Neurolymphatic Points Chapmans Reflexes

NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013

NEURO-LYMPHATIC POINTS – CHAPMANS REFLEXES The stimulation of these points within the body aids in the maximum potential of strength, length, power, flexibility and endurance of the Musculo-skeletal Musculo-skeletal system. By improving the neural pathways we can conversely affect the hormones released by the Pituitary and Hypothalamus which denotes whether we are in “Fright or Flight” or “Rest and digest”. The initial course of action when focused on the most efficient outcome-based treatment should be to start at the very beginning and this will give you the tools to do just that! t hat!

Neuro-lymphatic points

Paula Nutting BHScMST

Copyright 2013

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NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 Neuro-lymphatic reflexes, or “neurolymphatics” as referred to in Applied Kinesiology, are Neuro-lymphatic locations on the body that are believed believed to affect a specific muscle and organ. As mentioned above, it is used in Applied Kinesiology for diagnosing the relationship between weak muscles and dysfunction with that muscle or its corresponding organ or gland/tissue. Neuro-lymphatic reflexes were discovered by Dr. Frank Chapman, an osteopath in the 1930s. Through palpation, Chapman found tender areas in the body, which he believed to be the result of an increase and even congestion in lymph. Subsequent massage to that area would increase increase lymphatic drainage and lead to positive effects of the individual’s health, especially to corresponding bodily organs, areas, and glands. Dr. George Goodheart, the founder of AK, liked Chapman’s work and through experimentation discovered that he could turn previously weak muscles on by touching and massaging these points. Chapman’s work neuro-lymphatic neuro -lymphatic points were all associated with specific organs and glands as Goodheart’s muscle testings were. The first correlation that Goodheart found was that Chapman’s Cha pman’s neuro-lymphatic neuro-lymphatic point linked with the stomach was helped to turn on the Pectoralis clavicular muscle, also linked to the stomach. From there, Goodheart was able to correlate all of the other muscles he discovered and now every muscle has its own neuro-lymphatic point.







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 of stress hormones, including adrenaline and cortisol and also neuropeptides into the bloodstream. These hormones rouse the body for emergency action. The stress response is the body’s way of protecting the person. person . When working properly, it helps in staying focused, energetic, and alert. Physiologists define stress as how the body reacts to a stressor, real or imagined, that causes stress. Acute stressors affect you in the short term; chronic stressors over the longer term and is achieved by the Autonomic nervous system.

General adaptation syndrome

A diagram of the General General Adaptation Adaptation Syndrome model as designed by by Selye.Courtesy Selye. Courtesy of Wikipedia

Stages of Stress Alarm is Alarm is the first stage. When the threat or stressor is identified or realized, the body's stress response is a state of alarm. During this stage, adrenaline will be produced in order to bring about the fight-or-flight the fight-or-flight response. There response. There is also some activation of the HPA the HPA axis, producing cortisol. producing cortisol. Resistance is Resistance is the second stage. If the stressor persists, it becomes necessary to attempt some means of coping with the stress. Although the body begins to try to adapt to the strains or demands of the environment, the body cannot keep this up indefinitely, so its resources are gradually depleted. Exhaustion is Exhaustion is the third and final stage in the GAS model. At this point, all of the body's resources are eventually depleted and the body is unable to maintain normal function. The initial autonomic initial autonomic nervous system symptoms may reappear (sweating, raised heart rate, etc.). If stage three is extended, long-term damage may result, as the body's immune system becomes exhausted, and bodily functions become impaired, resulting in symptoms and conditions including ulcers, including ulcers, depression, depression, anxiety, anxiety, diabetes, diabetes, digestion digestion disorders, even cardiovascular even cardiovascular problems. When the body is in this stress state it will commonly present in defensive positions, which are the return to the foetal position. This shortens muscles of the hip and knee, shoulder girdle and forearm, cervical cervical region (poke chin) and Tx/diaphragm and Lx/Sx regions.








CNS response to Defensive posture 

Poor muscle proprioception

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Inaccurate information to the CNS therefore poor response

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Imbalance of alignment and movement of muscle contractions

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Poor breathing with reduced ability of the diaphragm diaphragm to contract and thereby using using the accessory respiratory muscles including Scalenes and Pec minor.

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Ceases the parasympathetic nervous system via the control of the Hypothalamus.

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Alters the endocrine system , limbic system and musculoskeletal system

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Alters the emotional state which which can be embedded into the fascia.

Cost of stress – stress – long long term 

Rapid aging

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Weight gain

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High blood pressure

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Heart disease

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Cancer

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Digestive problems’

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Nervous breakdown, burnout

Cost of stress – stress – long long term emotionally 

Anxiety, fear, restlessness

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Irritability, anger

Depression

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Insecurity

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Loss of libido

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Impaired memory and concentration

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Excessive smoking or drinking

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Is there a way out? 

Can we learn to start responding instead of reacting to our stress

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Shift balance from sympathetic to parasympathetic

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Can we interrupt these patterns quickly and effectively

W h a t ev ev e r i s i n t h e m i n d i s i n t h e b o d y Stand and twist then visualise full rotation; think about that juicy lemon then bite it.

INTERRUPTING THE PATTERN







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 meditation, these yogis could reduce their heart rates, blood pressure, metabolism, body temperature, and other physiological processes to surprising levels 

DIAPHRAGMATIC BREATHING o

The only way to activate the parasympathetic response is is through diaphragmatic breathing

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Most of us don’t know how to use it

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We will will learn how to get the diaphragm firing and instantly interrupt the stress response

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This relieves physical, mental and emotional stress in the body

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Correct deep breathing means efficient gas exchange of O2, CO2 CO2 and haemoglobin.

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Spontaneous respiration produces rhythmic discharge of motor neurons, and these nerve impulses depend on the brain. The rate and depth of respiration in regulated by chemoreceptor’s measuring PO2, PCO2 and H+.

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75% of quiet inspiration is done by the diaphragm

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Before we activate the the diaphragm we need to become aware of the position of the spine. The more upright you get your thoracic spine the more you open up your ability to breath.

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By correcting your position alone you can increase increase your oxygen intake intake by up to 1 ½ litres per minute

ACTIVATE THE DIAPHRAGM Position is along the centre of the sternum; rub for up to 2 minutes taking more time on areas of more pain. This area is our primary defence position and when we are under threat, stress or pain the Neurolymphatic points become dampened and very tender to palpate. Easiest to stimulate in supine with knees bent so that the diaphragm can be activated in this position directly afterward. 1.

Breath in through the the nose nose out through the the mouth

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Nothing in the chest and and all in the stomach

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Place one hand on the chest and the other between the navel and the xyphoid xyphoid process.

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10 deep rhythmic breaths and we are looking for gut sounds [parasympathetic response] and potential light headedness [ greater oxygenation to the blood stream]

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Inhale should see the belly belly rise and very little movement of the chest and the exhale should see the stomach contract back inwards.

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If this is difficult to do slow down or apply more rubbing to the tender points. When







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 Breathing is easy when doing most things but when you get into challenging situations or exercises, you tend to either hold your breath or shallow or accessory breath. This is the most important area to get right and will improve performance levels exponentially.

Summary 

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Release the defence position on the sternum Get your client breathing Deep relaxed breaths 2 minutes with you in the treatment room 10 minutes per day

MUSCLE ACTIVATION FOR SAGITTAL LINE Ensure the CORE is fully activated by assessing and treating the Psoas-Glut-Hamstring group. The CORE also includes the Transverse Abdominus, Rectus Abdominus and Obliques which will be looked at in the next section. Actions include hip flexion, hip extension and hip extension/knee flexion. If the hip flexor shuts down then the Glut on the same side will shut down too due to agonist/antagonist relationship and its reciprocal inhibition. INEFFECTIVE GLUT = INAPPROPRIATE HIP EXTENSION

HAMSTRING TAKES ON HIP EXTENSION AS THE PRIMARY ROLE

HAMSTRING TIGHTENS UP AND WILL NOT STRETCH OUT – PROTECTION PROTECTION FOR THE BODY AND WILL NOT RELEASE TILL THE PSOAS AND GLUT FIRE NORMALLY

Psoas Major     

ACTION - Flexes Flexes the hip joint, flexes the trunk ifif legs legs are fixed Influences the biomechanics and balance of the pelvis and lumbar spine When tight pulls the Lx spine into lordosis When doesn’t fire reduces the Lx lordosis Its role in defensive positions is pulling the legs up into a ball









NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 

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Press down on the elevated straight straight leg at the ankle whilst whilst the client resists your pressure Look for strength and/or cramping in the Quadriceps (sign of overuse of this group) Check the ability of the client to hold the leg up.

Hamstrings

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ACTION – ACTION – extends extends the hip and flexes the knee, short head flexes the knee only Adductor Magnus (hamstring portion) extends the hip joint Exercises for Hamstrings include leg curls, squats and Leg press with with Quads

Testing the Hamstrings  

We are looking for length and not strength in this instance Take the relaxed leg into hip flexion till the client feels the the stretch – record – record length

Reflexes for Activation







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 Gluteus Maximus 

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Major muscle responsible for keeping us upright, stabilising the pelvis during movement and power and control in sitting to standing/walking/stair climbing ACTIONS – ACTIONS – extends extends the hip joint, braces the knee in extension, lateral rotation of the hip.

Testing the Gluts 0

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Client lies prone and flexes the knee 90 and then lifts the knee off the floor

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You apply a downward force to the leg just near the knee and the client resists

Alternate test with dynamic stability Client gets gets into the bridge position with one leg leg then raised vertically into the air You then push the leg in in multiple directions and see if they can resist those forces applied.  

Reflexes for activation 

Along the occipital Ridge from Mastoid Process to the other

Quadriceps 

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ACTION controls knee flexion but also flexes the hip (Rectus femoris) If the Psoas shuts down the Quads take over the role due to this secondary action They become tight to maintain hip stability ACTION – ACTION – all all heads extend the knee, and the VMO provides correct patella tracking by pulling the patella medially Exercises include leg extensions, squats, and leg press

Testing the Quads  

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Client lies supine with hip and knee bent to 90 Ask them to maintain this position whilst you push the femur (just above the knee) and pull the ankle simultaneously to try to straighten the leg.







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 Calves (indicate chronic stress) Consist of 2 distinct distinct muscles and and actions, Gastrocnemius being the most significant. As it crosses 2 joints and flexes both the knee and plantar-flexes the ankle if it is not firing correctly and/or shortened it will impact overall biomechanics. A tight Calf will unlock the knee in the stance phase of Gait and load the Quads instead of the natural transfer up the lateral component of the leg, up and across the sacrum and up the contralateral side of the trunk. The spine should be the “engine of all our movements” and if this is not the case the body will lock up quickly ACTION – ACTION – flex flex the ankle (aiding in pushing off in running or walking) and flexion of the knee (not Soleus) Exercises include standing or seated calve raises

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Testing the Gastrocnemius 

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This test is a flexibility test and with the leg extended fully you you are looking at the dorsiflexion of the ankle Push the knee into full extension and the angle of dorsiflexion should be a minimum minimum 0 0 0 0 of 15 past 90 and good flexibility 30 – 30 – 40 40 past 90

Reflexes for activation  

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Gastrocnemius and Soleus have the same reflex points Best points are in the front of the of the torso and located 5cm across and 5cm up from the umbilicus Note this can be very painful on highly sensitive people th th Also points between the 10 and 12 ribs 3cm laterally within the Erector Spinae

Tibialis Anterior 

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Opposes the action of the Calf, when the calf is tight it can create symptoms of shin splints Reduced shock absorption of Gait ACTION dorsiflexion and inversion of the foot, assists in maintaining medial longitudinal arch of the foot

Testing the Tibialis Anterior   

Ask the client to dorsiflex the foot and toes Place your hand over foot and include toes Apply strong opposing pressure







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 MUSCLE ACTIVATION FOR REMANDER OF THE CORE AND JAW

Abdominals Let’s go back to the CORE and the need for the entire unit to function as a whole, no matter how strong, fit, big, athletic people appear it is surprising how pathetic their abdominal activation is. This then means that the body needs to elicit other muscles to do the job of trunk stability and this tends to be the neck and jaw. 

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Rectus Abdominus, Obliques internal and external and Transverse Abdominus all have similar actions but can become very dysfunctional in their alignment similar to setting up a tent with all the tent wires strung in different tensions. ACTION flexion of the trunk, trunk, lateral flexion, rotation and and tertiary stability, raises the intra-abdominal pressure to provide stability (TA) Exercises include crunches, sit-ups, leg raises, planks

Testing the Abdominals  

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Instruct your your client to cross arms and perform a sit up and assist them if required Ensure you have one arm locking their legs legs down by applying weight onto the knees with your arm Once in in this position put your other forearm onto their their crossed arms and push them back to the table/floor whilst they resist Make sure that the client is not cheating by using the neck; get them to slightly slightly extend the neck back to neutral and open the jaw Variations include obliques where they twist their trunks and resist your pressure.

Reflexes for activation  

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Main reflex is inside the thighs just posterior to the Adductor Longus The Rectus Abdominus is more distal and the Obliques and TA are superior and up to the attachment area of the Adductors Activation of the total region by slapping, finger kneading ensure that all muscles are fully neurally stimulated and can assist in correct core function and less focus on the Jaw and neck The secondary secondary region is on the back running running in the mid-thoracic area, rubbing with with the flat of your hand is sufficient to stimulate it but in conjunction with the front region







NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 Sterno-Cleido-Mastoid This muscle group is closely linked to the shutting down of the TMJ and tight jaw muscles in general. It is also affected with whiplash trauma as well as Post Traumatic Stress Syndrome therefore it is wise to expect some emotional release when re-activating this muscle group. 

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When the SCM complex is in imbalance symptoms such such as vertigo, dizziness, nausea, vomiting, tinnitus, visual disturbances and headaches (with a possible link to migraines) are common. This is due to the mechano-receptors receiving poor feedback. ACTIONS include extension of the upper upper Cx spine, flexion of the head if itit is is already flexed and contralateral flexion; and are involved with accessory breathing.

Testing for SCM   

Ask your client to lift their head off the table Give the forehead a firm push If it is weak we need to activate

Reflexes for activation   

Jaw

There are 2 main areas for this to be most effective effective First activation is on the sterno-clavicular joints Second is at the Cervico-thoracic junction

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When we lock or tense up the jaw, which is a common comm on activity when stressed, it affects the 1 nd and 2 Vertebrae which dampens the neural activity throughout the body. It can also be felt at the Gluts and will affect stride length. Once we jaw bite the body becomes weak and will stay that way till we do something about it. Lock the jaw and walk Feel the tension throughout the body o Decreased stride length o 

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NHPC - Spring Conference Conference – Connect, Connect, Collaborate, Create – Calgary Calgary May 2013 

Also re-check the hamstring and calf length length to see ifif there is greater ROM (what (what affects the top will affect the bottom)

Pelvic floor Not to forget the necessity of the pelvic floor to assist in the stability of the lower core and the correlation to lower back pain; a group of tissues that include the long and broad ligaments.

Testing for the pelvic floor  

Instruct your client to do 5 pelvic floor contractions Repeat on completion of activation for change

Activation for pelvic floor 

Points found between S2 – S2 – S4 S4 on both sides of the sacrum along the sacral/ilium ridge

MUSCLE ACTIVATION FOR THE LATERAL SYSTEM The muscles involved within this system or sling include the Adductors, Gluteus Medius and Minimus and the Quadratus Lumborum. Used for asymmetric weight bearing such as climbing stairs and in the stance phase of gait this is 85% of the cycle.

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Abductors and Adductors work together to stabilize the hip.

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The QL maintains pelvic height

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SIJ joint instability can cause reflex shutting








MUSCLE ACTIVATION FOR REMANDER OF THE POSTERIOR SYSTEM The transverse/rotation plan is responsible for backward rotational movements and stabilizes the SIJ during gait. Consists of the Glut max (and Piriformis) on one side and the Latissimus Dorsi on the contralateral side, these are interconnected via the thoraco-lumbar fascia and act like a coiled spring to conserve energy.       

Piriformis and contralateral Lat stabilize the pelvic by co-contraction If one isn’t working worki ng efficiently then the other will under perform reciprocally More dominant is the lat but symptoms appear appear most often in the Piriformis Piriformis st Test the piriformis 1 then the lats strength/length Treatment of the Lats tends to improve the piriformis length length and abate the symptoms symptoms ACTIONS of lats lats extends the flexed arm, adduction and medial rotation rotation of the arm ACTIONS of piriformis laterally rotates the hip joint

Testing the Piriformis-Lat looking for flexibility    

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Client bends their knee to 90 then pulls their ankle to t o the chin Should be able to reach the chin on both sides Assess length, pain, bilateral evenness Test the lats by asking the client to internally rotate the straight arm and hold to the side of the body Ask them to hold it there and you pull outwards If the piriformis on the left is the problem it is usually the lat on the right too








SHOULDER THORACIC RELEASE 

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Functional mobility of the shoulder and and arm requires a stable stable and dynamic dynamic base from the Tx spine. When Tx tight especially into extension extension then the shoulder ROM is impaired and will compensate for its ADL needs Impacts T1 – T1 – T4/5 T4/5 therefore instigate neck and shoulder pain o First 165 is done from the shoulder joint and scapula o Last 15 from thoracic rotation (one arm) or thoracic extension (both arms) Activating the anterior Tx area will allow for increased increased length, length, flexibility flexibility and function

Testing the Shoulder/Thoracic region    

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2 tests pending on shoulder ROM Lack of full ROM is a + sign for treatment Full extension requires muscle function testing Keep the arms in full extension and ask the client to resist you pulling up towards the ceiling Do one arm at a time Do the same test for the reduced ROM starting at their end point

Activation of the Shoulder/Thoracic Shoulder/Thoracic region  

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These points are located on the ribs below the Pectorals Doing a general full rub of the entire area is the most effective way way to stimulate these points Rub strongly with a flat hand or or get the client to do it if its more appropriate You can also use finger tips to dig in between ribs but do this with care as the area is both ticklish and painful








MUSCLE ACTIVATION FOR THE CENTRAL LINE Tests for Supraspinatus and is heavily involved with the central meridian line in acupuncture. When we are stressed we commonly roll the shoulder towards the midline which mimics the defensive patterns.

Testing the Supraspinatus  

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Client lying supine with arm raised to 45 and held You place your hand on the dorsum dorsum of the hand and ask them to resist you you pushing back towards the contralateral iliac crest If the reflex points are inactive then strength will be limited

Activation of the Central line   

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There are 3 points for the activation of the Central Line 2 are massaged and 1 is a holding position The first region is along the line of the armpit, if you start under the axilla and work up to the AC joint then you should take on the Supraspinatus and the neck flexors and extensors The second region is between C2 and the occipital ridge encompassing both sides of the spineous process

Neurolymphatic Points Chapmans Reflexes

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