clinical research application OCMM Flashcards
If there is dysfunction with CN 6 exiting the SOF what will you see?
Diplopia, esotropia, bells
CN 8 enters via acoustic meatus and exits via stylomastoid foramen, what sx will be seen if there is dysfunction?
tinnitus
vertigo
hearing loss
CN 9 and 10 exit via jugular foramen, if there is dysfxn what sx will be seen?
headache, arrhythmia, GI upset, respiratory problems
Dysfunction with what joints can be seen as vagal somatic dysfunction?
- OA
- AA
- C2
General goals of craniosacral treatment?
- reduce venous congestioni
- mobilize articular restrictions
- balance WSWBS
- enhance reduced force rate and amplitude of CRI
What two arteries when under distention, traction or dilation can cause headaches?
Middle meningeal or superficial temporal
Temporal bone has a torsion, what could potentially result from this?
- Bell’s palsy
- also potentially trigeminal dysfunction as the ganglion rests in meckels cave on superior surface of petrosal ridge of temporal bone
What cells regulate blood flow in the brain?
glial cells
How do you do occiptal condylar decompression?
Contact as close to the foramen and condyles as possible and add slight OA flexion and apply traction pulling the occipital tissues in a posterior and lateral direction
When do you use occipital condylar decompression?
- poor infant feeding
- infant colic
- head and neck pain
- post trauma
BMT how to?
- gently exaggerate membranous asymmetry until balance is noted
- CRI moves against force but you resist without changing force and position
- hold until CRI stops at still point
Clinical use for BMT?
- asymmetrical or diminished CRI
- CN entrapment
- sx related to dural strain or vnous sinuses
- HA
How do you perform indirect SBS decompression?
- BMT compression first followed by release
SBS decopmression directly?
- Gently engage the frontal bones to distract against occiput pulling in an anteior and superior direction
- await release
Clinical use for SBS decompression?
- diminished CRI
- mood disorders
- cranial nerve entrapment
- URI/Head congestion
- pediactric dev. problems
Frontal lift how to?
- engage lateral inferior edge of frontal bone and apply anteior force with anterior rotation until release is felt
Frontal lift uses?
- restricted frontal mobility
- augment SBS flexion
- frontal headaches
- sinus congestion
- ped dev issues
parietal lift how to and uses?
- parietal traction until superior elastic release is felt
- TMJ
- HA
- Decompress squamosal suture
- compression from clinching griding of teeth
Pterigosphenopalatine ganglion inhibition?
- posterior and lateral to molars medial to the pterygoid
- direction of force is superior slightly medial and posterior with medial rotation
- hold and wait for releaxation
pterigosphenopalatine ganglion inhibition uses?
- TMJ
- Migraine
- Tension headacahes
- Sinusitits
Temporal pull?
- pincer grip on ear as close to temporal bone as possible apply gentle traction laterally posteriorly and superiorly
- maintain tension at feather’s edge of barrier until release is felt
Temporal pull uses?
- temporal headache
- vertigo
- tinnitus
- TMJ
- balance tentorium cerebelli
- Disengate jugular foramen
- release sutures
TMJ decompression?
- indirect balancing with compression of jaw towards TMJ until relaxtion is felt
- switch to direct release at lateral mandible pushing inferior and anterior until release is noted
CV4 Still point induction?
- thenar eminence inferior to superior nuchal line and medial to OM suture
- compression lateral to sutures induces compression or ex rotation of temporals
- encoureage extension by leaning back
- sequentially resist inferior motion (flexion) by not reducing pressure
- motion diminishes
