INDEX “OSTEOPATHY PREGNANT TREATMENT”
ANTONIO DANIELE D.O.
CHATPER 1.
HOW THE HORMONAL SYSTEM IN PREGNANCY CHANGES
THE AUTOMATIC NERVOUS SYSTEM IN PREGNANCY
THE FETUS-PLACENTA SYSTEM
THE IMPORTANCE OF MOTION TO THE ABILITY TO CHANGE
- safety issue and osteopathic treatment during pregnancy
- Spontaneous abortion
- Safe techniques and treatment positions
CHAPTER 2.
EVALUATION OF THE PREGNANT PATIENT
- What happens at the antenatal visits? (blood test; labor; caesaern surgery; diabetes; post partum)
- The tissue diagnosis from a structural point of view (Sacroiliac joint pain; Facet joint pain; Disc pain)
- osteopathic examination from a structural point of view (The postural change of pregnancy)
- test:- The standing examination
o Active movement examinations
o The triangle test
o The sitting, side-lying, and supine examination
o The abduction test
o Side-lying examination of the sacroiliac joint
o Lasegue test (rigalza)
o Wassermann test
o Phanel and tinel test
CHAPTER 3
ABOVE THE DIAPHRAGM: CHANGE IN ANATOMY AND PHYSIOLOGY DURING PREGNANCY
- Physiological change in the cardiopulmonary system during pregnancy
- common symptoms due to change in the physiology of the heart and lungs during pregnancy (imsonia;
headache, ecc)
- changes in normal cardiac and respiratory anatomy during pregnancy (fascia, pericardium, heart)
- structural changes above the diaphragm during pregnancy (Postural changes to the thoracic spine and
ribs during pregnancy;
- common symptoms due to structural changes above the diaphragm during pregnancy (Costochondral
pain; Thoracic spinal pain)
- the diaphragm and its mode of action
CHAPTER 4
TREATMENT TECHNIQUES FOR ABOVE THE DIAPHRAGM DURING PREGNANCY
- soft tissue technique for the neck and suboccipital tissue
- soft tissue technique for the neck and shoulder (sitting position)
- modification of periscapular soft tissue
- compression of the fourth ventricle technique (CV4)
- sitting rib stretch technique
- sitting stretch technique for thoracic spinto (flex and extension)
- technique to stretch the diaphragm
- myofascial release for thorax and mediastinum
- technique for carpal tunnel
- HVLA in sitting position (cervical, lower cervical, upper thorax, thorax (sitting and dog)
CHAPTER 5
BELOW THE DIAPHRAGM: CHANGES IN ANATOMY AND PHYSIOLOGY DURING PREGNANCY
- Changes in physiology of the gastrointestinal tract during pregnancy
- The mouth, esophagus and stomach
- The small intestine, large intestine and appendix
- Liver, gallbladder and pancreas
- Kidney in pregnancy
- Musculoskeletal system in pregnancy
o Low back pain and pregnancy: evidence and theories
o The postural changes in pregnancy (1st , 2nd and 3rd trimester)
o The importance of thoracolumbar junction
- Visceral osteopathy in pregnancy
o Organ attachements below the diaphragm
o The effect of the visceral ligament in pregnancy
CHAPTER 6
TREATMENT TECHNIQUES FOR THE DIAPHRAGM AND BELOW DURING PREGNANCY
- Longitudinal stretch technique
- Soft tissue technique for lumbar spinal muscle (side-lying)
- Ligament articulation technique
- Circular articulation technique on lumbar spine
- Psoas technique
- Thoracolumbar articulation technique (flex and extension in sitting position)
- Hvla lumbar (short)
- Visceral techniques:
o Diaphragm lift technique
o Constipation technique during pregnancy
o Visceral trust technique
o Functional techniques and the colon in pregnancy
o Normalization of the kidneys
CHAPTER 7
THE PELVIS: CHANGES IN ANATOMY AND PHYSIOLOGY DURING PREGNANCY
- Anatomy of the lumbopelvic spine (L5/S1 in pregnancy)
- Pelvic ligaments
- Pelvic floor (muscles)
- Gynecological ligaments and changes to the uterus in pregnancy
CHAPTER 8
TREATMENT TECHNIQUES FOR THE PELVIS DURING PREGNANCY
- Palpation of the pelvic floor (external)
- MET (muscle energy technique) for piriformis muscle
- Coxo-femoral test and technique
- Test and Articulation technique for sacroiliac joint (supine and side-lying)
- Reverse manipulation for a super pole lesion of SIJ
- Leg tug manipulation
- Pubic symphysis pain, evaluation and techniques
- Sacral test and techniques (supine and sitting)
- Uterus technique (lift, open pelvic floor)
- Uterus ligaments techniques
- The malpositions
- Post partum issue
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