Functional Assessment - Digestion

Question 1

stomach - hcL point

Answer 1

find zyphoid process, 1 anatomical inch down, left side

Question 2

stomach - chapman reflex

Answer 2

6th rib, left (LNT)

Question 3

pancreas - enzyme point

Answer 3

find zyphoid process, 1 anatomical inch down, right side

Question 4

gall bladder - chapman reflex

Answer 4

6th rib, right (LNT)

Question 5

right thumb web

Answer 5

check for grains and peas. mild, medium, severe

Question 6

murphy’s sign

Answer 6

1-2 inch below right rib cage, deep breath in, palpate a>p during exhale, deep breath in, palpate in/under rib during exhale, half breath in, stay there. palpate w/knees bent

Question 7

points for digestion

Answer 7

stomach

• hcl point (1 inch down left of zyphoid)
• chapman’s reflex (6th rib L)

pancreas
- enzyme point (1 inch down right of zyphoid)

gall bladder

• chapman’s reflex (6th rib R)
• murphy’s sign (under R rib cage, knees bent)
• right thumb web (look for grains/pea)

small intestine

• chapman reflex (8, 9, 10 ribs L&R)
• Bennett reflexes (2-3 inch around umbilicus)

large intestine

• ileocecal valve (halfway btwn umbilicus and hip bone R)
• large intestine (all around intestine)
• illiotibial band (along both legs)

Question 8

small intestine - chapman reflex

Answer 8

8, 9, 10 rib L/R (LNT)

Question 9

Bennett reflexes

Answer 9

2-3 inches around umbilicus - 4 points (LNT)

Question 10

ileocecal valve

Answer 10

• point btwn umbilicus and R hip bone
• circle clockwise before palpating a>p
  (LNT)

Question 11

palpate large intestine

Answer 11

find R hip bone to locate beginning of large intestine. roll all around like a hose. 4-5 points. (LNT)

Question 12

illiotibial band

Answer 12

place one hand on inner knee, lightly massage it band w/ other hand (palm). palpate down it. 3-4 points. (LNT)

Question 13

which functional assessments can you LNT?

Answer 13

• all chapman’s reflexes
• illiotibial band
• illeocecal valve
• large intestine
• Bennett’s reflexes

Question 14

things to ask patient

Answer 14

• have you worked out during the last 48 hours? what areas of focus?
• do you have any injuries around stomach, ribs?
• any skin nets?