OPP final, Osteopathic Approach to Pulmonology Flashcards

Bilateral rib raising
Terms Definitions
Sympathetics to the respiratory system are found at which levels?
T1-T6
Increased symoathetic outflow causes:
Bronchodilation
vasoconstriction
hypopwerfusion
epithelial hyperplasia
thickened hypersecretion
With prolonged stimulation, facilitated segments( lowered stimulus threshold) occur at which levels
C2-3
T1-6
Which segments stimulate the diaphra
C-C3
Treating these segments may aid in breathing
What conditions can mechanically stress C3-C5?
--Rib dysfunction
-tissue congestion
-reflex arcs
What are the effects of parasympathetics?
-bronchoconstriction
-vasodilation
-hyperperfusion
-thinned hypersecretion

(Opposite of sympathetic effects)
Where are the Chapman's anterior points located?
-3rd, 4th intercostal surfaces for lungs
Describe the Hering-Breuer reflex
-Prevents overinflation of lungs when alveoli are distended
-If distention is by fluid, reglex still occurs bc CNS can't tell the difference btwn air and fluid
-Breathing becomes shallow and rapid
Heart and lung drain into which side in the lymph system?
Right side
How are the lymphatics effected by a flattened diaphragm?
-decreases pressure gradient
-congestion
What are the initial sx of pneumonia?
-non-productive cough
-pain on inhalation
-infection signs
-consolidation is seen on chest xray
Tx of penumonia
-antibiotics
-OMT
How does OMT tx pneumonia?
-provides congestion relief
-aids recovery by decreasing hypersympatheic activity and getting rid of facilitated segments
-encourages circulation and allows more comfortable breathing
-Increase OMT as pt recovers
What OMT treatments can be used for pneumonia?
-rib raising
-paraspinal inhibition
-Chapman's reflexes in sympathetic viscerosomatic reflexes (VSR)
-Diaphragm doming
C3-5 tx
-tx upper cervical segments
Can you do lymphatic treatments if a patient has a fever?
NO!! Lymphatic techniques are contraindicated
Tx for COPD
-Any tx that improves rib cage motion (rib raising)
-thoracic drainage
-movement in the diaphragm (C3-C5) can be helpful
Tx for asthma
-during acute attack: stimulate sympathetic stimulation
-Between attacks:tx used to enhance thoracic/ rib motion
How does OMT assist asthmatic pts?
-14% reduction in hospital stay length
-decreased amount of medication required
-increase peak flow (7-9 L)
Atelectasis (absence of alveolar gas exchange) may be better treated by which: thoracic lymphatic pump or incentive spirometry??
Thoracic pump
What is incentive spirometry?
Mechanical device intended to improve lung function by inhalation exercises?
List the characteristics of Stage 1 pneumonia
-pt in moderate distress
-febrile
-non-productive cough
-mildly to moderately dehydrated
List the characteristics of stage II pneumonia
-pt with diminished distress
-reduced/absent fever
-Early productive cough
-improved hydration
List the characteristics of stage III
-pt is afebrile
-productive cough
-restored fluids and electrolytes
Osteopathic tx of Stage 1
1. Bilateral rib raising
2. Bilateral indirect myofascial release of the thoracic inlet and upper thoracic region
3. Bilateral inhibition of paravertebral muscles in the cervical region down to C5
Osteopathic tx of Stage II
1. Steps 1,2,3 from stage I
2. Specific tx of any somatic dysfunction of C7 to T4.
Osteopathic tx of stage III pneumonia
1. Bilateral rib raising
2. lymphatic pump
3. specific tx of any vertebral somatic dysfunction
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