Suggested Osteopathic Treatment of Respiratory Diseases Processes Region Biomechanical Model Neurological Model Cardio/Resp Model Metabolic Model Behavioral Model Sample Techniques Head/OA Improve motion CN X - Improve Parasympathetic innervations affect Improve CSF flow (part Reduces anxiety associated with Sub-occipital release; OA decompression; parasympathetic balance heart rate; Improve PRM of PRM) contraction of disease Sinus Drainage (if sings of URI) C-Spine C3-5 Diaphragm C3-5 Diaphragm Assist lymph movement Reduces anxiety associated with Soft Tissue/Myofascial of C-spine, BLT, contraction of disease MET, Counterstrain Thoracic Improve rib cage Stellate Ganglion Lymph drainage (bolster immune Improve oxygenation Normalizes sympathetic drive thus Thoracic Outlet Release, 1st rib release, Outlet motion response) balancing somatopsychological pathways Sternum Improve rib cage Intercostal nerves Improve lymph flow (bolster immune Improve oxygenation Normalizes sympathetic drive thus Sternal/ C-T myofascial release motion response) (reduces work of balancing somatopsychological breathing) pathways Upper Scapula – improve rib Brachial plexus Improve lymph flow Normalizes sympathetic drive thus Scapular balancing, Spencer’s technique, Extremity cage function balancing somatopsychological MET, Counterstrain, Upper Extremity pathways Wobble technique Thoracic Improve rib cage Celiac, Inferior and Improve lymph flow Improve oxygenation Normalizes sympathetic drive thus Soft Tissue/Myofascial of T-spine or Spine motion superior mesenteric balancing somatopsychological Paraspinal inhibition, BLT, MET, ganglion pathways Counterstrain, Thoracic pump Ribs/Clavicle Improve rib cage Stellate Ganglion; Improve lymph flow (bolster immune Improve oxygenation Normalizes sympathetic drive thus Rib raising seated/supine, MET of motion sympathetic chain response) (reduces work of balancing somatopsychological clavicle/ribs, Rib articulatory techniques breathing) pathways Diaphragm Improve rib cage C3-5 keeps the diaphragm Improve lymph flow via the crus Improve oxygenation Normalizes sympathetic drive thus Doming the diaphragm, T-L junction motion alive (reduce work of balancing somatopsychological myofascial release breathing) pathways Lumbar Improve range of Lumbar plexus L1-3(4) Crus of Diaphragm – lymph Improve oxygenation Normalizes sympathetic drive thus Soft Tissue/Myofascial of L-spine, BLT, motion drainage (crus of diaphragm) balancing somatopsychological MET, Counterstrain pathways Pelvis Improve range of Perineal nerves, gluteal Improve lymph flow HPA axis begins in Normalizes parasympathetic drive thus Innominate MET, FPR innominate motion nerves, sciatic nerve pelvis balancing somatopsychological pathways Sacrum Improve range of Sacral plexus - Improve Improve PRM and lymph flow Improve oxygenation Reduces anxiety associated with Sacral Rock, Sacral MET, myofascial motion parasympathetic balance (part of PRM) contraction of disease release L-S junction Lower Allows people to Sciatic nerve, tibial, Hip/inguinal triangle, popliteal region – Allows people to continue to stay Lower extremity Wobble technique, MET, Extremity continue to stay mobile femoral nerves, obturator improve LE lymph drainage (before mobile and maintain health – this is Counterstrain, pedal pump nerve doing pedal pump) positive!