Opp 2 Yonts- Spinal Facilitation

Front 1

What is Spinal Facilitation?

Back 1

Alteration in the threshold or baseline neurological activity of one or more of segments.
This altered or facilitated segment alters the firing of all neurological pathways innervated by that segment.
Different types of nerve pathways can be altered by the facilitated segment.
The sensory pathways carry the reflex innervations that causes the facilitation

Front 2

Sensitization

Back 2

Oversensitive to the same stimulus

Repeated stimuli from the sensory nerves that increases the magnitude of electrical impulse of the efferent pathways, including the visceral motor and somatic motor) from a given segment. (A gradual increase in motor response secondary to increase in stimuli)

Front 3

Habituation;

Back 3

Get used to it! Need more stimulation to the get the same effect.

Continuous stimuli that over times weakens the magnitude of the response of the efferent pathways (visceral motor and somatic motor) of a particular segment. (A gradual decrease in motor response secondary to increase in stimuli)

Front 4

Viscero-Somatic Reflexes

Back 4

Alteration in the firing pattern to somatic nerves, muscular control in the spine, secondary to the influence of pathologic reflexes from the viscera.
Restriction in thoracic spine secondary to pathology of viscera that is innervated at the same spinal level.

Front 5

Somato-Visceral Reflexes

Back 5

Alteration in the firing pattern to visceral motor nerves secondary to the influence of pathologic reflexes from the muscles of the spine .
Restriction in thoracic spine that alters function of the viscera that is innervated at the same spinal level.

Front 6

Electrodes to the visceral pleura on the upper part of the upper lobe of the lung
Stimulation caused excitation of the

Back 6

intercostals on the same size

with increased current both side contracted

Front 7

Stimulation of the lower lobes of the lung resulted in contraction of the

Back 7

Quadratus lumborum, diaphragm, and occasionally the abdominal muscles

Front 8

Stimulation of the parietal pericardium demonstrated _____ and ____

Back 8

Stimulation of the parietal pericardium demonstrated slight intercostal contractions, but always demonstrated contractions near the T3,4, and 5.

Front 9

Stimulation on the parietal covering of the cardiac end of the stomach or the fundus demonstrated contraction of the spinal muscles for vertebrae ___

Back 9

T6-9.

Front 10

After destruction of the sympathetic ganglia of the ______ thoracic nerves in the specimen there could not be any response elicited by electrical stimulation.

Back 10

5th through 14th

Front 11

. After the deep spinal muscles around the 4th and 5th thoracic vertebrae were stimulated, ____________

Back 11

the lungs became exceptionally lighter.

Front 12

Stimulation of the deep muscles during the 5th through 8th thoracic vertebrae demonstrated

Back 12

increased muscular activity and secretory activity of the stomach.

Front 13

Stimulation of the 8th through 12th vertebrae caused

Back 13

stimulation of the intestines.

Front 14

Stimulation near the 10th thoracic spine caused

Back 14

partial evacuation of the gall-bladder

Front 15

Stimulation near the 13th thoracic spine caused

Back 15

dilation of the supra-renal vessel, and a little later an increase in the blood pressure, and a lightening of the color of the abdominal and thoracic viscera.

Front 16

4th and 6th vertebrae caused dilation of

Back 16

pulmonary vessels

Front 17

4th vertebrae stimulation was followed by variable

Back 17

slowing of heart rate

Front 18

8th through 13th lessened peristalsis, and

Back 18

decreased tone of visceral walls and their vessels

Front 19

A facilitated segment is an

Back 19

A facilitated segment is an excited segment that requires very little input or a depressed segment that requires significant input to elicit a response.
The viscera alter spinal tissue tone and cause restriction.
Spinal restriction alters the function of viscera.

Front 20

Stiles Screen

Back 20

A method of instruction involving treating each patient by their own unique sequence.
The proper sequence was achieved by treating the “key lesion.”
The key lesion is the segment or lesion that is the most restricted, and thus called the Area of Greatest Restriction (AGR).
The screen is a standardized way of approaching each patient to find there AGR.

The complete stiles screen looks at evaluating the patient first standing and then sitting. The modified screen is just evaluating the patient sitting or even in bed, like the hospitalized patient.
The screen uses Fryette’s third law of spinal mechanics: if motion is reduced in one plane the motion in the other two planes is also reduced.
The screen brings the patient in to slight flexion and slight side-bending. The clinician uses the shoulder as the steering wheel. With the opposite hand the clinician uses the thenar eminence as the lever to induce rotation. The lighter the force the more obvious the restriction. The harder the rotary force the more confusing the information. Every segment will seem restricted when you push real hard and drive the segment into the physiologic barrier.

Front 21

Diagnosing Spinal Facilitation

Back 21

Modified Stiles screen; Using thumb with thenar eminence to induce rotation in spine that is already minimally flexed and side-bent. The areas of restriction are noted as one examines both sides of the spine from the occiput to the sacrum.
The Lever; The hand that serves as the lever over the spinous processes to induce rotation away from the clinician.
The Director; The hand that is placed on the ipsilateral shoulder and induces flexion and side-bending.

Front 22

Stiles screen with hands,

Back 22

When screening the right side of the spine the right hand controls the position of patient's spine.
The diagnosing rotary motion is applied with the left.
The left hand is the eyes of clinician applying force and diagnosing the AGR.
The screen runs from C1 to the Sacrum on both sides.

Director hand- SB, R at shoulder
Other hand -detects restriction

Front 23

Spinal level and side:
Esophagus

Back 23

T3 to T6, right-sided reaction

Front 24

Spinal level and side:
Stomach

Back 24

T5 to T10, left-sided reaction

Front 25

Spinal level and side
Duodenum

Back 25

T6 to T8, right-sided reaction

Front 26

Spinal level and side
Pancreas

Back 26

T5 to T9, bilateral block reaction
in chronic pancreatitis area tends to be fixed in extension

Front 27

Spinal level and side
Liver

Back 27

T5 to T10, right-sided reaction

Front 28

Spinal level and side
Gallbladder

Back 28

T9 to T10, right-sided reaction

Front 29

Spinal level and side
Small intestine

Back 29

T8 to T10, bilateral reaction (R > L);

Front 30

Spinal level and side
Appendix;

Back 30

T9 to T12, right-sided reaction
associated with tenderness over the tip of the 12th rib on the right (anterior Chapman's tender point)

Front 31

Spinal level and side
Cecum and ascending colon

Back 31

T11 to L1, right-sided reaction;

Front 32

Spinal level and side
Descending colon

Back 32

L1 to L3, left-sided reaction