Test Part 2 - Hannah Flashcards
Describe the motion of the sacrum during the extension phase of CS motion
Apex of the sacrum moves posteriorly in extension phase
Describe in detail the dural attachments of the sacrum and coccyx
Dural attachments to the sacrum are on the anterior wall within the sacral canal at S2.
The Filum Terminale passes down the lower end of the spinal cord to attach to the posterior surface of the 1st coccygeal segment.
With a hand under the sacrum how might you stimulate the cranial sacral system using the rhythmic motion?
Using a double contact with the other hand on the lumbar or thoracic spine, focus attention on the motion of the sacrum moving into flexion and extension. Also can try a still point induction at the sacrum - moving into the extremes of either flexion or extension.
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; harness CS motion and energy
b) to target and focus on a specific area
c) to facilitate 2 poles of energy using the sacrum as the powerhouse of CS energy; feel the connection and interaction between both hands; energy drive
How does the Spheno-Basilar Synchrondosis differ anatomically from most other joints in the skull?
It’s a cartilaginous joint between the body of sphenoid anteriorly and basilar portion of occiput posteriorly.
How does this anatomical difference affect the SBS function?
It allows for movement
Why is this functional difference considered to be significant in CS therapy?
Central pivotal bone in cranium and CS system.
Articulates with every other bone in cranium and some facial bones.
Pivotal fulcrum round which the whole bony structures operate in the CS system.
SBS is affected by patterns in early life which follow through to later life.
SBS is more readily affected by strain, tension and asymmetry from elsewhere in the system. Twists, turns, pulls from all over body are reflected into this pivotal joint making it easier to engage with the whole system. therefore to restore balance and CS motion at SBS means to restore the system at a deep level.
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?
At SBS - there is a gaping between the sphenoid body and the basi-occiput on the left side, with a narrowing on the right side. The therapist will experience the head bulging on the left side.
Describe a right sided torsion pattern of the SBS in terms of how it feels to the therapist?
With thumbs on the top of the greater wings of the sphenoid, the therapist will experience the right hand thumb moving superiorly towards the therapist and the left thumb moving inferiorly away from the therapist.
Give the name and root origin of the peripheral nerve associated with Carpal Tunnel Syndrome.
Median Nerve - C678, T1, affects the thumb, forefinger and middle finger. - digits 1,2,3.
Give the name and root origin of the peripheral nerve that supplies the digits of 4 and 5 of the hand
Ulna Nerve - C78, T1
What are the root origins of the Sciatic Nerve
L45, S123
Which nerve root emerges between C7 and T1
C8
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?
Significant mechanical pivot - thoracic spine above from lumbar spine below - areas of postural stress.
Compressions from sport; jogging; horse riding; falls.
Attachment of crura of diaphragm to vertebral column - holding area for tension and stress reflected in breathing if there is compression in T12/L1.
Major sympathetic outflow T10 to L2 to:
Kidneys; adrenals; bladder; large intestine (colon); uterus; ovaries; prostate; genetalia and any dysfunction related to these viscera eg menstrual disorders; IBS; cystitis; erectile dysfunction; kidney disease.
Inferior Mesenteric Plexus.
Parasympathetic outflow from Pelvic Splanchnic Nerves S234
What viscera and other mechanical and emotional associations would you associate with T9?
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?
Significant mechanical pivot
T4 is the root of the neck
Conditions of neck can feed T4
Conditions of thoracic spine can feed neck
T4 is meeting point for stresses, strains, injuries above and below.
Focal area of sympathetic outflow to heart and lungs T2 to T6
Consider cardiac and pulmonary plexus
Thymus chakra
Thymus gland - endocrine gland - lymphatic system
Thoracic inlet - structures pass through
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?
T4 to T6
What vertebral levels would you associate with the duodenum?
T7 to T9
What vertebral levels would you associate with the Ileo-caecal valve?
T10 to T11
What vertebral levels would you associate with the bladder?
T10 to 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?
Fascia records and holds memory of physical or emotional event.
For what conditions and under what circumstances might you use fascial unwinding?
Specific injury or pain in limb
Emotional holding
Fascial unwind during earlier part of treatment after settling and grounding.
Use if patient is not responding to treatments to offer deeper connection/ different layer of healing.
Patient may spontaneously unwind whilst being treated - follow the lead and assist in unwinding process.
May be drawn to unwind - tuning into fascia.
