Clinical Research And Application Of OCMM Flashcards
Sutures are what kind of joints
Fibrous joints with dense CT = synarthosis
Dysfunction on cranial bone effects brain, arteries, veins how
Direct connection to dura and arachnoid
Problems in the superior orbital fissure
Effects CN 6 = Diplopia, Esotropia, Bell’s Palsy
Problems with acuoustic meatus or stylomastoid foramen
CN 8 enters and exits there respectively, : tennitus, vertigo, hearing loss
Problems with jugular foramen
CN 9 + CN10 = Headaches, arrythmias, GI probs, Resp probs,
CN10 can be effected by C2 or OA/AA problems
Problems with C1-C6 as they enter the foramen magnum can cause
CN11 problems : enters formen magnus and exits jugular foramen
= SCM or Trapezius problems
Palatine Bone probelms can casue what
Involves the Pterigo/ sphenopalatine ganglion = changing Trigeminal output
- Mastication muscles, Tensor Tympani muscles, anterior belly of digastric
- Can lead to TMJ, problems swallowing, speech, feeding in newborns
Ear or Temporal Bone problems
Eustation tube passes temporal bone + greater wing if sphenoid, and exits auditory canal
- Otitis Media
- ETD : fluid and lower hearing and higher chance of infection
Cephalgia “Headaches” is caused by what
- Distention, traction, dilation of intracranial or extracranal ARTERIES, 2 most common
= Middle Meningial A,
= Superficial Temporal A - Impaired Venous drainage , sinuses
What can squeeze the CN7
Tempora bone torsion
Trigeminal Neuralgia
V2 Maxillary N (of Trigeminal N)
- Squeezing Meckel’s cave where it lives
- Sphenoid flexing and temporal bone not moving —> Squeezes bone
Parietal Bones can move relative to what
CO2 levels, CSF Pressure, BP, and induced Apnea = connecion to ANS
Motion of Temporal Bones due to
CSF P, BP, Resp. = also connected to ANS
Sagittal Suture motion
No change from any ANS cause, however motion causing LATERAL MOTION + ROTATION at parietal bones
Russian space people fouhnd breathing rate of cranium to be
6-14 cycles per minute
Traub Herind found what associated with Arterial BP waves
Ateach peak of a wave the cranium when to Flexion and then extension and then flexion….
At at the bottom of each peak it went back to normal
Traub Herind found what after cranial manipulation was done
Waves had much higher amplitude and streghth
What effects the CSF P and arterial flow in the brain
Blood supply and oxygen consuption of cerebral tissue(brain funciton itself)
= BLOOD FLOW in brain causes cranial motion
Arteries in brain
Have a Pericyte that can sqeeze the BV and also has microglia measures env to turn on or off the pericyte
CSF and memory
CSF flushes out memory imparing proteins away from the brain = helps memory
OCMM tx otitis media vs antibiotics
OCMM can prevent long term damage of TM and scarring cauing reduced hearing
= fewed GI problems
= lower ICU stay of premature newborns
OCMM plagiocephaly
Reduced the plagiocephaly and (alternative to helmet therapy)
Neurologic system and OCMM
Reduced dizziness and imporved balance in geriatrics , sleep better in college students
Occipital Condylar Decompression is used for when
- Poor infant feeding
2 .Infant colic
3.. head and neck pain - Post trauma to head or neck
Occipital Condylar Decompression with age
Before 7yo : cartilaginous pre-ossification strain
ADULT : post fusion fascial or interosseous strain
Occipital Condylar Decompression is done how
- Contact near foramen magnum and condyles
- Add OA flexion
- Apply traction (pull posterior and lateral
- Feel occipital release in tissue
Balanced Membranous Tension is used for
- Asymmetric or low CRI
- CN entrapment
- Dural strain or venous sinusus
- Headaches
Balanced Membranous Tension is done how
- Exaggerate membranous asymmetry until sense of balance in noted (INDIRECT) = CRI will wiggle or move against force however hold against it
- Hold until CRI stops at a still point
- Return to CRI midpoint
- Recheck motion and symmetry
SBS Decompression is used for
- Low CRI (lifeless head)
- Mood disorders
- Cranial N Entrapment
- URI / head congestion
- Pediatric developmental problems
SBS Decompression is done how INDIRECT
BMT compression and then release
SBS Decompression is done how DIRECT
- Engage frontal bones and pull away from occiput
(Pull anterior and superior ) - Other handin holding occiput under head
- Feel release and tehn reasess CRI and amplitude
Frontal Lift is done when
- Restricted fronal motion
- SBS flexion
- Frontal headaches
- Sinus congestion
- Ped development problems
Frontal lift is done how
- Gently engage lateral inferior edge of frontal bone (hook under zygomatic arch)
- Anterior force with some rotation torque to release
- Reasses frontla mobility
Parietal Lift is for what
- TMJ
- Headaches
- Trauma bumping head (parietal squamous suture compressed)
- Grinding clinching teeth
Parietal Lift is doe
Parietal traction until superior release
Pterigo (Spheno) palatine Gangion inhibition stimulation is done how
- Posterior and lateral to upper molars push there superior and medial
- Medial to pterygoid
- Hold and wait relaxation = shutting off the ganglion
- Can also stimulate tears and thins nasal mucus (sinus effects)
Pterigo (Spheno) palatine Gangion inhibition stimulation used for
- TMJ
- Sinusitis
- Migraine
- Tension headaches
Pterigo (Spheno) palatine Gangion inhibition stimulation calms down what
CN 5
Temporal Nerve
- Pull ears down(antitragus) lateral and posterior pull
- Feel release
= TMJ
= Temporal headache
= vertigo
= Tinnitius
= Tentorium cerebelli balancing
= release occipito- attached bones
TMJ Decompression is done how
- Compress mandible towards TMJ until relaxation (INDIRECT)
- Lateral mandible pushed inferiror and thumb holds near temples pushing away( DIRECT)
- Palpate TMJ to reassess aspt opens the mouth
TMJ decompression in done for what
- TMJ
- Mandibulat restriction
- Upper Neck pain
V-Spread
Release suture restriciton
Occipitomastoid Release is done
Pull mandible anterior and occipital posteriro (keg in sockect joint) release
Parieto squamous release
Press on one side of the parietosquamous suture and do V-spread on other side
Sagittal Suture Release
Cross thumbs on sagittal suture and press diagnonal force in opposite directions to spread suture
CV4 still point induction
Inducing still point
- Thenar eminences under head compresses lateral sutures and in extension (squeeze some CSF from cV4 out)
- Resist inferior motion (flextion) reudcing motion to still point
CV4 still point induction is done
- low CRI
- URI
- Headache , migraine
CV4 pump is done how and for what
Thenal eminece squeezes every time cranim goes into flextion (hands under head on occiputs) = repeatuntil decreased resistance 1. Depression 2. Insomnia 3. Fatigue
