Stage C Flashcards
Describe the motion of the sacrum during:
a) extension?
b) flexion?
a) apex of sacrum moves posteriorly during extension
b) apex of sacrum moves anteriorly during flexon
Describe in detail the dural attachments of the sacrum and coccyx
Dura is the outer layer of the 3 membranes surrounding the brain and spinal cord.
Spinal membranes lining vertebral canal continues down to sacral canal.
Dura mata and arachnoid mater terminate within the sacral canal, attaching to the anterior wall of the second segment.
Where dura ends, it gives off a small thread, Filum terminale, which continues down to attach to the coccyx, on the posterior surface of the first coccygeal segment
With a hand under the sacrum how might you stimulate the cranial sacral system using the rhythmic motion?
connect with the rhythm,
engage, allow, follow release, reorganisation
take to a still point
Hold with your attention
In taking up a double contact with one hand under the sacrum and the other hand under the vertebral column, what do you consider to be the function of the
a) sacral hand
b) hand under spine
c) connection between both hands
a) to engage with the system
b) to target and focus on a specific area
c) to facilitate energy drive
How does the Spheno-Basilar Synchrondosis (SBS) differ anatomically from most other joints in the skull?
it is a cartilaginous joint which offers more mobility
How does SBS being a cartilaginous joint affect its function?
allows for movement
Why is the unique function of the SBS joint considered to be significant in CS therapy?
makes it the central pivotal fulcrum around which the whole CS System revolves
the primary cartilaginous joint between the body of the sphenoid and the basilar portion of the occiput
provides a window to read all of the body, the whole system
Describe a left side-bending pattern of the SBS in terms of what is happening at the SBS and how it feels to the therapist?
(tip: “the pattern is named by the side that is bulging” - according to sutherland teachings and thomas continuing same eg. the side bending means the same side that is bulging)
left hand moving forwards, right moving back, bulge towards the right, left side feels caving in -
felt sense through the diagonal pull though the length of the body / spine greater wings of sphenoid on the right moves backward
at SBS joint: the lateral left sides will be in compression, while the left side will be opening up, decompression, moving into a containment the right thumb feels pulled down and into the couch left thumb raises upwards towards the ceiling, away from the couch
Describe a right sided torsion pattern of the SBS in terms of how it feels to the therapist?
twisting the avocado
practitioner will experience this as the thumb twisting up towards the top of the head and while the other thumb twists down towards the feet
sphenoid greater wings twists superiorly on the right and inferiorly on the left, relative to the occiput
Give the name and root origin of the peripheral nerve associated with Carpal Tunnel Syndrome.
median nerve (supplies digits 1234) > runs down the arm from the brachial plexus > root origin C5678 / T1
Give the name and root origin of the peripheral nerve that supplies the digits of 4 and 5 of the hand
ulna nerve which originates from C8-T1
runs down the hand where it passes behind the medial to facilitate the clawing movement of digits 4 and 5
Also consider: base of the neck and first thoracic segment
What are the root origins of the Sciatic Nerve
Base of the spine L45 and S123
This combination of five nerve roots that exit from inside the lower lumbar and upper sacral spine forms the sciatic nerve
Which nerve root emerges between C7 and T1
C8 - atypical, doesn’t have corresponding vertebra above and below - is between C7 and T1 - Fingers
The C8 nerve root is atypical because it does not have a corresponding vertebral element and exits below the C7 pedicle and occupies the intervertebral foramen between C7 and T1.
In the thoracic and lumbar spine, the nerve roots exit the spinal canal by passing below the pedicle of their named vertebra
What sympathetic levels are associated with the head and eyes?
T1, T2 and C4321
What sympathetic levels are associated with the thoracic viscera (heart and lungs?)
T2 - T6
What sympathetic levels are associated with upper abdominal viscera - stomach; pancreas; spleen; liver; gall-bladder
T6 - T10
What sympathetic levels are associated with lower abdominal viscera - colon; uterus; prostate; genetalia
T10 - L2
What viscera and other mechanical and emotional associations would you associate with the thoraco-lumbar junction T12/L1?
common site of compression, major site of SNS outflow, large intestine kidneys, bowel, bladder
place where legs of the diaphragm - the crura are attached to the anterior
aspect of the bodies of the 1st, 2nd and 3rd lumbar vertebrae.
Emotions: tension, anxiety, fear, tension in the diaphragm, insecure, remorseful, holding onto resentment
What viscera and other mechanical and emotional associations would you associate with T9?
apex of thorax, subject to strain due to antr./postr. postural imbalances
solar plexus and caeliac ganglia
association with or empirical relationship with the adrenal glands
stress, adrenalin, pressure, from excessive stimulation of Sympathetic NS
Apex of thoracic curve subject to strain
Solar plexus; coeliac plexus; adrenal glands
Dysfunction - stress; gall bladder stones; Crohns disease
What viscera and other mechanical and emotional associations would you associate with T4?
functional base of the neck, functionally it extends to end in the thoracic, upper triangle,
Littlejohn’s triangle where upper and lower triangle meet
asthma, heart chakra, and cardiac plexus, associated with anxiety and stress
T4 is meeting point for stresses, strains, injuries above and below.
Focal area of sympathetic outflow to heart and lungs T2 to T6
Thymus gland - endocrine gland - lymphatic system
Emotional holding in heart (grief) and lungs (anxiety)
Dysfunction - respiratory issues; cardiac pathologies; anxiety
What vertebral levels would you associate with the eyes?
T1-T2 Sympathetic and C1 to C4
What vertebral levels would you associate with the lungs?
T2 to T6
What vertebral levels would you associate with the duodenum?
T6-T10 - where the stomach passes into the small intestine - sits under liver, gall bladder, bile
What vertebral levels would you associate with the Ileo-caecal valve?
T10 - L2 - junction of small and large intestine
What vertebral levels would you associate with the bladder?
T10 - L2
What movement is felt at the feet during the expansion and contraction (or flexion/ extension) phase of CS motion?
Flexion/expansion = feet externally rotate/ roll out
Extension/ contraction = feet internally rotate/ roll in
What is meant by tissue memory?
Patterns of tension or injury held in tissue
physical tension and or memories - past events may release
For what conditions and under what circumstances might you use fascial unwinding?
to release fascial tension
to address and release traumas, abuse and associated physical and emotional trauma.
in the joints - ankles, knees, hips, arms, neck, use for anything - heart, viscera
