Scribd
Upload
171 views4 pages

Visceral Autonomic Innervation Overview

The document discusses the autonomic innervation of various organs and visceral tissues, listing the sympathetic and parasympathetic innervation. It then provides a table outlining various osteopathic manipulative techniques, describing the technique, method, and whether it is direct or indirect.

Uploaded by

joey plouffe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
171 views4 pages

Visceral Autonomic Innervation Overview

The document discusses the autonomic innervation of various organs and visceral tissues, listing the sympathetic and parasympathetic innervation. It then provides a table outlining various osteopathic manipulative techniques, describing the technique, method, and whether it is direct or indirect.

Uploaded by

joey plouffe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Visceral autonomic innervation

Parasympathetic
Organ Sympathetic innervation
innervation
CN III (ciliary), VII
Head & neck T1-T4 (sphenopalatine), IX
(otic)
Heart T1-T5
Lungs T2-T7
Esophagus T2-T8
Upper gastrointestinal tract
T5-T9 → Greater splanchnic
(Stomach, proximal duodenum, portion nerve → Celiac ganglion
of pancreas, spleen, liver, gallbladder)
Middle gastrointestinal tract
Vagus (OA-C2)
(Portion of pancreas, distal duodenum,
jejunum, ileum, ascending colon,
proximal ⅔ of transverse colon) T10-T11* → Lesser
splanchnic nerve → Superior
mesenteric ganglion

Kidneys, adrenals, upper ureters

Ovaries, testes
Lower gastrointestinal tract (T12-L2)

(Distal ⅓ of transverse colon,


descending colon, sigmoid colon,
rectum) T11-L2* → Least splanchnic
nerve → Inferior mesenteric Pelvic splanchnic (S2-S4)
ganglion

Uterus, cervix, prostate

Lower ureters, bladder


*Precise levels may vary slightly by organ.
Osteopathic manipulative techniques
Technique Description Method
High velocity low Quick (high velocity) & short (low amplitude)
Direct & passive
amplitude thrust moves joint through restrictive barrier
Muscle energy (eg,
Muscle relaxation allows movement through
postisometric relaxation, Direct & active
restrictive barrier
reciprocal inhibition)
Traction applied to dysfunctional muscle &
Usually direct &
Myofascial release surrounding fascia to move through restrictive
passive
barrier
Muscle held in relaxed position for 90-120 seconds
Counterstrain
to maximize relief of tenderpoint pain
Indirect &
Facilitative force (ie, compression) applied in
Facilitated positional passive
neutral position, then muscle held in relaxed
release
position for 3-5 seconds
Gentle force applied along a vector toward
Indirect, then dysfunction while muscle is taken from relaxed
Still technique
direct & passive position (indirect) through restrictive barrier
(direct), then back to neutral
Tissue is moved into a relaxed position, then a
Balanced ligamentous Usually indirect
disengaging force (ie, compression or traction) is
tension & passive
applied & fine-tuned until release is palpated
Rhythmic movements to enhance lymphatic flow &
Lymphatic technique Passive
drainage
Active = patient participates; direct = moving toward restrictive barrier; indirect = moving
away from restrictive barrier (ie, toward the position of ease/dysfunction); passive = patient does
not participate.

You might also like