Cranial Lab Flashcards
What is the initial hand placement for releasing the occipital sinus and confluence of sinuses?
Resting the external occipital protuberance on the fingertips of the middle fingers.
After the initial hand placement what is the next step (s) for release of the occipital sinus and confluence of sinuses?
Hold position until “melting” occurs, then slightly move fingers down the midline of the occiput, continuing until entire occiput has been released (moving down toward foramen magnum).
What is the procedure for releasing the jugular sinus?
Place fingertips along the condylar aspect of the occiput (decompresses the occiput from the atlas opening up the jugular foramen) and hold until “melting” is perceived.
What is the procedure for releasing the transverse sinus?
Place fingertips on the occipital ridge and hold until “melting” is perceived.
What is the procedure for releasing the straight sinus?
Place fingertips on the occipital ridge and cross thumbs over each other so that they are resting on the sagittal suture (over the vertex of the skull). Direct CSF towards fingertips and hold until “melting” is perceived.
What is the procedure for releasing the sagittal sinus?
Place thumbs at the external occipital protuberance and then release the superior sagittal sinus by applying pressure on either side of the sagittal sinus an inch above the external occipital protuberance. Continue moving inch by inch until reaching the bregma.
What is the first step for the frontal lift technique?
Palpate the coronal suture and place place hypothenar eminences on the lateral frontal bone anterior to the coronal suture.
What is the second step for the frontal lift technique?
Interlace finger and attempt to slide them apart while lifting anteriorly to disengage. Release when the restrictions abate.
What are the indications for the frontal lift technique?
Affects the falx cerebri and is good for sinusitis and anosmia.
What is the first step for the parietal lift technique?
Palpate the squamoparietal suture (where the temporal meets the parietal) bilaterally and place fingertips along the parietal bone just above the squamoparietal suture.
What is the second step for the parietal lift technique?
Cross thumbs over each other and press together without touching the scalp. Lift cephalad and release when the parietal move into external rotation.
What are the indications for the parietal lift technique?
Affects the tentorum cerebelli and is good for migraine (cervicalgia) and otitis media.
What is the first step for the CV4 technique?
Lace fingers together and place under the occiput with the thenar eminances on the lateral occiput angles .
What is the second step of the CV4 technique?
Encourage extension and discourage flexion, releasing after a “still point” is achieved.
