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OS IV > Osteopathic Cranial Manipulative Medicine > Flashcards

Osteopathic Cranial Manipulative Medicine Flashcards

1
Q

2 primary treatment modalities for Cranial Manipulation

A

Primary Respiratory Mechanism (PRM)

Balanced membranous tension

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2
Q

Who developed OCMM?

A

William Sutherland

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3
Q

What is the primary respiratory Mechanism?

A

Philosophy that cranial motion has an ebb and flow like breathing

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4
Q

5 components of the PRM

A
  1. Mobility of brain and SC
  2. CSF fluctuation
  3. Mobility of intracranial and intraspinal membranes
  4. Articulatory mobility of cranial bones
  5. Passive mobility of the sacrum
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5
Q

What is Cranial Rhythmic Impulse?

A

The driving push that is created from CSF flow that occurs 10-14 cycles/min

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6
Q

How do we describe the CRI?

A 
R-RADS
Rate- 10-14/min
Rhythm
amplitude
Direction- should be linear and symmetric 
Strength
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7
Q

Where is the sutherland fulcrum located?

A

Straight Sinus where fall cerebri and tentorium cerebelli meet

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8
Q

What is the reciprocal tension membrane (RTM)

A

Philosophy that meninges and SC link the cranium to the sacrum and create reciprocal motion.
AKA the “core link”

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9
Q

Poles of attachment for the RTM

A

A/S- Crista Galli
A/I- Clinoid Process of Sphenoid
Lat- Mastoid angles of parietals
Pos- Internal occipital protuberance and transverse ridges

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10
Q

Name the primary dural sinuses

A 
Superior Sagittal 
Inferior Sagittal
Straight 
Transverse
Confluence
Sigmoid
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11
Q

what suture is between the Frontal and Parietal bones

A

Coronal

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12
Q

what suture is between the sphenoid, frontal, parietal and temporal bones

A

Pterion (weakest point in the skull that causes a middle meningeal artery hemorrhage)

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13
Q

what suture is between the parietal and occipital

A

Lambdoidal

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14
Q

what suture is between the temporal and parietal

A

Parietosquamous

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15
Q

what suture is between the temporal and occipital

A

Occipitomastoid

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16
Q

what suture is between the temporal and zygomatic process?

A

temporozygomatic

17
Q

what suture is between the two parietal bones

A

Sagittal

18
Q

What are the Anterior fontanelle and posterior fontanelle referred to as in an adult, respectively?

A

Bregma

Lambda

19
Q

The basisphenoid and basiocciput join to make what structure?

A

Sphenobasilar Synchondrosis (SBS)

20
Q

SBS flexion

A

SBS moves superiorly and the occiput moves inferiorly, closing the angle between them

21
Q

SBS extension

A

SBS moves inferiorly and the occiput moves superiorly to open the angle between them

22
Q

SBS extension causes what change in the shape of the skull and is paired with what respiratory motion?

A

Elongates the face and makes the cheekbones. prominent during exhalation
Think Bert’s head

23
Q

SBS flexion causes what change in the shape of the skull and is paired with what respiratory motion?

A

Makes the skull more spherical during inhalation

Ernie’s head

24
Q

What travels through the Foramen Rotundum?

A

CN V2 (Maxillary)

25
Q

What travels through the Foramen Ovale?

A

CN V3 (Mandibular)
Accessory Meningeal Artery
Lesser Petrosal Nerve (Efferent CN IX to Parotid Gland)

26
Q

What travels through the Foramen Spinosum?

A

Middle Meningeal Artery

Meningeal branch of mandibular nerve

27
Q

What travels through Foramen Lacerum?

A

Internal Carotid A

28
Q

Which Sacral Axis does Respiratory motion occur?

A

Superior Transverse

29
Q

Which sacral axis does postural movement (flexion/extension) occur?

A

Middle Transverse

30
Q

What sacral Axis does movement of the ilia occur?

A

Inferior Transverse

31
Q

Nutation

A

sacral base moves anteriorly

Paired with SBS extension during exhalation

32
Q

Counternutation

A

sacral base moves posteriorly

Paired with SBS flexion during inhalation

33
Q

T/F: CRI stops if patient holds their breath

A

False, respiration is not the only driver of CRI

CRI is a product of CSF, Volume, Pressure, and Metabolite changes

34
Q

What is a Trade Hering Wave (TH)?

A

change in arterial blood pressure what occurs about 6/min that coincides with SBS flexion and Extension in a 2:1 fashion (2 TH to get back to starting position)

35
Q

What is a still point?

A

Decreased TH waves

36
Q

What cell regulates blood flow to the brain?

A

Glial Cells

OS IV (4 decks)

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