Pediatric Chapman Reflexes l l American College of

Pediatric Chapman Reflexes l l American College of Osteopathic Pediatricians Robert Hostoffer, DO, FACOP, FAAP edited by Eric Hegybeli, DO, FACOP questionnaires by Michael Rowane, DO, MS, FAAFP, FAAO

Background: Chapman’s reflexes, more commonly referred to today as neurolymphatic reflex points, were discovered by Dr. Frank Chapman, in the 1930’s. Dr. Charles Owen, worked with Dr. Chapman and wrote a book, “ An Endocrine Interpretation of Chapman’s Reflexes”, in 1937. It was Chapman’s idea that by stimulating by finger pressure over specific points on the body, lymphatic function would improve in a certain organ of the body. Most of these points were found to be around the spine or rib cage area. Dr. Chapman found that it was often possible to strengthen the organ by just stimulating the reflex.

Chapman Reflexes l l A viscerosomatic reflex mechanism that has diagnostic and therapeutic significance. a neurolymphatic gangliform contraction that blocks lymphatic drainage, causing inflammation in tissues distal to the blockage, and causes both visceral and somatic tissues to suffer.

Chapman Uses: Traditional concept Diagnostics Therapeutic

Locations; l l Deep to skin, subcutaneous areolar tissue Deep fascia Deep periostium Usually found paired

Distinguishing Characteristics l l l Small Smooth Firm Discretely palpable 2 -3 mm in diameter

palpation l l Small pearls of tapioca slightly fixed on fascia Dense but not hard Circumscribed area of firm edema fixed

Use of Chapman’s Reflexes l Clarify differential diagnosis – – l Visceral somatic dysfunction Musculoskeletal somatic dysfunction Treatment can reduce adverse sympathetic influence on a specific organ/visceral system

Chapman’s Reflexes: Treatment l l l Find Chapman Reflex point Gently rotary motion is induced over each point, using the finger pad 15 seconds Treatment: few seconds - 2 minutes Pressure = firm Competed = dissolution of edema & decrease tissue tension in the myofascial tissues

Cardiopulmonary

Eye, Ear, Nose, Throat and Neck

Upper Gastrointestinal

Lower Gastrointestinal

Clinical Application of Chapman’s Reflexes: Irritable Bowel Syndrome l Treatment: Soft Tissue treatment – – l Iliotibial band Lumbosacral paraspinial tissues Result – Improve bowel pattern

Genitourinary

Innervation Table Organ/System EENT Parasympathetic Sympathetic Ant. Chapman's Post. Chapman's T 1 -T 4 T 1 -4, 2 nd ICS Suboccipital Heart Cr Nerves (III, VII, IX, X) Vagus (CN X) T 1 -T 4 T 3 sp process Respiratory Vagus (CN X) T 2 -T 7 T 1 -4 on L, T 23 rd 3 & 4 th ICS Esophagus Vagus (CN X) T 2 -T 8 --- T 3 -5 sp process --- Foregut Vagus (CN X) T 5 -T 9 (Greater Splanchnic) --- Stomach Vagus (CN X) T 5 -T 9 (Greater Splanchnic) T 6 -7 on L Liver Vagus (CN X) T 5 -T 9 (Greater Splanchnic) 5 th-6 th ICS on L Rib 5 on R Gallbladder Vagus (CN X) T 5 -T 9 (Greater Splanchnic) Rib 6 on R T 6 Spleen Vagus (CN X) T 5 -T 9 (Greater Splanchnic) Rib 7 on L T 7 Pancreas Vagus (CN X) Rib 7 on R T 7 Midgut Vagus (CN X) T 5 -T 9 (Greater Splanchnic), T 9 T 12 (Lesser Splanchnic) Thoracic Splanchnics (Lesser) Small Intestine Vagus (CN X) T 9 -T 11 (Lesser Splanchnic) Ribs 9 -11 T 8 -10 Appendix T 12 Tip of 12 th Rib T 11 -12 on R Hindgut Lumbar (Least) Splanchnics Ascending Colon Pelvic Splanchnics (S 24) Vagus (CN X) Transverse Colon Vagus (CN X) Descending Colon & Rectum T 9 -T 11 (Lesser Splanchnic) T 5 -6 --- --- --T 10 -11 T 9 -T 11 (Lesser Splanchnic) R Femur @ hip Near Knees Pelvic Splanchnic (S 2 -4) Least Splanchnic L Femur @ hip T 12 -L 2 Pelvic Splanchnics (S 24) T 8 -L 2 --- ---

Print out the answer sheet to use with the following questions.

Circle the correct answer and review with director: l l l Question 1: A, B, C, D, E. Question 2: A, B, C, D, E. Question 3: A, B, C, D, E.

Question 1 l The anterior Chapman Reflexes primarily are used for: a. b. c. d. e. Treatment Therapeutic Diagnostic Prognostic Capitulative

Question 2 l Chapman Reflexes are described as these except: a. Small b. Smooth c. Firm d. Discretely palpable e. 5 -10 mm in diameter

Question 3 l Chapman reflexes feel like this except: a. Small pearls of tapioca slightly fixed on fascia b. Dense but not hard c. Circumscribed area of firm edema d. Fixed e. Crispy

Congratulations