Chapman s reflex points

Treatment began with inhibition to the paravertebral muscles in the thoracolumbar region as well as muscle energy and thrusting techniques to the somatic dysfunctions. A mesenteric lift was used with good release. The Chapman s reflex points were treated. The patient was encouraged to drink several glasses of water per day and to maintain a balanced diet. 

An important part of the physical examination for the osteopathic physician is the structural examination. This not only provides information regarding the patient s neuromusculoskeletal system but also provides clues to visceral problems as well through viscerosomatic reflex findings and Chapman s reflex points. 

There are approximately 50 distinct Chapman s reflexes, ranging from points for the eye to the prostate. These points are bilateral and are located on the anterior and posterior regions of the body. This would account for nearly two hundred separate neurolymphatic reflexes. The "neuro" indicates that the autonomic nervous system mediates these reflexes. "Lymphatic" is used because all vasculature, including the lymphatic vessels, are under sympathetic control. 

Posteriorly, Chapman s reflexes are located in the soft tissues between the spinous process of a vertebra above and the transverse process of a vertebra below. For example, the posterior Chapman s point for the heart is located between the spinous and transverse process of the second and third thoracic vertebrae. The posterior points have the feel of a classic viscerosomatic reflex the operator will palpate what feels like a rubbery nodule. If the physician attempts to articulate a vertebral somatic dysfunction and the spine "bounces" away from the force, the possibility of a viscerosomatic reflex should be considered. 

The associated musculoskeletal stmctures are evaluated for evidence of dysfunctions. Viscerosomatic reflex findings and Chapman s points may be useful in diagnosis. Viscerovisceral reflexes, somatovisceral reflexes, and abnormal sympathetic or parasympathetic influences all affect viscera. 

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