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64 Cards in this Set
- Front
- Back
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what is a chapman |
– gangliform contraction that blocks lymphatic drainage, causing inflammation in tissues distal to the drainage
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what is the current thinking about chapmans reflexees and the symp NS
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linkage of lymphatics with sympathetic NS dysfunction
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what is the drawback to chapmans reflexes
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however are more sensitive than specific because one spinal cord segment innervates more than one organ
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what does the tx of chapmans reflex involve
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reducing sympathetics to a particular organ
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what does a chapmans point feel like
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Nodules that are small, smooth, firm, single or in groups
they are painful to palpation, non radiating and sharp, nonmobile |
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what do you treat first before chapmans
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any pelvic dysfunction ( ganglion impar gonads)
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how do you treat chapmans and how long does it take
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Using the finger pad of one finger, apply firm but gentle pressure in a circular fashion
Treatment may take from 2 seconds to 2 minutes but generally is 15 seconds |
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what is the endpoint of treatment of chapmans
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dissolution of edema and decrease myofascial tension
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what is a trigger point
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Hyperirritable spot in skeletal muscle that is associated with a hypersensitive nodule in a taut band
Radiate pain in a predictable pattern (non-dermatomal) Motor and autonomic phenomena may be seen |
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how do you treat a trigger point
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cool and area, stretch it, or inject it
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what are counterstrain points
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Found in muscle, ligaments, tendons
Associated with musculoskeletal SD No pain radiation and no palpable nodule |
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what is tx for counterstrain points
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position pt to reset the gamma gain
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what is the phenomena of pelvic thyroid adrenal syndrome
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Treatment of the pelvis influences the ovaries and testes - - estrogen, progesterone, testosterone
These sex hormones interact with immunocytes as well as adrenal and thyroid glands They influence TSH levels and may increase thymocyte proliferation |
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lymohocytes can secrete
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TSH, progesterone, corticotrophin-releasing hormone (CRH), and adrenocorticotrophic hormone (ACTH)
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adrenal gland secretes cortisol which may inhibit ___ secretion
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TSH
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The ____ enhances reproductive function, myelin production, immunocyte proliferation and can have a sympatheticomimetic effect
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thyroid
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where is the chapman point for the middle ear ( otitis media)
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upper edge of the clavicle, just beyond where it crosses the 1st rib
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where is the chapman point for the pharynx
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front of 1st rib ¾-1” toward the sternum from where the clavicle crosses the rib
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where is the chapman point for the nose
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the costochondral junction of the first rib
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what is the chapman point for the first of second intercostal space close to the sternum
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tonsil
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where is the chapman point for the sinuses
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Sinuses – 3 ½” from the sternum, on the upper edge of 2nd rib and in the 1st intercostal space above
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where is the chapman point for the bronchus, esophagus and thyroid
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Bronchus, Esophagus, Thyroid – 2nd and 3rd rib intercostal space close to the sternum
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were is the chapman point for the cerebellum
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tip of the coracoid process
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CM point for myocardium
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Myocardium – 2nd and 3rd intercostal space close to the sternum
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CM point for upper lung
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Upper lung - 3rd and 4th intercostal space close to the sternum
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CM point for lower lung
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Lower lung - 4th and 5th intercostal space close to the sternum
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CM point for arm neuritis
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Arm neuritis – between 3rd and 4th ribs near the sternum
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CM point for arm circulation
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Arm Circulation – muscular attachment of the pec minor to the 3rd, 4th and 5th ribs
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CM point for neuresthesia
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Neurasthenia - All muscular attachments of pec major on the humerus, clavicle, sternum and cartilage of the ribs esp rib 4 in front of the mid axillary line: a former category of mental disorder, including as irritability, fatigue, weakness, anxiety, and localized pains without apparent physical causes, from weakness or exhaustion of the nervous system)
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CM for pyloric stenosis
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Pyloric stenosis – manubrial-sternal junction down the front of the sternum
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CM stomach hyperacidity
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Stomach hyperacidity –5th and 6th intercostal space from the mid-clavicular line to the sternum on the left
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CM pancreas
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Pancreas – 7th and 8th intercostal space on the right
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CM liver/gallbladder
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Liver/gallbladder – 6th and 7th intercostal space from mid-clavicular line to the sternum on the right
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CM stomach dec peristalsis
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Stomach decreased peristalsis –6th and 7th intercostal space from the mid-clavicular line to the sternum on the left
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CM of liver
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Liver - – 5th and 6th intercostal space from mid-clavicular line to the sternum on the right
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CM broad lig, prostate
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Broad ligament, Prostate – from the trocanter downward on the outer aspect of the femur to within 2” of the knee joint
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CM bladder
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Bladder – around the umbilicus as well as on the pubic symphysis close to the median line
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CM kidney
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Kidney – an inch on either side of the median vertical line of the abdomen and 1” above the horizontal plane of the umbilicus
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CM prostate, uterus
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Prostate, uterus - laterally on either side of the pubic symphysis – extends downward and outward at an angle, for about 2” across the inner, lower margin of the obturator foramen
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CM intestinal peristalsis constipation
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between ASIS and greater trochanter
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colon spastic colitis
what is indicated on the left side |
left side = first 1/5 just above the knee corresponds to the last 3/5 of transverse colon, middle 3/5 is the descending colon, last 1/5 is the sigmoid; extreme upper end of the trocanter on the left side is the recto-sigmoid junction
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Colon- spastic colitis
what is indicated on the right side |
an area 1-2” wide, from the trocanter to within an inch of the patella on the front, outer aspect of the femur – on the right side = upper 1/5 indicates cecum, next 3/5 ascending colon, last 1/5 for the first 2/5 of transverse colon; on the
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post CM bronchus, esophagus, thyroid
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Bronchus, Esophagus, Thyroid - midway between the TP and SP of T2 on the posterior aspect of the TP
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post CM larynx, sinuses, otngue
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Larynx, Sinuses, Tongue – midway between the TP and SP of C2 on the superior aspect of the TP
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post CM middle ear
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Middle ear (otitis media) – upper edge of the posterior aspect of the tip of C1 TP
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post CM conjunctiva
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Conjunctiva, retina – around the suboccipital nerve
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post CM tonsils
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Tonsils – post surface of C1 TP, midway between the median line of the neck and the tip of the TP
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what is the post CM for Myocardium
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Myocardium – intertransverse space, midway between spinous and transverse processes of 2nd and 3rd vertebra
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what is the post CM for the upper lung
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Upper lung - intertransverse space, midway between spinous and transverse processes of 3rd and 4th vertebra
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what is the post CM for the lower lung
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Lower lung - intertransverse space, midway between spinous and transverse processes of 4th and 5th vertebra
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what is the post CM for stomach hyperacidity
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Stomach hyperacidity - intertransverse space, midway between the spinous and transverse processes, between 5th and 6th vertebrae on the left
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what is the post CM for the liver, gallbladder
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Liver, gallbladder - intertransverse space, midway between the spinous and transverse processes, between 6th and 7th vertebrae on the right
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post CM for appendix
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Appendix – 11th intertransverse space on the right
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post CM for pyloric stenosis
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Pyloric stenosis – face of 10th rib at its junction with tip of TP of 10th vertebrae on the right
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post CM for intestinal peristalsis
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Intestinal peristalsis (constipation) - – face of 11th rib at its junction with tip of TP of 11th vertebrae on the right
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post CM for abdomen bladder urethra
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Abdomen, Bladder, Urethra – upper edge of TP of L2
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post CM for broad lig, prostate, fallopian tubes, seminal vesciles uterus, vagina
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Broad ligament, Prostate, fallopian tubes, seminal vesicles, uterus, vagina (leukorrhea) – between PSIS and spinous process of L5
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post CM for Vagina
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Vagina (leukorrhea) – inner femoral condyle and upwards from 3-6” on the posterior aspect (anterior points)
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post CM for ovaries, testes
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Ovaries, Testes – intertransverse space between 9th and 10th vertebrae (inner half of the ovary) and 10th and 11th vertebrae (outer half of the ovary)
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post CM for kidneys
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Kidneys - intertransverse space between T12 and L1 vertebrae between the spinous and TP
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post CM for colon ( spastic constipation or colitis)
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Colon (spastic constipation or colitis) – TP of L2 – TP of L4 a triangular area reaching across to the iliac crest
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post cm for hemorrhoids rectum
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Hemorrhoids, Rectum – on the sacrum close to the ilium at the lower end of the SI jt
also hemorrhoids- can me just above the ischial tuberosity (anterior points) |
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anterior points for sciatica
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Below the trocanter downward 2-3” downward on the posterior outer aspect of the femur
Mid-posterior region of the femur 1/3 the distance up from the condyles Just above the knee and continuing upward for 2” on the posterior outer aspect of the femur Supplemental points: Both sides of the fibula from its upper attachment or articulation with the tibia to the outer malleolus |
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posterior CM points for sciatica
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Upper part of the sacrum inside the SI joint
Just below PSIS Midway between the trocanter and the ischial tuberosity and above the trocanter Midway between the trocanter and the ischial tuberosity and above the trocanter |
