OPP - Chapman's points

Sympathetic viscerosomatic reflex levels: eye

T1-T4

Sympathetic viscerosomatic reflex levels: Ear

T1-T3

Sympathetic viscerosomatic reflex levels: Nose/sinuses

T1-T3

Sympathetic viscerosomatic reflex levels: Pharynx

T1-T3

Sympathetic viscerosomatic reflex levels: Larynx / Tongue / Tonsils

T1-T3

Sympathetic viscerosomatic reflex levels: Heart

T1-T5

Sympathetic viscerosomatic reflex levels: Thyroid

T1-T4

Sympathetic viscerosomatic reflex levels: Bronchi / Esophagus

T2-T5

Sympathetic viscerosomatic reflex levels: Upper and lower lung

T1-T5

Anterior Chapman’s point: Eye

Surgical neck of humerus, lateral or anterior aspect, bilateral

Anterior Chapman’s point: Ear (middle)

Midpoint of clavicle, bilateral

Anterior Chapman’s point: Nose / Sinuses

Above 1st rib / 1st ICS, bilateral

Anterior Chapman’s point: Pharynx

Above first rib, bilateral

Anterior Chapman’s point: Larynx / Tongue / Tonsils

1st ICS, bilateral

Anterior Chapman’s point: Heart (myocardium)

2nd ICS, bilateral, parasternal

Anterior Chapman’s point: Thyroid

2nd ICS, bilateral

Anterior Chapman’s point: Bronchi / Esophagus

2nd ICS, bilateral

Anterior Chapman’s point: Upper lung

3rd ICS, bilateral

Anterior Chapman’s point: Lower lung

4th ICS, bilateral

Posterior Chapman’s point: Eye

Occiput or posterior mastoid, bilateral

Posterior Chapman’s point: Ear (middle)

Posterior aspect of TP of C1, bilateral

Posterior Chapman’s point: Nose / Sinuses

Posterior aspect of TP of C1, bilateral

Posterior Chapman’s point: Pharynx

TP of C2, midway between tip and body, bilateral

Posterior Chapman’s point: Larynx / Toongue / Tonsils

TP of C2, midway between tip and body, bilateral

Posterior Chapman’s point: Heart (myocardium)

Intertransverse space T2-T3, midway between the spinous and tip of TP, bilateral

Posterior Chapman’s point: Thyroid

TP of T2, midway between spinous and TP, Bilateral

Posterior Chapman’s point: Bronchi / Esophagus

TP of T2, midway between spinous and TP, bilateral

Posterior Chapman’s point: Upper lung

Intertransverse space of T3-T4, midway between spinous and tip of TP, bilateral

Posterior Chapman’s point: Lower lung

Intertransverse space of T3-T4, midway between spinous and tip of TP, bilateral

Sympathetic viscerosomatic reflex levels: Kidney

T9-L1 ipsilateral

Sympathetic viscerosomatic reflex levels: Ureter

T11-L3 ipsilateral

Sympathetic viscerosomatic reflex levels: Bladder

T11-L3 bilateral

Sympathetic viscerosomatic reflex levels: Urethra

T11-L2 bilateral

Sympathetic viscerosomatic reflex levels: Adrenal glands

T8-T10 ipsilateral

Anterior Chapman’s point: Adrenals

1” lateral and 2” superior to the umbilicus

Anterior Chapman’s point: Kidneys

1” lateral and 1” superior to umbilicus

Anterior Chapman’s point: Bladder

Periumbilical

Posterior Chapman’s point: Adrenals

T11-12 intertransverse space

Posterior Chapman’s point: Kidneys

T12-L1 intertransverse space

Posterior Chapman’s point: Bladder

L2 Transverse process

What is the palpatory quality and pain characteristics of Chapman’s points?

Granular feel, ropy, edematous 2-3 mm. cannot be displaced, sharp pain with no radiation

What is the palpatory quality and pain characteristics of Myofascial trigger points (Travell Trigger Points)?

Distinct nodule, localized pain in taut band, referred pain to distant region