1.15.15 - Cranial Lab - Ramey Flashcards
frontal bone assessment
one hand support behind occiput
other hand cradles frontal bone
flexion phase
frontal bone behaves as single midline bone (flex) and as paired (external rotate)
AP diameter decreases
extension phase
frontal bone into extension and internal rotation
metopic suture becomes shallower
AP diameter increase
parietal bone assessment
spread index, middle, ring fingers over inferolateral aspects of parietal bones
avoid temporals**
cross thumbs over sagittal suture
flexion - parietal lateral and sagittal suture inferiorly
assessment of occipitomastoid suture
cradle patient head in hands
-palpate along suture with fingertips
feel firm - restricted side
90% venous drainage
- internal jugular vein - jugular foramen
located along occipitomastoid suture
compression of occipitomastoid suture
reduce drainage from head and affects CN 9, 10, 11
motion test of occipitomastoid suture
hook distal aspect of middle fingers around mastoid of temporal
gentle superior traction to each temporal bone one side at a time
tx restricted side
frontal lift technique
hypothenar eminence on frontal bone - interlace fingers
during extension - gentle medial force
during flexion - left frontal bone anteriorly
parietal lift technique
digit 2-5 bilaterally over parietal
cross thumbs at sagittal suture
induce extension - medial force with fingers
flexion phase - lift parietal bones superiorly
V-spread technique
index and middle finger either side of OM suture same side SD
thumb, index, middle finger opposite side SD over frontal bone
spread index and middle fingers over suture
frontal bone hand - introduce fluid wave - thought not an action - and send it back
CV4 technique
approximate hands with fingers overlapping and make flat surface with hypothenar eminence to rest on
thenar eminence under occiput inferior to external occipital protuberance
extension - gentle superior force - leaning back with body
