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ECOS Midterm > OCMM Cranial Movement and Strains > Flashcards

OCMM Cranial Movement and Strains Flashcards

1
Q

Who is the founder of Cranial Osteopathy?

A

William Garner Sutherland, DO

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2
Q

Primary respiratory mechanism (PRM)

A

Primary - fundamental life process
Respiratory - breath of life (flows likes a breath)
Mechanism - tissue and fluid move with distinct purpose

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3
Q

The five anatomical-physiological elements of PRM

A
  1. inherent motility
  2. fluctuation of CSF
  3. Mobility of membranes
  4. Articular mobility of cranial bones
  5. mobility of sacrum interdependent with SBS
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4
Q

What are 4 major indication of craniosacral treatment?

A
  1. Stresses
  2. After birth
  3. Trauma - MVA
  4. Denistry
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5
Q

Side effects of craniosacral treatment?

A

headaches, tinnitus or dizziness
may also cause alterations in HR, BP, RR and GI irritability

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6
Q

Absolute contraindications to craniosacral treatment?

A

acute intracranial bleed or CVA and an acute skull fracture

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7
Q

Relative contraindications to craniosacral treatment?

A

Coagulopathy
Seizure hx
increased intracranial pressure

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8
Q

Which cells of the CNS are thought to possibly have motility?

A

glial cells

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9
Q

How are the Cranial Rhythmic Impulse (CRI) motions characterized?

A

RRADS
Rate - 10-14 bpm
Rhythm - regular
Amplitude - diminished/not diminished
Directions - linear and symmetric
Strength

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10
Q

What is the usual rate of Cranial Rhythmic Impulse (CRI)?

A

10-14 bpm

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11
Q

What is the usual direction of Cranial Rhythmic Impulse (CRI) in a healthy individual when palpated?

A

linear and symmetric

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12
Q

What are the intracranial membranes?

A

the 3 contiguous dural folds:
falx cerebri
falx cerebelli
tentorium cerebelli

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13
Q

Reciprocal Tension Membrane (RTM)

A

a functional unit that acts as a spring formed by the contiguous dural folds: falx cerebri, falx cerebelli and tentorium cerebelli

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14
Q

What are the main poles of attachment for the Reciprocal Tension Membrane (RTM)?

A

Frontal, Sphenoid, Temporal and Occipital bones (not parietal)

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15
Q

True or false, is there continuity in fascia from head to toe?

A

true; it’s all connected

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16
Q

What is the physiological motion of the Sphenobasilar Synchondrosis (SBS)?

A

Flexion and extension

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17
Q

Cranial inhalation is equivalent to what motion of the Sphenobasilar Synchondrosis (SBS)?

A

Flexion

18
Q

Cranial Exhalation is equivalent to what motion of the Sphenobasilar Synchondrosis (SBS)?

A

ExtensionIn

19
Q

In cranial extension, what is the position of the sacrum?

A

Sacral base - anteroinferior (Nutation)
Sacral apex - posterior

20
Q

Nutation

A

nodding of the sacrum base anteriorly; think of the sacrum base nodding towards your nuts (lmao); matched with SBS extension

21
Q

In cranial flexion, what is the position of the sacrum?

A

Sacral base - posterosuperior (counternutation)
Sacral apex - anterior

22
Q

Counternutation

A

nodding of the sacrum base posteriorly; think of the sacrum base nodding away from your nuts (lmao); matched with SBS flexion

23
Q

Sphenobasilar synchondrosis (SBS)

A

basisphenoid and the basiocciput joined by synchondrosis; HYALINE cartilaginous junction

24
Q

Motion of the midline bones?

A

flexion and extension over a transverse axis

25
Q

Motion of paired bones?

A

internal and external rotation

26
Q

Parietal bone physiological motion if the cranium is in flexion?

A

paired bone; external rotation; cranium widens laterally

27
Q

Parietal bone physiological motion if the cranium is in extension?

A

paired bone; internal rotation; cranium narrows laterally

28
Q

Pterion

A

an H-shaped bony neurological landmark found at the junction of the frontal, sphenoid, parietal and the squamous part of temporal bone

29
Q

Asterion

A

an anatomical landmark on the lateral aspect of the skull formed at the junction of the occipital bone, the temporal bone, and the parietal bone

30
Q

Bregma

A

the point or area of the skull where the sagittal and coronal sutures joining the parietal and frontal bones come together

31
Q

Lambda

A

midline bony landmark where the lambdoid sutures and sagittal suture meet, between the occipital and two parietal bones

32
Q

Through which foramen does each cranial nerve exit through the cranial vault?

A

Ethmoid:
Superior orbital fissure - CN III, CN IV, CN V1 and CN VI

Sphenoid bone:
Optic canal - CN II
Foramen rotundum - CN V2
Foramen ovale - CN V3

Temporal bone:
Internal acoustic meatus - CN VII and CN VIII

Occipital bone:
Jugular foramen - CN IX, CN X, and CN XI
Hypoglossal canal - CN XII

33
Q

Current view on what is causing fluctuation of the CSF?

A

CSF is produced in choroid plexus and pumped across brain and spinal cord; the cranial rhythmic impulse (CRI) drives the push of CSF expansion

34
Q
A

Pterion; H-shaped bony neurological landmark found at the junction of the frontal, sphenoid, parietal and the squamous part of temporal bone

35
Q
A

Asterion; anatomical landmark on the lateral aspect of the skull formed at the junction of the occipital bone, the temporal bone, and the parietal bone

36
Q
A

Bregma; point or area of the skull where the sagittal and coronal sutures joining the parietal and frontal bones come together

37
Q
A

Lambda; midline bony landmark where the lambdoid sutures and sagittal suture meet, between the occipital and two parietal bones

38
Q

the middle meningeal artery travels through which foramina of the cranium?

A

foramen spinosum

39
Q

cranial nerves that pass through the ethmoid bone?

A

Superior orbital fissure - CN III, CN IV, CN V1 and CN VI

40
Q

cranial nerves that pass through the sphenoid bone?

A

Optic canal - CN II
Foramen rotundum - CN V2
Foramen ovale - CN V3

41
Q

cranial nerves that pass though the temporal bone?

A

Internal acoustic meatus - CN VII and CN VIII

42
Q

cranial nerves that pass through the occipital bone?

A

Jugular foramen - CN IX, CN X, and CN XI
Hypoglossal canal - CN XII

ECOS Midterm (10 decks)

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