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OS > Cranial Paired Bones > Flashcards

Cranial Paired Bones Flashcards

1
Q

Paired bones

A

Parietal
Frontal
Temporal

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2
Q

Parietal Bone motion during flexion

A

external rotation during cranial F

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3
Q

Parietal Bone axis/panes

A

AP axis in coronal plane

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4
Q

Parietal Bone clinical associations or symptoms of disease

A

HA, alteration of seizure threshold, localized pain

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5
Q

Parietal Lift Technique:

Is IR or ER more common?

A

IR is more common

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6
Q 
Parietal Lift Technique
Position of patient.
Position of physician.
Points of contact.
Movement
A

Position of patient - supine
Position of physician - at head
Points of contact - MODIFIED VAULT HOLD. Thumbs INTERLOCKED AT SAGITTAL SUTURE, fingers contact inferior aspects of parietal bones.
Movement - Pull thumbs against each other, increasing pressure at fingretips to move bones toward IR. Disengages inf sutures from temporal bones. DISENGAGE PARIETALS by gaping and DISTRACTING CEPHALAD.

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7
Q

When are you done with parietal lift technique?

A

when CRI quality/quantity changes

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8
Q

Frontal Bone motion during cranial F?

Cranial E?

A

Flexion - ER (low slowing forehead - toboggan slide)
Extension - IR (high bulging/prominent forehead - ski jump)

Rotation related to inferior edge of bone.

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9
Q

Frontal Bone axis/planes

A

Dual AP axis in CORONAL plane

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10
Q

Frontal Bone clinical association/symptoms of disease

A

HA, visual or smell disturbances (anosmia)

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11
Q

Frontal Lift Objective

A

Allow frontal bone to perform its normal physiological motion and to free the inferior aspects of the coronal suture.

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12
Q

Parietal Life Technique Objective

A

Restore proper physiologic motion to parietal bones when restricted in either IR or ER

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13
Q

Frontal Lift position of patient.

A

supine

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14
Q

Frontal Lift position of physician.

A

at patient’s head

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15
Q

Frontal Lift points of contact

A

Fingers interlaced on forehead with hypothenar eminences on lateral angle of frontal bone. Heels of hand at coronal suture.

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16
Q

Frontal Lift Movement

A

During Extension/IR:
interlaced fingers exert pressure on each other, resulting in medial pressure against hypothenar eminences, raising frontal anteriorly into ER - hold for release of tension.

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17
Q

Temporal Bone motion.

What is it named for?

A

Motion - ER during Cranial F (sup border moves anterolatera”forward and out”l/slightly superior)
Named for the superior border of petrous portion.

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18
Q

Temporal axis/plane

A

oblique axis, modified coronal plane

19
Q

Temporal Bone clinicial

Damage can be attributed to

A

OM, mastoiditis, tinnitus, hearing loss, Bell’s

Damage - trauma, whiplash, chronic neck tension, detanl exraction

20
Q

IR of Temporal can do what to the eustacian tube and result in what type of tinnitus?

A

close eustachian tubes - high pitched tinnitus

21
Q

ER of temporal can result in what type of sound?

A

Low roaring sound or tinnitus

22
Q

Temporal bone holds

A

Five finer temporal hold and rocking the temporals

23
Q

Five finger temporal hold is uni or bilateral?

A

Either!

24
Q

Five finger temporal hold
PATIENT POSITION
PHYSICIAN POSITION
POINTS OF CONTACT

A

supine
doc at head of table
Points of Contact - middle finger on EAC, index finger and thumb pinch the zygomatic arch. Ring anterior to mastoid process and little finger posterior to mastoid process

25
Q

Rocking the temporals objective

A

release CN 9, 10, 11 entrapment, eustacian tube compression, jugualr vein copmression, restricted temporal or occipital articulation, tinnitus

26
Q 
Rocking the temporals
PATIENT POSITION
PHYSICIAN POSITION
POINTS OF CONTACT
MOVEMENT - indirect or diret and describe
A

Supine
Doc seated at head
Points of contact - five finger temporal hold
Movement - indirect
encourage ER, mastoid = medial pressure with ring and little finger, zygomatic arch = direct sup/lat with index and thumb (IR opposite)

27
Q

Left temporal prefers ER and right temporal prefers IR.
What should doc’s left hand exaggerate?
What should doc’s right hand exaggerate?

A

Left hand exaggerates left temporal flexion/ER
Right hand exaggerates right temporal extension/IR (zygomatic arch = direct sup/lat with index and thumb)

Get asynchronous motion –> reverse –>

28
Q

Goal of rocking the temporals

A

Asynchronous motion of the temporals THEN REVERSE THE PROCESS until bones are to balance and symmetrically moving in IR and ER.

29
Q

What can result if pt left in asynchronous motion?

A

vertigo

30
Q

What suture can V-SPREAD be used on?

A

any suture

31
Q 
V-Spread 
OBEJCTIVE
PATIENT POSITION
PHYSICIAN POSITION
POINTS OF CONTACT
MOVEMENT -
A

objective - release any peripheral suture
patient SUPINE
DOC AT HEAD OF TABLE
Points of contact - ipsilateral hand with second and thrid fingers on either side of suture to be released.
Contralateral hand 180 degress opposite, palm or two fingers contact head.
Movement - disengage suture by spreading fingers, apply force with oppsoing hand toard dysfunctional suture - push fluid flow toward

32
Q 
CV 4 technique
OBEJCTIVE
PATIENT POSITION
PHYSICIAN POSITION
POINTS OF CONTACT
MOVEMENT -
A

objective - stimulate the body’s inherent capacity to deal with whatever dysfunction is present
Patient is supine
Physician is at head of table, volleyball hands
Contact lateral angles of occiput medial to occipitomastoid sutures
Movement - encourage EXTENSION (hand move toward you) and discrouage FLEXION
Wait for motion to flow to STILL POINT

33
Q

How do you know you’ve hit still point?

A

Feel warmth in your hands.

Perspiration on brow of patient.

34
Q

What’s the only bone that contacts all four fontanelle?

A

Parietal bone

35
Q

Bregma

A

junction of coronal and sagittal suture

36
Q

Lambda

A

junction of sagittal and lambdoidal suture

37
Q

ASTERION and PTERION

A

Asterion - at mastoid fontanella, confluens of the parietal occipit, and temporal
Pterion - at temporal area, confluens of the (deepest) frontal, parietal, sphenoid, temporal (most superficial)

38
Q

What artery is deep to the pterion?

What sinus is deep to the asterion?

A

MMA

Sigmoid sinus

39
Q

Parietal bone articulates with what other bones?

A

Occipital, temporal, frontal, other parietal, sphenoid

40
Q

Parietal motion during cranial flexion and extension.

A

Cranial flexion - ER

Cranial extension - IR

41
Q

What exits between the petrous portion of the temporal bone and sphenoid?

A

EUSTACIAN TUBE

42
Q

In the petrous portion of the temporal bone, what travels at the border of foramen lacerum

A

Greater superficial petrosal nerve - LACRIMATION

43
Q

Temporal bone touches what.

Problems with the temporal?
What is below the tentorium, which is attached to the petrous ridge?

A

occiput, parietals, sphenoid, zygomae, mandible

Cavernous sinus - torsion to tentorium can affect CN3,4,6,V1
Below tentorium - hindbrain, medulla, pons, 4th ventricle, cerebellum

OS (8 decks)

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