Card Set Information
Osteopathic manipulative medicine focused on heart
Sympathetic and Parasympathetic innervation of heart?
: Vagus n.
Ventricle pain refers to what dermatomes?
Atrial pain refers to what dermatomes?
T4-T6 chest wall
Location of anterior cardiac chapman's point?
Near the sternum in the 2nd intercostal space bilaterally
Location of posterior cardiac chapman's point?
Midway between the spinous process and
the tips of the transverse processes in the space between the transverse
processes of T2 & T3 bilaterally
Anterior chapman's points are for ______?
Posterior chapman's points are for _____?
Location of trigger point that helps in supraventricular tachyarrhymias.
5th ICS right parasternal area in pec major
Right sided sympathetics nerves go primarily to the ____ node.
Left side sympathetic fibers innervate the ___ node.
Vasculature of the arms receives its sympathetic stimulation from these levels.
Vasculature of the legs receives its sympathetic innervation from these levels.
Pressure on the occipitomastoid suture likely to do what?
Slow the heart
Main lympatic drainage of the heart?
The right lymphatic duct
Cardiac somatovisceral changes likely to manifest where?
Left side, T1-T6
Patients with cardiovascular dysfunction should also have these organs manipulated.
Kidney and adrenals
Treatments for use after an Acute MI include:
Soft tissue only first 72 hours
Right pec major trigger point
Paraspinals from T1-L2, occipitomastoid suture, OA, C1, C2
Redome diaphragm, indirect thoracic outlet techniques, pectoral traction with breathing
Manipulations to use with Hypertension
Posterior adrenal chapman's points
Manipulations to use for Congestive Heart Failure
Treat thoracic inlet restrictions
Dysfunction in T1-L3 and rib cage
Redome the diaphragm
Use thoracic, pedal, and abdominal pumps (only if sure patient's CV system can handle increased fluid load)
Manipulations to use post Coronary artery bypass graft (CABG) surgery.
–Balanced Ligamentous Tension
•Bilateral Posterior Thoracic Cage Release
–Indirect Myofascial Release of the Sternum
•Antero-Posterior Thoracic Cage Release
–Indirect Myofascial Release of the Diaphragm
•Antero-Posterior Diaphragm Release
•From the Head of the Table R1-5 only
–Sibson’s Fascia Release
Direct Myofascial Release version