Intro to OCMM Flashcards

1
Q

things to observe when screening

A

face - forehead and supransal vertical folds
orbits and zygomae - nose and nasolabial crease - mouth
top, side and back of head

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2
Q

things to palpate during an ocmm examination

A

sutures
muscles - suboccipitals, occipitalis, temporalis, masseters, frontalis
lympahtics - suboccipital, a and p chains, supraclavicular and submental

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3
Q
characteristic motions of the CRI 
rate: 
rhythm: 
amplitude: 
strength: 
direction:
A

rate is 10-14 bpm
rhythm should be regular, tide of the ocean
amplitude - significant SD may diminish amplitude
strength - significant SD and vitality of the pt may greatly impact strength
direction - longitudinal and symmetric, SD causes asymmetry

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4
Q

flexion
SBS moves _______, the distance between the inferior angle of the sphenoid and occiput ______
Basi-occiput and Basi-sphenoid move superiorly
occipital squama moves inferiorly and posteriorly
greater wing moves inferiorly and anteriorly
paired with ______

A

stewie
SBS moves superiorly
inferior angle of the sphenoid and occiput decreases
paired with inhalation

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5
Q

extension
SBS moves _______ and sphenoid and occiput have a ______ axis of rotation
paired with _______

A

brain
SBS moves inferiorly with dereased angle
transverse axis
paired with exhalation

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6
Q

finger placement for vault contact

A
index fingers on greater sphenoid wings (inferior to frontozygomatic sutures)
middle fingers anterior to the ear 
ring fingers on the mastoid 
pinky on the occiput 
palms on the parietals 
thumbs gently on the frontal
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7
Q

finger placement for frontal occipital contact

A

occipital hand - resnts on the table cradling the patients head and occiput
frontal ahnd - thumb pad on one greater sphenoid wing
index pad on other greater sphenoid wing
palm on anterior aspect of frontal bone
rest elbows on the table

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8
Q

finger placement for becker contact

A

thumbs on the greater sphenoid
index on mastoid
middle and pinky fingers on the occiput with middle finger posterior to OM suture
palms cup the occiput and posterior aspects of the parietals

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9
Q

increased transverse diameter, forehead wide and sloping, AP diameters the same on both sides; saggital suture flat or even slightly depressed
describes what type of SBS motion

A

flexion

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10
Q

rotation on a transverse axis, symmetrical positioning of both anterior quadrants in external rotation
wide orbits
eyeballs prominent
zygomatic tuberosities flattened
pterygoid processes equally posterolateral
low wide palatine arch with flared alveolar processes
ER of the maxillae
both frontozygomatic angles incdreased

A

physiologic motion of flexion

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11
Q

pt with this physiologic motion ahve a hx of asthma and nasopharyngeal complaints

A

extension

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12
Q

long narrow head, decreased transverse diameter, beetle-bro type forehead, AP diameter is same on both sides, rigid saggital suture

A

extension

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13
Q

inferior SBS, distance between the inferior angle of the sphenoid and the occiput increases toward the mid-position
basi-occiput and basi-sphenoid moves inferiorly
occiputal squama moves superiorly and anteriorly
greater wing moves superiroly and posterirly

A

physiologic motion of extension

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14
Q
narrow orbits 
eyeballs recessed
zygomatic tuberosities prominent 
pterygoid processes anterior 
high, narrow palatine arch with alveolar processes more vertical  
frontozygomatic angles decreased
A

physiologic motion of extension

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15
Q

evidence of rotation of the transverse axis with symmetrical positioning of both posterior quadrants in internal rotation

A

extension

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16
Q

ears close to ehad
mastoid portions are posteromedial
mastoid tips are anterolateral
elevated condylosquama

A

extension

17
Q

flexion is paired with nutation/counternutaiton

A

counternutation

18
Q

extension is paired with nutation/counternutation

A

nutation

19
Q

nutation- the base moves ______ and the apex moves _____

A

base moves posteriorly

apex moves anteriorly

20
Q

still point

A

CRI dampens until you cannot feel it while holdning a neutral position by placing the SBS in the midpoint of the available ROM

21
Q

DO that developed OCMM

A

william garner sutherland, 1900 graduate of kirksville

22
Q

five components of PRM

A

inherent mobility of the brain and spinal cord
fluctations in the CSF
the mobility of the intracranial and intraspinal membranes
articulatory mobility of the cranial bones
involuntary mobility of the sacrum between the ilia

23
Q

cranial motion d/t changes in blood flow velocity and is measurable by laser doppler flowmetry

A

traube-hering waves

24
Q

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

A

sutherland fulcrum

25
Q

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

A

reciprocal tension membrane

26
Q

refers to its importance in connexcting the articular mechanisms of the cranium with the sacrum to coordinate action

A

core link

27
Q

what creates the RTM

A

the temtorium and falx cerebri and cerebellum
attach to the bones of the vault and base and hold them under constant tension
allows but limits motion

28
Q

where does the RTM attach to the vault

A

anterior/superior pole - crista galli
anterior/inferior pole - clinoid processes of sphenoid
lateral pole- mastoid angles of parietals and petrous ridges of temporal bone
posterior pole - internal occipital protrubernece and transverse ridges

29
Q

SBS stands for

A

sphenobasilar spymphysis

where the basisphenoid and basiocciput joint to form a synchondrosis

30
Q

where does the dura attach

A

foramen magnum

posterior body and disk of S2 in spinal canal

31
Q

axes of motion of the sacru m

A

ST respiratory axis - (most anterior) - PRM assocaited at S2
MT postural axis - middle - anterior aspect of S2
IT pelvic/ilial axis - S3 - movement of ilia on sacrum

32
Q

SBS extension is paired with what motion of the sacrum

A

nutation
base moves anterior
apex moves posterior

33
Q

SBS flexion is paired with what motion of the sacrum

A

counternutation
base moves posterior
apex moves anterior

34
Q

what team of researchers demonstrated cranial motion in cats
observed spontanteous motion at pareital bones

A

adams, heisey, smith and briner

35
Q

pterion

A

frontal, parietal, temporal, and sphenoid bones join here

36
Q

asterion

A

pareital, occipital, temporal

37
Q

bregma

A

parietal bones and frontal bones

38
Q

lambda

A

parietal bones and occiput