CPA1 - Cranial Movements Flashcards

1
Q

Which way do the sphenoid and occiput move during cranial flexion?

A
Sphenoid = greater wings move anterior/inferior
Occiput = membranous portion moves posterior/inferior
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2
Q

Which ways do the sphenoid and occiput move during cranial extension?

A
Sphenoid = greater wings move posterior/superior
Occiput = membranous portion moves anterior superior
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3
Q

How would you describe a flexion dysfunction of the SBS?

A

The sphenoid and occiput move further during flexion than extension

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4
Q

How would you describe an extension dysfunction of the SBS?

A

The sphenoid and occiput move further during extension than flexion

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5
Q

How does the sacrum move in cranial flexion and extension?

A

Cranial flexion = counternutation

Cranial extension = nutation

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6
Q

During cranial flexion, how does the SBS move?

A

Superiorly

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7
Q

During cranial extension, how does the SBS move?

A

Inferiorly

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8
Q

For SBS lateral strain patterns, describe the axes of movement, the position for which the dysfunction is named, and how the hands of the doc will move.

A
Axes = vertical
Name = basisphenoid
Hands = slide over each other (parallelogram)
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9
Q

For SBS vertical strain patterns, describe the axes of movement, the position for which the dysfunction is named, and how the hands of the doc will move.

A
Axes = transverse
Name = basisphenoid
Hands = thumbs move toward/away from doc in same direction
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10
Q

For SBS torsion patterns, describe the axes of movement, the position for which the dysfunction is named, and how the hands of the doc will move.

A
Axes = AP axis
Name = most cephalad greater wing
Hands = one thumb towards doc, other thumb away from doc
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11
Q

For SBS side-bending/rotation patterns, describe the axes of movement, the position for which the dysfunction is named, and how the hands of the doc will move.

A
Axes = side-bending in vertical through body and foramen magnum
Name = side of convexity
Hands = one hand down and out, other hand up and in
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12
Q

During cranial flexion, how do the parietal bones move and along which axis?

A

External rotation about AP axis (inf border moves lat)

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13
Q

During cranial extension, how do the parietal bones move and along which axis?

A

Internal rotation about AP axis (inf border moves med)

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14
Q

During cranial flexion, how do the temporal bones move and along which axis?

A

External rotation about oblique axis (sup border moves ant lat)

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15
Q

During cranial extension, how do the temporal bones move and along which axis?

A

Internal rotation about the oblique axis (sup border moves post med)

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16
Q

During cranial flexion, how do the frontal bones move and along which axis?

A

External rotation about AP axis (inf lat angles move lat and ant)

17
Q

During cranial extension, how do the frontal bones move and along which axis?

A

Internal rotation about AP axis (inf lat angles move med and post)

18
Q

What are the finger positions for the vault hold?

A
Thumbs over calvarium
Index on greater wings
Middle in front of ear
Ring on mastoid process
Pinky on occiput
19
Q

Explain how to do ME for a C shaped deviation for TMJ

A

Contact body of mandible on side of deviation
Apply force to opposite side of deviation
Patient provides opposite force

20
Q

Explain how to do the MFR stretching for TMJ

A
Contact angle(s) of mandible(s)
Stretch caudally
21
Q

Explain how to do the pterygoid fascial stretch for TMJ

A

Slide little finger posteriorly across upper molars to engage fascia
Induce superior/lateral force

22
Q

Explain how to do counterstrain on the Masseter point

A

Contact tender point inferior to zygoma in belly of masseter
Pt slightly depresses mandible
Translate mandible body toward side of tender point until 70% pain decrease

23
Q

Explain how to do counterstrain on TMJ point

A

Contact tender point on posterior aspect of angle of mandible on side opposite deviation
Rotate head to opposite side of tender point