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Ahmed OS4 Depression > [DSA] Intro to OCMM [Nichols] > Flashcards

[DSA] Intro to OCMM [Nichols] Flashcards

1
Q

Define osteopathic cranial manipulative medicine

A

A system of diagnosis and treatment by an OS practitioner using the PRIMARY RESPIRATORY MECHANISM and BALANCED MEMBRANOUS TENSION

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2
Q

Who discovered cranial OMT?

A

William Garner Sutherland, DO

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3
Q

Where is the primary respiratory motion of cranial omm?

A

At the SUTURES

Dr. Sutherland believed the cranial sutures behaved like gills of a fish

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4
Q

What are the 5 components of the PRIMARY RESPIRATORY MECHANISM?

A
  1. The inherent mobility of the brain and spinal cord
  2. The fluctuation of the CSF
  3. The mobility of the intracranial and intraspinal membranes
  4. The articulatory mobility of the cranial bones
  5. The involuntary mobility of the sacrum between the ilia
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5
Q

Define:

Motility

A

Moving or capable of moving spontaneously

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6
Q

The brain and spinal cord have an inherent…

Motility or Mobility?

A

Mobility

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7
Q

What two things contribute to the inherent mobility of the brain and spinal cord?

A

Traube-Hering Wave

Glial cells

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8
Q

What is the Traube-Hering Wave?

How is it measured?

A

Traube-Hering wave= Due to changes in blood flow velocity

Laser Doppler flowmetery

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9
Q

What are the average cranial rhythmic impulse (CRI) on the human skull in normal adults?

What is the range?

A

Normal adults = 10-14 cycles

Range = 6-14 cycles

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10
Q

Physicians must be ________ in order to palpate the CRI

A

Physicians must be relaxed in order to palpate the CRI

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11
Q

In order to palpate the CRI…

What must be done?

A

Physician is relaxed

Contact of the hands is very light

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12
Q

T/F

CRI is a visible motion

A

FALSE!!!

CRI must be palpated

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13
Q

T/F

If a patient holds their breath, CRI is still palpable

A

True:

If a patient holds their breath, CRI is still palpable

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14
Q

What is the mneumonic for motion characteristics of the CRI?

A

R-RADS

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15
Q

What does R-RADS stand for?

A

Rate

Rhythm

Amplitude

Direction

Strength

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16
Q

What is the sutherland fulcrum?

A

The functional name given to the straight sinus as the origin of the 3-sickle shaped agents of the falx cerebri and the tentorium cerebelli

17
Q

What is the reciprocal tension membrane (RTM)?

A

The meninges and the cord constitute a link between the cranium and the sacrum

18
Q

What is the “core link”?

A

The importance in connecting the articular mechanism of the cranium with the sacrum to coordinate action

19
Q

What is the primary fasica involved in influencing the primary respiratory mechanism?

A

Meningeal Fascia

20
Q

The _________, __________, and __________ create a reciprocal tension membrane (RTM)

A

The Tentorium, Falx Cerebri, and Cerebellum create a reciprocal tension membrane (RTM)

21
Q

What is the function of the reciprocal tension membrane (RTM)?

A

Provides constant tension

It allows but limits motion

22
Q

What are the (4) main poles of attachment for the reciprocal tension membrane (RTM)?

A

Anterior/superior pole = Crista galli

Anterior/inferior pole = Clinoid processes of Sphenoid

Lateral pole = Mastoid angles of parietals and petrous ridges of temporal bones

Posterior pole = Internal occipital protuberance and transverse ridges

23
Q

Point on your head for practice:

Where are the…

Coronal, Pteroin, Sphenosquamous, Temporozygomatic, TMJ, Occipitomastoid, Asterion, Lambdoidal and Parietosquamous sutures?

A
24
Q

Where is the sagittal suture?

A
25
Q

What is the SBS?

A

Sphenobasillar symphysis

26
Q

Describe what SBS flexion is:

A

SBS rises superiorly as the distance DECREASES between the inferior angle of the sphenoid and occiput

I think of an open clam shell = flexion

27
Q

Describe what SBS extension is:

A

SBS move inferiorly as the distance INCREASES between the inferior angle of the sphenoid and occiput

Closing clam shell

28
Q

SBS Motion

Which occurs with exhalation vs inhalation?

SBS Flexion/Extension

A

SBS Flexion = Inhalation

SBS Extension = Exhalation

29
Q

SBS Extension is associated with which cartoon characters?

A

Brian and Bert

30
Q

SBS Flexion is associated with which cartoon characters?

A

Stewie or Ernie

31
Q

What is sacral nutation?

What SBS motion is nutation paired with?

A

Nodding of base ANTERIORLY

SBS extension

32
Q

What is sacral counternutation?

What SBS motion is counternutation paired with?

A

Base moves POSTERIORLY

Counternutation is matched with SBS FLEXION

Ahmed OS4 Depression (10 decks)

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