OCMM: Landmarks And Holds Flashcards
Indications for OCMM
Somatic dysfunctions of the head and neck and sacrum
Contraindications of OCMM
Absolute:
- acute intracranial bleeding
- skull fractures
- strokes or TIAs
Relative:
- coagulopathies
- space occupying lesion in the cranium
- increased intracranial pressure
What are the TART criteria for OCMM?
Tissue texture: changes, heat, muscle tightness, intraosseus changes
Asymmetry: symmetry of landmarks including sutures and fontanelles
Range of motion: in joints and membranes
Tenderness: counterstrain tender points for TMJ and cranium
Sphenoid, temporal, parietal, frontal and occipital bone axis of rotation
Sphenoid = through the sphenoid bone
Occipital = through the jugular process
Temporal = through the petrous portion of the temporal bone
Parietal = through the parietal eminence
Frontal = through the frontal eminences
How does the skull grossly change during cranial flexion?
Width widens
Length shortens
Height shortens
Eye sockets widen diagonally
Eye ball becomes more prominent
How does the skull grossly change during cranial extension?
Width shortens
Length widens
Height widens
Eye sockets shortens diagonally
Eye ball becomes more sunken
Vault hold
Used to assess primary respiratory mechanisms and motion along the SBS
1) patient supine with physician seated at head of table
2) physician has hips./knees at 90 degrees with feet flat
3) physician rests forearms on table establishing fulcrum
4) place hands on either side of head cradling it and making palmar contact
5) thumbs should be touching each other just above the sagittal suture (dont touch patient head
6) finger pads on head not tips
- index = greater wings of sphenoid
- middle fingers = anterior to ears on temporal and parietal bones
- ring fingers = posterior to ears on temporal and partial bones
- little fingers on occiput
7) palpating cranal flexion = fingerpads should move inferior (towards patients feet)and separate
8) palpating cranal extension = finger pads should move superior (towards physician) and approximate
Fronto-occipital hold
Used to assess primary respiratory mechanism and the motion fo the cranial base at the SBS
- also assesses frontal bone motion in relation to the rest of the CRI
1) patient supine with physician seated at side of head and table
2) place caudad hand under the occiput bone resting your hand on the table and cupping the occipital squama
3) place cephalad hand over frontal bones resting elbow if possible on the table
4) use two digits to contact the sphenoid bone
- either middle finger or 5th digit and the thumb should contact the sphenoid bones just lateral to each eye on both sides
5) the entire hand and not just the finger pads should contact the patients head
Occipital cradle hold
Used to assess primary respiratory mechanism, the motion of the cranial base at the SBS and the occipital bone in relation tot he rest of the CRI and cervical spine
1) patient supine with physician seated at the head of the table
2) physician hips and knees at 90 degrees resting flat on floor
3) put forearms on table establishing a fulcrum
4) place both hands under the patients occiput, with thumbs on mastoid processes on both sides