Chapter 9 - Craniosacral

Question 1

Components of the primary respiratory mechanism (5)

Answer 1

CNS, CSF, Dura, Cranial bones, Sacrum

Question 2

Attachments of the dura (4)

Answer 2

Foramen magnum, C2, C3, S2

Question 3

Cranial rhythmic impulse

Rate?

Answer 3

Fluctuation of the CSF that is palpated on the skull

10-14 per minute

Question 4

Factors that decrease the CRI (4)

Answer 4

Stress
Depression
Chronic fatigue
Chronic infection

Question 5

Factors that increase the CRI (3)

Answer 5

Vigorous exercise
Systemic fever
OMT

Question 6

Midline bone flexion = paired bone ___

Answer 6

Extension (flEXion = EXternal rotation)

Question 7

Reciprocal tension membrane

Answer 7

The tough dura that acts as an inelastic rope between the cranium and the sacrum

Question 8

Vertical strain - how do the sphenoid and occiput rotate?

Answer 8

They rotate in the SAME direction around separate transverse axes

Question 9

Lateral strain - how do the sphenoid and occiput rotate?

Answer 9

They rotate in the SAME direction around separate vertical axes

Question 10

Head shaped like a parallelogram - diagnosis?

Answer 10

Lateral strain

Question 11

What is a PHYSIOLOGIC strain pattern?

Which ones can be this?

Answer 11

One that does not interfere with the flexion and extension components

Torsion, SB/R

Question 12

Trauma to the back of the head

Severely decreased CRI

Answer 12

SBS Compression

Question 13

Vagus problems - SDs? (3)

Answer 13

OA, AA, and/or C2

Question 14

Poor suckling of newborn - SDs? (2)

Answer 14

Condylar compression (XII)
IX and X at jugular foramen

Question 15

4 goals of craniosacral OMT

Answer 15

1. Reduce venous congestion
2. Mobilize articular restrictions
3. Balance the SBS
4. Enhance the RATE and AMPLITUDE of the CRI

Question 16

Goal of venous sinus technique

Answer 16

Increase venous flow through venous sinuses so blood can exit the SKULL through the JUGULAR FORAMEN

Question 17

CV4 technique - purpose

What is encouraged?

Answer 17

Enhance the AMPLITUDE of the CRI

Extension phase (until a still point is reached)

Question 18

V spread - where can it be used?

Answer 18

ANY impacted suture

Question 19

Frontal and parietal lifts - use?

Answer 19

Aid in balance of membranous tension

Question 20

Cranial after the birth of a child - why?

Answer 20

Facilitate bony remodeling and delay formation of a synostosis

Question 21

Dentistry - how can the PRM be affected?

Answer 21

Compromised by improperly directed forces during dentistry

Question 22

Trauma to the PRM - use of treatment?

Answer 22

Normalize the RATE and AMPLITUDE of the CRI

Question 23

Potential complications of cranial treatments

Answer 23

HA, tinnitus, dizziness

Altered HR, BP, respiration, and GI irritability

Question 24

Absolute CI’s to cranial

Answer 24

Acute intracranial bleed or increased ICP

Question 25

Relative CIs to cranial

Answer 25

Know seizure history of dystonia

Traumatic brain injury

Question 26

Tic Douloureux symptoms - nerve?

Answer 26

V2