8. Lab: Basic Cranial Treatments Flashcards
Before performing cranial treatment, what area of the body should you think about treating first?
The neck
What are the goals of cranial treatment?
- Reduce venous congestion
- Mobilize articular restrictions
- balance SBS
- Enhance CRI force, rate, and amplitude
How do you perform occipital condylar decompression?
- Contact foramen and condyles
- -Apply gentle traction, pull posterior and lateral
-Await recoil
Clinical use of Occipital Condylar Decompression?
Infant colic and feeding
Head/neck pain and trauma
SBS decompression
Indirect first: BMT compression first
Then decompress and gently distract against the occiput
-await elastic tissue release
Clinical use of SBS decompression
Diminished CRI Migraine Cranial n entrapment URI Peds developmental issues
5 Finger Temporal Contact
Place middle finger in ear, pinch zygomatic with index and thumb, pinky and ring finger on mastoid process
-Provide IR and ER
Temporal Rocking
Do 5 finger temporal contact
- with flexion do external rotation (flexternal)
- -index fingers move inferiomedial
- with extension, do internal rotation
- -index fingers move superiomedially
Do until physiologic still point
Clinical use of Temporal Rocking
Eustachian Tube Dysfunction TMJ Bells Lateral head/suture pain Cranial torsion
Temporal pull
Pull them ears and balance (to the feathers edge) the temporal bone while pulling lateral, posterior, and superior
V- Spread
Spreading pressure used to monitor and encourage motion of “stuck” suture
-other hand provides contra-coup
Occipitomastoid release (suture disengagement)
Wrap contralateral hand under occiput with fingers posterior to suture and Ipsi hand around mastoid
Roll head towards affected side
Gentle traction, hold until release
Clinical use of Occipitomastoid release
Trauma
Migraine
TMJ
Vertigo
CV4 treatment
Thenar eminences inferior to suprior nunchal line and medial to OM sutures
-encourage extension and resist flexion
Motion will diminish till it feels like it disappears
Clinical use of CV4
Decreased CRI
URI
Headache/migraine
