Cranial II

Question 1

5 components of Primary respiratory mechanism (PRM)

Answer 1

. Inherent rhythmic motion/motility of brain and spinal cord
. Fluctuation of CSF
. Mobility of intracranial and intraspinal membranes
. Articular mobility of cranial bones
. Involuntary mobility of sacrum btw ilia

Question 2

cranial rhythmic impulse

Answer 2

. What you palpate when measuring rate or amplitude of PRM in head
. Have slow wave and fast wave component

Question 3

Reciprocal tension membrane (RTM)

Answer 3

. Intracranial and spinal sural membrane including falx cerebri, falx cerebelli, tentorium and spinal dura

Question 4

CN I entrapment neuropathy

Answer 4

Anosmia

Question 5

CN II entrapment neuropathy

Answer 5

. Visual acuity/ field

Question 6

CN III entrapment neuropathy

Answer 6

. Eye deviation-down and out

Question 7

CN IV entrapment neuropathy

Answer 7

. Eye deviation -slight upward

Question 8

CN V entrapment neuropathy

Answer 8

. Anesthesia of face, paralysis of mm. Of mastication

. Trigeminal neuralgia

Question 9

CN VI entrapment neuropathy

Answer 9

Eye deviation inward, strabismus

Question 10

CN VII entrapment neuropathy

Answer 10

Bell’s palsy, dec. tears/taste of ant. 2/3 tongue

Question 11

VIII entrapment neuropathy

Answer 11

. Dec. hearing, vertigo, meniere’s disease

Question 12

CN IX entrapment neuropathy

Answer 12

. Dec. swallowing

Question 13

CN X entrapment neuropathy

Answer 13

. Circulation.repsiratory issues

. Digestion/swallowing issue

Question 14

CN XI entrapment neuropathy

Answer 14

. Shoulder shrugs, swallowing

Question 15

CN XII entrapment neuropathy

Answer 15

. Tongue: suckling

Question 16

In cranial flexion sacrum moves

Answer 16

Posteriorly

Question 17

Breathing influences of sacrum

Answer 17

Inhale: post.
Exhale: ant.

Question 18

Flexion head

Answer 18

. Round 
. Wide transverse, short AP 
. Temporal externally rotated 
. Frontals wide and sloping up 
. Cheeks wide 
. Hard palate wide and low 
. Extension head opposite

Question 19

Where hands are in vault hold

Answer 19

. Index: sphenoid greater wing 
. Middle: squamous temporal 
. Ring: petrous temporal 
. Pinky: occiput 
. Thumbs: off head

Question 20

Cranial torsion

Answer 20

Torsion: names for side of greater wing

. Right torsion: right temporal bone externally rotated (right wing higher)

Question 21

Vertical strain

Answer 21

. Named for deflection of base of sphenoid
. Sup: index fingers move inf. SBS rises
. Opposite for inf. Strain SBS drops

Question 22

Cranial lateral strain

Answer 22

Names for deflection of SBS to let or right
. Makes parallelogram
. Right strain: SBS shifts right

Question 23

SBS compression

Answer 23

. Sphenoid and occipital bone shoved together impairing flexiona CN extension
. Must be treated to resolve any other cranial pattern issues

Question 24

Indications to do cranial

Answer 24

. Somatic dysfunction of cranial region
. Patient approves
. Physician trained
. Condition or complaint that will benefit

Question 25

Contraindications for cranial

Answer 25

. Acute intracranial hemorrhage 
. Leaking berry aneurysm 
. Acute meningitis/encephalitis 
. Acute head trauma w/ neurologic findings 
. Undiagnosed neurologic event

Question 26

Type of cranial treatments

Answer 26

. Indirect 
. Exaggeration
. Augmentation
. Direct
. Disengagement 
. Opposite physiologic motion