1.7.15 - Cranial Physiologic Motion Flashcards

1
Q

tenets of primary respiratory mechanism

A

1 - inherent rhythmic motion of brain and spinal cord
2 - fluctuation of CSF
3 - mobility of intracranial and intraspinal membranes (RTM)
4 - articular mobility of cranial bones
5 - involuntary mobility of sacrum between ilia

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2
Q

RTM

A

reciprocal tension membrane

falx cerebri
tentorium cerebelli
formed by dural reflections

dura contiguous with periosteum of skull

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3
Q

physiologic motion

A

influenced by:

  • RTM
  • coiling/uncoiling of CNS
  • fluctuation of CSF

correlation:

  • flexion/ext rotation/inhalation
  • extension/int rotation/exhalation
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4
Q

respiratory axis of sacrum

A

transverse axis
-2nd sacral segment
posterior to canal

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5
Q

counternutation

A

flexion

sacrum influenced by spinal dura link

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6
Q

nutation

A

extension

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7
Q

base moves anteriorly and apex moves posteriorly

A

nutation/extension of sacrum

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8
Q

base moves posterosuperior and apex moves posteriorly

A

counternutation/flexion of sacrum

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9
Q

flexion at SBS

A

upward through SBS

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10
Q

extension at SBS

A

downard through SBS

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11
Q

midline bones

A
sphenoid
occiput
ethmoid - median plate
vomer
sacrum

flexion and extension

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12
Q

paired bones

A
temporal
parietal
frontal
ethmoid - lateral mass
nasal
lacrimal
maxilla
palatines
zygoma
inferior conchae
mandible

external and internal rotation

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13
Q

normal cranial rhythmic pulse

A

10-14/minute

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14
Q

flexion

A

external rotation of paired bones and increased width of head
-transverse diameter

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15
Q

extension

A

internal rotation of paired bones and increased length of head
-AP diameter

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16
Q

order of landmarks for SBS

A

greater wing of sphenoid
basisphenoid
basiocciput
occipital squama

17
Q

vault hold

A

palpate frontal, sphenoid, temporal, occipital, membranes and fluid between them

18
Q

flexion

A

motion around 2 transverse axes

  • level of foramen magnum
  • body of sphenoid

basiocciput and basisphenoid - move cephalad

greater wing and occipital squama move caudal

19
Q

extension

A

motion around 2 transverse axes

basiocciput and basisphenoid - move caudal

greater wing and occipital squama - move cephalad