Section 1
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clinical association with frontal SD
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Last updated
6 years ago
Date created
Mar 1, 2020
Cards (59)
Section 1
(50 cards)
clinical association with frontal SD
HA, visual or smell disturbances
anterior/superior pole of attachment for RTM
crista galli
Reciprcal tension membrane (RTM)
the meninges and the spinal cord constitute a link between the cranium and the sacrum
palatine clinical correlation
SD may be indicative of sphenopalatine ganglion involvement swallowing/speech difficulties if developmental deformities
clinical association with temporal SD
otitis media, mastoiditis, tinnitus, hearing loss, dizziness, migraines, bells palsy, neuralgia
movement of the sphenoid/vomer in cranial flexion
anterior and inferior
motion characteristics of the CRI
rate: usually 10-14 bpm rhythm: oceans tide amplitude: sig SD may diminish amplitude strength: sig SD and the overall vitality of the patient greatly impacts strength direction: longitudinal and symmetric
time line of Dr. Sutherlands OCMM research
1931: published series of articles introducing concepts of OCMM as "blunt bone bill" 1939: published the crainal bowl 1944: published in the JAOA
Left side bending rotation
left hand moves away and fingers spread simulate by pressing tongue on upper left molars
axis and plane of temporal motion
oblique axis from jugular surface to petrous apex
axis and plane of frontal bone motion
dual AP axis in coronal plane
Parietal lift
modified vault hold with just the finger pads just superior to the parietal-squamous sutures grip the head and then gently pull cephalad
movement of the occiput/ethmoid in cranial flexion
posterior and inferior
CRI range
10-14
T adams et al OCMM research
parietal bone mobility in the anesthetized cat
Right side bending rotation
right hand moves away and fingers spread simulate by pressing tongue on upper right molar
V-spread
purpose: to separate restricted or impacted sutures three fingers above orbit, other hand on exact opposite side of head alternate pressure between hands to create a fluid wave
5 finger temporal hold
shove your middle finger in the patients external auditory canal zygomatic arch between index finger and thumb
Left lateral strain
left palm down, right palm up simulate by looking right or sticking tongue to the right
What is PRM?
- Primary Respiratory Mechanism - Composed of: CNS, CSF, Dural membranes, Cranial bones, Sacrum - Functions to regulate together as a unit the following: Pulmonary respiration, circulation, digestion, elimination
clinical association with parietal SD
HA, alteration of seizure threshold, localized pain
the sutherland fulcrum
Where falx & tentorium join Contains straight sinus Lots of movement around this
Inferior vertical strain
sphenoid in extension occiput in flexion double fisting beer drinking simulate with reaching tongue to nose
Rocking the temporals
used to treat CN IX, X, XI entrapement/dysfunction to encourage IR--> thumb and index move superomedially to encourage ER--> thumb and index finger move inferolaterally
counternutation
paired with cranial flexion base of sacrum moves posteriorly
lateral pole of attachment for the RTM
mastoid angles and parietals and petrous ridges of temporal bones
posterior pole of attachment for the RTM
internal occipital protuberance and transverse ridges
Left SBS torsion
left thumb rotates toward you simulate by biting tongue with right molar
what is the SBS and what does it stand for
sphenobalilar symphysis where the basisphenoid and the basiocciput join to form a synchondrosis
Right SBS torsion
right thumb rotates toward you simulate by biting tongue with left molar
Fryman et al OCMM research
study of the rhythmic motions of the living cranium
motion of temporals during cranial flexion
external rotation superior border of petrous portion moves anterolateral
cranial flexion SD
both hands go away from you and fingers spread linked with inhalation stewie head increased transverse diameter eyes prominent paired bones externally rotated ears protruding
5 components of the the RPM
1. inherent mobility of the brain and spinal cord 2. the fluctuation of the CSF 3. the mobility of the intracranial and intraspinal membranes 4. the articulatory mobility of the cranial bones 5. the involuntary mobility of the sacrum between the ilia
CV4
bowl your hands on the lateral angles of the occiput Increase amplitude of CRI resist flexion and encourage extension until still point
vomer clinical correlation
SD of the vomer is usually secondary to the position of the sphenoid trauma to the face
Moskelenko interpretation of sutherlands ideas on the PRM
essentially stated that intracranial origin of bioimpedance related to blood supply and oxygen consumption of cerebral tissue
Traube-Hering Wave
due to changes in blood flow velocity and is measurable by laser doppler flowmetery implication of glial cells???
motion of frontal bone during cranial flexion
external rotation inferior lateral angles move laterally and anteriorly, glabella moves posterior
Superior vertical strain
sphenoid is in flexion occiput is in extension thumbs go up and over simulate with reaching tongue to chin
anterior/inferior pole of attachment for the RTM
clinoid processes of sphenoid
Right lateral strain
right palm down, left palm up simulate by looking left or sticking tongue to the left
temporal pull
balances the tentorium cerebelli and the temporal bones pinch the ears and wiggle shit
motion of parietal bones during cranial flexion
external rotation (inferior borders move laterally, superior borders moves medially and inferiorly)
axis and plane of parietal bones motion
AP axis in the coronal plane
frontal lift
place palms on sides of forehead and interlace your fingers squeeze hands together and lift the forehead
cranial extension SD
both hands come back towards you and fingers come together linked with exhalation burt head decreased transverse diameter paired bones are internally rotated ears close to head
What CN pass through what openings in the cranial vault
nutation
paired with cranial extension base of sacrum nods anteriorly
sutures of the skull
Section 2
(9 cards)