put right arm in a position like making a left turn signal on a bicycle. then externally rotate the shoulder- positive test is fear of the arm popping forward |
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What is jobes test for? how is it preformed?
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this tests for supraspinatus tendinitis
abduct the arms to 90, then pour out the beer! bring arms forward 30 degrees and push superior |
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What is speeds test for? how is it preformed?
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this is for long head biceps integrity or tendinitis
fully extended arm, palm up, attemps to raise open hand superior |
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What is the cross over test used for? how is it preformed?
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this is used to test A-C joint
stick arm out straight in front of body, thumb down (beer pour). bring across body |
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What is the scaupla slide test used for? how is it preformed?
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this is used to test for scapula dyskineia
Measure from T7 spinous process to inferior tip of scapula arms at rest. place hands on hips, repeat a positive test is a 1.5cm or greater discrepancy |
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what is the most common injury in sports med?
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acute ankle trauma, 30% of injuries
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What set of ankle ligaments are much weaker?
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the lateral ligaments
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What bony features make the ankle far more likely to invert?
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the medial maleous is shorter than the lateral maleolus
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What is thompsons test? how is it preformed?
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this tests the integrity of the achilies tendon.
pt lays prone, you squeeze the gastrocnemieus, if the foot platarflexes, then tendon is intact |
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What is a posterior fibular head commonly associated with?
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inversion ankle sprains
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Is neers test active or passive?
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passive
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is jobes test active or passive?
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active
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is the apprehension test active or passive?
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passive
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is the cross over test active or passive?
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passive
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is speeds test active or passive?
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active
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is the sacpular slide test active or passive?
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active
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what does the sulcus sign test for?
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this pulls the shoulder out, to test for a weak joint. positive test is a indentation/sulcus appearing in the GH joint
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What drains the lymph for the heart and lungs?
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the right lymphatic duct
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where does the right lymphatic duct drain into?
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the right brachiocephalic vein
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where does the thoracic duct drain into?
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this drains into the connection of the left internal jugular and subclavian veins
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what is the largest structure in the lymphatics system? the second largest?
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the spleen
number 2 is the liver? |
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What are the 4 functions of the lymph system
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maintain fluid balance in the body
purification and cleansing of tissues defense/immunity nutrition |
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What is the correct sequence of lymphatic treatment?
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Thocacic inlet, then thoracic diaphragm, then proximal to distal on upper and lower extremities
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What are the goals of lymphaitic treatment?
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Increased resorption of fluids
increased circulation and respiration decreased proteins in the interstitium facilitation of a more peneficial pH balance |
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How is the Thoracic inlet release performed?
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Pt supine, begin with left arm.
arm abducted 90, elbow flexed to 90 (looks like the left arm indication for making a right turn). put wrap fingers around clavicle, apply pressure when the arm is down- this is when the hand on the clavicle can sink deeper into the thoracic inlet fascia |
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What is the anterior cervical traction technique used for?
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this is used to treat upper respiratory tract infection/ head congestion.
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How is the anterior cervical traction technique preformed?
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this involves grabbing the SCM and wiggling it about.
begin at the lower portion of the SCM. pull it anterior and lateral. |
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What does the cervical lymph drainage technique work on? How is it preformed?
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this addresses the jugular lymph chains.
stroke your thumb along the SCM |
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What is the purpose of the pectoral traction technique?
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this is used to increase the range of motion of the ribs on inhalation.- improves respiratory mechanics, and thus the lymph pump
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What is the purpose of the thoracic diaphragm release?
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this is used to increase the movement of the diaphragm
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How is the thoracic diaphragm release performed?
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stand behind seated pt, put fingers under costal margin, test for restriction.
rotate diaphragm into position of ease...then jab fingers in further as it releases |
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When is the thoracic pump used?
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a finishing technique for lymph treatments.
COPD, asthma URI's edema |
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How is the thoracic pump performed?
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stand and head of pt, with pt supine.
place hands over pts hooters, and pump on their chest, but ONLY on exhalation |
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What is the use of the upper extremity lymphatic technique?
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facilitates lymph flow through the axilla.
assists in drainage of lymphedema in post mastectomy pts. |
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How is the lymphatic drainage of the LE technique preformed?
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pt supine, dr. sits on table with pts leg on shoulder with leg and hip both flexed to right angles.
begin at proximal thigh, wring it out. 3-5 times. then below the knee then gastrocnemius. you need to wait for tissue to soften till you move to the next section |
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What are the indications for using the pedal pump? (not obvious ones....)
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COPD, upper respiratory infections, asthma.
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How is the pedal pump used?
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this forms oscillatory waves in the body, from the foot.
place hands on balls of pts feet |
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What is the sternal articulation technique used for?
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to enhance the mobility of the thoracic cage
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How is the sternal articulation technique performed?
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2 things!
first- place hands on sterno-costal margins, and alterantly articulate them. kind of like karate chopping 2nd- place both hands on the midline of the sternum. - then rock the sternum back and forth around a midpoint. |
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Where are preganglionic cell bodies found in the cranial parasympathetics?
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3,7,9,10 CN roots
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What is the parasympathetic NT? what receptor type?
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this uses Ach which acts on a nicotinic receptor
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What are drugs that increase parasympathetic tone called?
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cholinergic
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For viscerosomatic reflex points, what level are the organs above the diaphragm?
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T4 and above
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For viscerosomatic reflex points, what level are the Organs below the diaphragm?
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T5 and below
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For viscerosomatic reflex points, what level is the esophagus
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T3R
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For viscerosomatic reflex points, what level is the stomach
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T5L
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For viscerosomatic reflex points, what level is the Duodenum
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T7R
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For viscerosomatic reflex points, what level is the Pancreas
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T6-T8 Bilteral
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For viscerosomatic reflex points, what level is the gallbladder
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T9-T10R
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For viscerosomatic reflex points, what level is the gallbladder
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T9-T10R (same side of body)
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For viscerosomatic reflex points, what level is the Appendix
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T12 rib R tip- same side of body
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For viscerosomatic reflex points, what level is the Kidney/
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T10
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For viscerosomatic reflex points, what level is the Ureter?
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T11-L3
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For viscerosomatic reflex points, what level is the Gonads?
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T10
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For viscerosomatic reflex points, what level is the Lungs?
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T2-T4
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For viscerosomatic reflex points, what level is the Heart muscle
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T3-T5L, T3-T4R
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For viscerosomatic reflex points, what level is the atherosclerosis
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Lower cervicals
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What Levels affect the SNS of the cardiovascular system?
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C8-T5
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What level affect the SNS of the respiratory system?
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T1-T6
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What are the levels of the Celiac Ganglion? what do they effect?
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T5-T9
esophagus (T3R) Stomach (T5L) Duodenum (T7R) gallbladder (T9-T10R) |
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What are the levels of the superior mesenteric ganglion? what do they affect?
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T10-T11
ilium, jejunm, cecum, appendix, ascending colon, proximal transverse colon |
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What re the levels of the inferior mesenteric ganglion? what do they effect?
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T12-L2
distal transverse colon, descending colon, sigmoid colon, rectum, anus ( |
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What are the general parts of the bowel that are affected by the 3 ganglion?
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Celiac- esophagus to duodenum
superior mesenteric- ileum to proximal transverse colon inferior mesenteric- distal transverse colon to anus |
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What treatment affects Vagus nerve, to modulate the parasympathetic activity?
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killer fingers
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What does dorsal inhibition do?
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this is the holding technique.
hand under the back, cup the paraspinal muscles and hold them until the soften.- used at the appropriate vertebral level for the dysfunction seen (SNS dysfunctions) this prevents interneuron cross talk |
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How does MFR of thoraco-Lumbar fascia work?
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engage all planes and their restrictions, hold until release.
this acts as a nonspecific VSR treatment |
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How does Rib Raising work
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this affect the SNS chain ganglia and specific vertebral levels, to tone down sympathetic output.
Find the TART, find what 3 planes of MFR work best, and use INDIRECT stacking. |
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How does ventral inhibitory release of SNS collateral ganglia of the abdomen work?
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you rub the pt's belly in some spots, to make things go away.
CCW restriction is greater dysfunction. |
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What is the level of the celiac ganglion? what does Ventral inhibitory release here cure?
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T5-T9
heartburn and gastric reflux |
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What is the level of the superior mesentric ganglion? what does VIR cure here?
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T10-T11
cures gas or bloating |
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What is the level of the inferior mesenteric ganglion? what does VIR cure here?
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T12-L2
cure diarrhea or constipation premature ejaculation/inability to orgasm |
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Where do your hands go for ventral inhibition technique?
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one hand under PT on the spinal segments according to the ganglion levels.
other hand on the belly poking the ganglia from the outside |
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What is the dorsal inhibitory release of vagus?
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this is killer fingers, affects PNS
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For Mesenteric release of the GI via direct MFR...where do you pull the small bowel
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from umbilicus to RUQ
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For Mesenteric release of the GI via direct MFR...where do you pull the cecum?
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RLQ to RUQ
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For Mesenteric release of the GI via direct MFR...where do you pull the ascending colon
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Right side of abdomen to midline
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For Mesenteric release of the GI via direct MFR...where do you pull the Descending colon
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left side of abdomen to midline
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For Mesenteric release of the GI via direct MFR...where do you pull the sigmoid colon
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LLQ pull to umbilicus
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What are chapman reflex sites?
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neurolymphatic ganglion formed structure
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What are anterior chapman points good for?
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diagnosis
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what are posterior chapman points good for?
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therapeutic
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Where is the chapmans point for the sinuses?
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MCL on top of the 2nd rib and MCL just below the clavicle
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Where is the chapmans point for the middle ear?
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MCL on top of clavicle
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Where is the chapmans point for the pharynx-tonsils?
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On the right side of the manubrium between the clavicle and rib 2
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Where is the chapmans point for the bronchus?
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parasternal line between ribs 2-3
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Where is the chapmans point for the upper lung?
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parasternal line between ribs 3-4
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Where is the chapmans point for the lower lung
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Parasternal line between ribs 4-5
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Where is the chapmans point for the larynx?
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superior border of rib 2 in the parasternal line
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Where is the chapmans point for the middle ear?
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posterior, on the occiptal protuberance
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Where is the chapmans point for the nasal sinuses (posterior)
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on the occipital protuberance
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Where is the chapmans point for the sinuses/pharynx/larynx (posterior)
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C1 paraspinous line
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Where is the chapmans point for the bronchus and lung (posterior)
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T2,T3,T4 paraspinous line
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Where is the chapmans point for the heart?
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parasternal line between ribs 2/3
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