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Lymphatic Manipulative Techniques I
Goals: 1. To learn how to relieve obstruction to lymphatic flow at the thoracic inlet 2. To learn how to provide free unrestricted function of the rib cage
Terms in this set (13)
What are the indications for relieving lymphatic drainage of the thoracic inlet?
1. Edematous conditions anywhere in the body
2. Infectious diseases anywhere in the body
What is the treatment sequence for relieving lymphatic drainage at the level of the thoracic inlet?
1. Treat somatic dysfunction of T-1 if present
2. Treat somatic dysfunction of rib 1 if present
3. Treat somatic dysfunction of the sternum and clavicles if present
4. Treat Sibson's fascia with a direct myofascial release
Upper ribs held in exhalation are indications for what technique?
What technique would be most effective for an air trapping disease, such as asthma or emphysema?
Redoming the diaphragm
The redoming the diaphragm technique should be repeated how many times?
3-5 respiratory cycles
What are the contraindications for the redoming the diaphragm technique?
1. Recent infection of a large meal
2. Hiatus hernia, gastro reflux disease
3. Friability of the liver or spleen (cirrhosis, mononucleosis, leukemia, lymphoma)
How are the physicians hands placed during the direct myofascial release technique for the thoracic inlet?
On the shoulders with the index fingers overlying the first ribs just posterior to the clavicles and the thumbs over the transverse processes of T-1
How do you test side bending of the thoracic inlet region?
Introduce a side to side translators motion to the right and left
How long is the direct myofascial release technique for the thoracic inlet held for?
Hold for 90 sec - 2 min of until there is release of the thoracic inlet
The rib raising technique is used when the upper ribs are held in what position?
What are the effects of the rib raising technique? (Success)
Improved rib excursion, improved lymphatic flow (improved pressure gradient and reduced sympathetic tone and reduced lymphocontriction)
Where should you begin the rib raising technique?
Upper rib rage around rib 3
Which direction should you pull when performing the rib raising technique?
Forward and laterally as you lean away from the patient
This set is often in folders with...
The Osteopathic Approach to the Lymphatic System
Principles of Visceral Technique
Lymphatic Manipulative. Techniques II
Visceral Techniques Lab
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