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294770949-Chapman-Points-Table

CHAPMAN REFLEX POINTS
ORGAN
HEENT
Sinuses
Pharynx
Larynx
Tonsils
Middle ear
Eye
ANTERIOR POINT(S)
Inferior to medial clavicles
Upon C2 midway between the SP &
tip of the TP
3-4cm medial to where 1st ribs emerge
Upon C2 midway between the SP &
from beneath the clavicles
tip of the TP
5-7cm lateral to sternocostal junction
Upon C2 midway between the SP &
upon 2nd ribs
tip of the TP
st
nd
Between 1 & 2 ribs adjacent to sternum Upon C1 midway between the SP &
tip of the TP
Superior anterior aspect of clavicles just
Posterior aspect of tips of TPs of C1
st
lateral to where they cross 1 ribs
Anterior aspect of humerus at level of
Squamous portion of occipital bone
surgical neck
below the superior nuchal line
CARDIAC
Heart
Intercostal space between 2nd & 3rd ribs at
sternocostal junction
RESPIRATORY
Bronchi
Intercostal space between 2nd & 3rd ribs at
sternocostal junction
Upper Lung
Intercostal space between the 3rd & 4th
ribs at the sternocostal junction
Lower Lung
UPPER GI
Esophagus
Stomach
acidity
(left)
Stomach
peristalsis
(left)
Pylorus
Duodenum
Intercostal space between the 4th & 5th
ribs at the sternocostal junction
Intercostal space between the 2nd & 3rd
ribs at the sternocostal junction
Intercostal spaces between the 5th & 6th
ribs, from the mid-mammillary line on the
left to the sternum
Intercostal spaces between the 6th & 7th ribs,
from the mid-mammillary line on the left to
the sternum
Front of the sternum from the
sternomanubrial junction inferiorly to the
xyphoid process
Intercostal spaces between the 8th & 9th
ribs near the costochondral junctions
Pancreas
(right)
Intercostal space between the costal
cartilages of the 7th & 8th ribs
Liver/GB
(right)
Intercostal spaces between the 5th, 6th, &
7th ribs, from the mid-mammillary line to
the sternum
Intercostal spaces between the 7th & 8th
ribs near the costochondral junction
Spleen (left)
POSTERIOR POINT(S)
Between T2 & T3 midway between
SP & tip of TP
T2 midway between SP & tip of TP
Space between the TPs of T3 & T4,
midway between the SP & tip of the
TP
Space between the TPs of T4 & T5,
midway between the SP & tip of the
TP
Upon T2, midway between the SP
& tip of the TP
Between the TPs of T5 & T6, midway
between the SPs & tips of the TPs on
the left
Between the TPs of T6 & T7, midway
between the SPs & tips of the TPs on
the left
10th rib at the costotransverse
junction on the right
Space between the TPs of T8 & T9
midway between the SPs & tips of
the TPs
Between the TPs of T7 & T8,
midway between the tips of the SPs
& TPs
Between the TPs of T5, T6, & T7,
midway between the tips of the SPs
& TPs
Between the TPs of T7 & T8,
midway between the tips of the SPs
& TPs
LOWER GI
Jejunum
Intercostal space between the 9th & 10th
ribs near the costochondral junctions
Ileum
Intercostal space between the 10th & 11th
ribs near the costochondral junctions
Appendix
Near the tip of the 12th rib on the right
upon its superior edge
Laterally upon the upper 1/5th of the right
thigh, anteriorly on the tensor fascia lata
Cecum
Ascend. Colon
Rt Trans.
Colon
Lt Trans.
Colon
Descen. Colon
Sigmoid
Rectum
Hemorrhoids
URINARY
Kidney
Bladder
Urethra
Laterally upon the middle 3/5ths of the
right thigh, on the anterior aspect of the
IT tract
Proximal to the right knee, laterally upon
the anterior aspect of the IT tract
Proximal to the left knee, laterally upon
the anterior aspect of the IT tract
Laterally upon the middle 3/5ths of the left
thigh on the anterior aspect of the IT tract
Laterally upon the upper 1/5th of the left
thigh, anteriorly on the tensor fascia lata
Proximal inner thighs over the lesser
trochanters
Immediately above ischial tuberosities
One inch above the umbilicus, laterally
on either side of the midline
Surrounding the umbilicus
Superior aspect of the pubic symphysis
Space between the TPs of T9 &
T10, midway between the SPs &
tips of the TPs
Space between the TPs of T10 &
T11, midway between the SPs &
tips of the TPs
Space between the tips of the TPs of
T11 & T12 on the right
Triangular area, from the TP of L2
to the TP of L4 & extending
laterally to the iliac crest
Same as above
Same as above
Same as above
Same as above
Same as above
Sacrum, close to the ilium at the
lower end of the SI articulation
Sacrum, close to the ilium at the
lower end of the SI articulation
Between the TPs of T12 & L1,
midway between the tips of the SPs
& TPs
Superior edges of the TPs of L2
Superior edges of the TPs of L3
REPRODUCTIVE
Uterine tubes/ Posteriorly, midway between the
Seminal
acetabulum & sciatic notch
vesicle
Clitoris/Vagina Distal medial thigh, 7 to 13 cm on the
upper, inner aspect of the posterior thigh
Prostate
Ovaries
Uterus
ENDOCRINE
Thyroid
Adrenal
Lateral aspect of the thighs in a similar
distribution to that of the colon, from the
trochanter downward on the outer aspect
of the femur to within 2 inches of the
knee joint laterally
Anterior surface of the pubic bone, from
the pubic tubercle inferiorly to the origin
of the adductor muscles
Medial margins of the obturator foramina
Intercostal space between the 2nd & 3rd
ribs, close to the sternum
5-7 cm above & 2-3 cm on either side of
the umbilicus
Between the posterior superior iliac
spine of the ilium & TP of L5 on the
iliolumbar ligament
Between the posterior superior iliac
spine of the ilium & TP of L5 on the
iliolumbar ligament
Between the posterior superior iliac
spine of the ilium & TP of L5 on the
iliolumbar ligament
Intertransverse spaces between T9,
T10, & T11
Between the posterior superior iliac
spine of the ilium & TP of L5 on the
iliolumbar ligament
T2, midway between the SP & tip of
the TP
Intertransverse spaces between T11
& T12, midway between the tips of
the SPs & TPs
Note:
 Esophagus, bronchi, thyroid, & heart share the same points.
 Pharynx, larynx, & sinuses share same posterior points.
 All points are found bilaterally except where indicated differently (Stomach & Pylorus, Appendix,
Spleen, Pancreas, Gallbladder)
Sources:
Nelson KE, Allgeier J. Chapter 7: Viscerosomatic Reflexes and Somatovisceral Influences. In: Nelson KE,
Glonek T, eds. Somatic Dysfunction in Osteopathic Family Medicine. 2nd Ed. Baltimore, MD:
Lippincott Williams & Wilkins; 2015.
Fossum C, Kuchera ML, Devine WH, Wilson K. Chapter 52G: Chapman’s Approach. In: Chila A, Carreiro
JE, et al, eds. Foundations of Osteopathic Medicine. 3rd Ed. Baltimore, MD: Lippincott Williams &
Wilkins; 2011.
Beatty, DR. Chapter 12: Visceral Diagnosis and Treatment. In: Beatty DR, ed. The Pocket Manual of OMT.
2nd Ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.
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