Savarese chapter 9 (cranial) Flashcards

1
Q

The primary respiratory mechanism =

A

CNS + CSF + Dural Membranes + Cranial Bones + Sacrum

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2
Q

Who made up cranial?

A

Sutherland

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3
Q

Cranial Rhythmic Impulse

A

10-14 cycles per minute

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4
Q

Factors that will decrease the CRI

A
  • Stress (emotional or physical)
  • Depression
  • Chronic fatigue
  • Chronic infections
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5
Q

Factors that will increase the CRI

A
  • Vigorous physical exercise
  • Systemic fever
  • Cranial OMT
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6
Q

Dural attachments

A

Foramen magnum
C2
C3
S2

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7
Q

Reciprocal Tension Membrane

A

The inelastic rope/meninges

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8
Q

Craniosacral Flexion

A

Midline bones flex
Sacral base posterior (counternutation)
Decreased AP diameter
External rotation of the paired bones

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9
Q

Craniosacral Extension

A

Midline bones extend
Sacral base anterior (nutation)
Increased AP diameter
Internal rotation of the paired bones

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10
Q

Torsion

A

1 AP axis
The sphenoid & occiput rotate in opposite directions
Named for the superior GWS

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11
Q

Sidebending-Rotation

A

The sphenoid & occiput rotate in the same direction around 1 AP axis
The sphenoid & occiput rotate in opposite direction about 2 vertical axes
Named for the side of convexity (side that widens/bones get further apart)

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12
Q

Vertical Strain

A

The sphenoid & occiput rotate in the same direction about 2 parallel transverse axes
Named for the direction of sphenoid movement.

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13
Q

Lateral Strain

A

“parallelogram head”
The sphenoid & occiput rotate in the same direction about 2 parallel vertical axes.
Named for the deviation of the base of the sphenoid

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14
Q

SBS compression

A

Sphenoid & occiput have been pushed together

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15
Q

Midline Bones

A
Sphenoid
Occiput
Sacrum
Ethmoid
Vomer
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16
Q

CN I exits the skull via the

A

Cribiform plate

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17
Q

CN II exits the skull via the

A

Optic canal

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18
Q

CN III exits the skull via the

A

Superior Orbital Fissure

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19
Q

CN IV exits the skull via the

A

Superior Orbital Fissure

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20
Q

CN V1 exits the skull via the

A

Superior Orbital Fissure

21
Q

CN V2 exits the skull via the

A

Foramen Rotundum

22
Q

CN V3 exits the skull via the

A

Foramen Ovale

23
Q

CN VI exits the skull via the

A

Superior Orbital Fissure

24
Q

CN VII exits the skull via the

A

Internal acoustic meatus, then the stylomastoid foramen

25
Q

CN VIII exits the skull via the

A

Internal Acoustic Meatus

26
Q

CN IX exits the skull via the

A

Jugular Foramen

27
Q

CN X exits the skull via the

A

Jugular Foramen

28
Q

CN XI enters the skull via the

A

Foramen Magnum, then exits via the jugular foramen

29
Q

CN XII exits the skull via the

A

Hypoglossal canal

30
Q

The cribiform plate can be altered by SD of the

A

Sphenoid
Frontal bone
Ethmoid

31
Q

The optic canal can be altered by SD of the

A

Sphenoid

Occiput

32
Q

The superior orbital fissure can be altered by SD of the

A

Sphenoid

Temporal bone

33
Q

The foramen rotundum can be altered by SD of the

A

Sphenoid
Temporal bone
Maxillae
Mandible

34
Q

The foramen ovale can be altered by SD of the

A

Sphenoid

35
Q

The stylomastoid foramen can be altered by SD of the

A

Sphenoid
Temporal Bone
Occiput

36
Q

The jugular foramen can be altered by SD of the

A

Temporal Bone

Occiput

37
Q

The hypoglossal canal can be altered by SD of the

A

Temporal Bone

Occiput

38
Q

Vagal SD can be due to the

A

OA
AA
C2

39
Q

Dysfunction of the temporal bone can cause

A

Tinnitus, vertigo, hearing loss, or Bell’s Palsy

40
Q

Poor suckling in a newborn is most likely due to

A

Occipital condylar compression of CN XII, but can also be due to dysfunction of CN IX, or X

41
Q

This treatment increases the CRI

A

CV4

42
Q

Placement of fingers for the vault hold

A

Index- GWS
Middle- Temporal bone in front of the ear
Ring- Mastoid region of the temporal bone
Little- Squamous portion of the occiput

43
Q

Absolute contraindications to cranial treatment

A
  • Acute intracranial bleed
  • Increased intracranial pressure
  • Skull fracture
44
Q

Relative contraindications to cranial treatment

A
  • Patients with known history of seizures or dystonia

- Traumatic brain injury

45
Q

Bell’s Palsy that includes the forehead

A

Lower Motor Neuron problem

46
Q

Bell’s Palsy that spares the forehead

A

Upper Motor Neuron problem

47
Q

Christa galli

A

The most anterior and superior dural attachment

48
Q

Strabismus

A

Often due to impingement of CN VI by the petrosphenoidal ligament

49
Q

Order for the venous sinus drainage technique

A
Transverse sinus
Confluence of sinuses
Occipital sinus
Superior sagittal sinus
Metopic suture