Cranial I Flashcards

1
Q

What type of technique is cranial? Direct or indirect?

A

Myofascial release

Both direct and indirect

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2
Q

Generally, when doing cranial on children, do you use direct or indirect? Adults?

A
Children = direct
Adults = indirect
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3
Q

True or false: you are addressing the entire body with cranial

A

True?

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4
Q

What is the main difference between cranial and other OMM modalities?

A

Much gentler

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5
Q

What is the “dichotomy” that OMM think exists in regards to cranial?

A

That there are suture lines that indicate movement blah blah blah solid box

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6
Q

True or false: the articular surfaces are designed for motion, not the result of motion

A

False– result of motion, not designed for motion

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7
Q

What is the nasion?

A

Nasal bone

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8
Q

What is the pterion?

A

Where the frontal, temporal, sphenoid, and parietal bones come together

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9
Q

What is the asterion?

A

Where the temporal bone, occiput, and parietal bone come together

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10
Q

What is the squamoparietal suture?

A

Squamous portion of the temporal bone, between the temporal and parietal bones

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11
Q

What is beveling?

A

What happens when two sutures come together–need to have internal and external bevels

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12
Q

What is the suture that lies on the posterior aspect of the skull?

A

Lambdoid suture

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13
Q

What is the occipitomastoid suture?

A

Suture between the temporal bone and occiput

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14
Q

What is the primary respiratory mechanism?

A
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15
Q

Why is the PRM primary?

A

Because it is directly concerned with the internal tissue respiration of the CNS

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16
Q

Why is the PRM respiratory?

A

Because it concerns the physiological function of the interchange of fluids necessary for normal metabolism

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17
Q

Why is the PRM a mechanism?

A

Because all the constituent parts work together as a unit carrying out this fundamental physiology

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18
Q

PRM is the primary motility of what?

A

CNS

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19
Q

PRM is the fluctuation of what?

A

CSF

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20
Q

The mobility of the PRM is the reciprocal to what?

A

Tension membrane

21
Q

What are the three mobilities that the PRM encompasses?

A
  • Reciprocal tension membrane
  • Cranial bones
  • Sacrum and ilia
22
Q

What is the difference between motility and mobility?

A
  • Motility = Moving on your own

- Mobility - Moved by something else

23
Q

What causes the CSF pulsations?

A

Constant rhythm of discharge and recharge and changes in the glial cell size

Also, changes in the size of ventricles

24
Q

Is there a circulation in the CSF?

A

No–fluctuation

25
Q

What is the falx cerebri?

A

Dural reflection in the sagittal plane between the hemispheres of the cerebrum

26
Q

What is the falx cerebelli?

A

Dural reflection in the sagittal plane between the hemisphere of the cerebellum

27
Q

What is the tentorium cerebelli?

A

Dural reflection superior to the cerebellum, and inferior to the cerebrum

A “diaphragm” according to osteopaths

28
Q

What is the function of the reciprocal tension membrane?

A
  • Limits motion of the cranial bones

- Slows down movement

29
Q

The motion of the sacrum in the CS model is about which axis?

A

Transverse axis at the second sacral ligament

30
Q

Why does the sacrum move in response to the flow of CSF?

A

Dural attachment to the sacrum

31
Q

Where does the dura attach to the sacrum?

A

Dura attaches to the anterior surface of the sacral canal at the level of S2

32
Q

What happens to the sacrum with flexion of the head? How does this compare to the respiratory motion?

A

Posterior motion

Opposite of respiratory motion

33
Q

How many cycles of CSF are there per minute?

A

6-12

34
Q

What is the cranial rhythmic impulse?

A

Fictitious finding of a palpable, rhythmic motion

35
Q

What are the components of the vault hold?

A
  • Index finger on the greater wings of the sphenoid
  • 5th finger on the lateral angles of the occiput
  • Ears between the 3rd and 4th fingers
36
Q

The sphenoid and occiput move around each other at what anatomic site?

A

Sphenobasilar synchondrosis

37
Q

What happens to the bases of the occiput and SBS with flexion? Extension?

A

Rise in flexion

Fall in extension

38
Q

What happens to your fingers with extension of the SBS?

A

SBS flattens, and your fingers come toward you and come together

39
Q

When the midline bones go into flexion, what happens to the paired bones?

A

External rotation

40
Q

When the midline bones go into extension, what happens to the paired bones?

A

Internal rotation

41
Q

True or false: there can be more than one strain pattern at once

A

True

42
Q

True or false: the same patient can have different strain patterns of any given day

A

True

43
Q

What is the occipitomastoid suture?

A

Suture between the occiput and the mastoid process

44
Q

What is the external occipital protuberance?

A

Inion

45
Q

What is superior temporal line?

A

Line of bone superior on the parietal bone

46
Q

What is the difference between internal and external beveling?

A

Internal is when the bevels are on the inside of the bone

External is opposite

47
Q

What are the five main aspects of the PRM?

A
  • Inherent motility
  • Fluctuation of CSF
  • Mobility of RTM
  • Articular mobility of cranial bones
  • Articular mobility of the sacrum and the ilia
48
Q

What is “sutherland’s fulcrum”?

A

Straight sinus

49
Q

Flexion of the occiput causes what sacral movement? How does this compare to the anatomic way to describe this motion?

A

Flexion of the head causes the sacral base to move posteriorly. This is terms flexion of the sacrum, while the anatomic term is extension