Cranial OMM Flashcards

1
Q

Nutation

A

During cranial EXTENSION of SBS, sacral base moves ANTERIORLY around R/L axis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Counternutation

A

During cranial FLEXION of SBS, sacral base moves POSTERIORLY around R/L axis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Five characteristics of CRI

A
RRADS
Rate
Rhythm
Amplitude
Direction
STrength
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
Vault Hold
Pt supine or prone?
Doc seated where?
Index fingers where?
Third finger?
Fourth finger?
Fifth finger?
Thumbs above what?
A
Pt is supine
Doc seated at head of table.
Index fingers on greater wings of sphenoid (temple)
Third finger in front of ear.
Fourth finger behind the ear.
Fifth finger on occiput.
Thumbs above the calvarium.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
Frontal Occipital Hold
Pt supine or prone?
Doc seated where?
Caudad hand where?
Cephalad finger and long finger?
A

Pt supine.
Doc at head of table.
Caudad hand under head, cupping occiput.
Cephalad hand on greater wing of sphenoid (forehead).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Flexion (normal) -
Motion of sphenoid? About what axis?
Motion of occiput? About what axis?
Motion of SBS?

Head gets shorter or longer in AP diameter?
Head gets narrower or wider in transverse diameter?

A

Sphenoid - anterior/inferior, around transverse axis
Occiput - posterior/inferior, transverse axis
SBS - cephalad

Head gets SHORTER in AP diameter.
Head gets WIDER in transverse diameter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Extension (normal)
Motion of sphenoid?
Motion of occiput?
Motion of SBS?

Head gets shorter or longer in AP diameter?
Head gets narrower or wider in transverse diameter?

A

Sphenoid - posterior/superior
Occiput - anterior/superior
SBS - caudad

Head gets LONGER in AP diameter.
Head gets NARROWER in transverse diameter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Balanced Membranous Tension

indirect or direct cranial manipulative treatment?

A

Indirect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Holds used for Balanced Membranous Tension

A

Frontal occipital hold or vault hold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Balanced Membranous Tension

evaluates what?

A

amount of motion in flexion and extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SBS is held at midpoint of what?

Held until what?

A

SBS is held at MIDPOINT of the amount of AVAILABLE MOTION.

Held until STILL POINT is obtained.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is still point?

A

Point at which you are unable to feel CRI.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens during still point?

A

Some membranes stretch, others contract.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are you waiting for during still point?

A

Feel CRI again and for it to become symmetrical.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is PRM?

What is PRM definition?

A

Primary Respiratory Mechanism -what makes the bones move.
Primary - main internal tissue process of metabolism.
Respiratory - exchange of gases.
Mechanism - movement of tissue and fluid for a purpose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Basic tenants of the classical cranial model.

A

A. Inherent MOTILITY of the CNS.
B. PLASTICITY and ELASTICITY of the intracranial and intraspinal membranes.
C. Fluctuation of the CSF.
D. Articular mobility and involuntary motion of the CRANIAL BONES.
E. Articular mobility and involuntary motion of the SACRUM between the ilia.

17
Q

Four main fontanelles

A

Bregma
Lambda
Asterion
Pterion

18
Q

Difference between motility and mobility

A

Mobility - requires something else to move it

Motility - inherent ability to move

19
Q

Why does sacrum move?

A

Dural attachment to sacrum at S2.

20
Q

Structures of the PRM

A

Brain/SC
CSF
Intracranial membranes
Articular mechanism of cranial bones.

21
Q

Dynamic relations of the PRM:

Bone mobility is related to and controlled by what?

A

The reciprocal tension membrane.

cranial and spinal dura, falx cerebri and cerebelli, tentorium cerebelli

22
Q

Functioning of the PRM:

what is the motor for the PRM?

A

the brain

23
Q

CRI - definition

What is it?

A
Cranial Rhythmic Impulse
The PALPABLE (not visible) expression of primary respiratory mechanism.
24
Q

CRI is __phasic

A

BIphasic

25
Q

**Flexion of midline bones with ____ rotation of paired bones.
Extension of midline bones with ___ rotation of paired bones.

A

Flexion of midline and EXTERNAL rotation of paired.

Extension of midline and INTERNAL rotation of paired.

26
Q

**Normal CRI rate and range

A

Rate - 10-14 times/min

Range of rate - 6 to 14

27
Q

Microns of lateral movement at sagittal suture

A

30-70microns

28
Q

Microns of rotational movement at parietal bones

A

250microns

29
Q

SBS

A

Sphenobasilar Synchondrosis

30
Q

Clinical significance of occipital-mastoid suture

A

..