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58 Cards in this Set

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Where are your fingers for the Cranial Vault Hold?
Index- greater wings of sphenoid
Middle- zygomatic processes of temporal
Ring- mastoid processes of temporal
pinky - squamous portion of occiput
Thumb- not touching!
CRI = coronal diameter narrows, anteroposterior diameter increases, height increases
Extension/internal rotation
CRI= coronal diameter widens, anteroposterior diameter decreases, height decreases.
Flexion/external rotation
In the Temporal Hold, which phase are the bodies of the mastoid processes are expected to widen (side to side)
Inhalation (flexion) phase
What is the objective for the Decompression of Occipital Condyles treatment?
balance the reciprocal tension membrane at the hypoglossal canal, permitting normalized function of CN XII
Objective of frontal lift?
treat dysfunctions of the frontal bones in relation to their sutural or dural connections (i.e., frontoparietal compression, frontonasal compression)
Objective of Parietal Lift?
treat dysfunction of the parietal bones in relation to their sutural or dural connections (i.e., parietotemporal, parietofrontal)
Objective of Unilateral Temporal Rocking Tx?
to treat a dysfunction in which the temporal bone is held in external/internal rotation
Indications for CV-4
Normalize PRM
Reduce tone in sympathetic nervous system
Reduces fevers
Venous congestion
Promotes uterine contraction i.e. induction of labor
Arthritic/autoimmune disorders
Contraindications for CV-4
Acute CVA
Aneurysm
Malignant HTN
Skull fracture
Pregnancy from 7th month because my induce labor
CV-4 seems to decrease overall ____ tone and has a balancing effect on the autonomic nervous system.
sympathetic
In CV-4, Follow the motion into ____ by maintaining bilateral medial force.
EXTENSION
The CV-4 technique can also be performed by following the temporals or even lower extremities into ____, or the sacrum into extension, holding through a still point, and then releasing.
internal rotation
Objective of Sutural Spread (V-Spread, Direction-of-Fluid Technique) Tx?
release a restricted cranial suture (e.g., left occipitomastoid suture).
Move towards an increase of abnormal relationships
“Take it where it [the dysfunction] wants to go”
Exaggeration/Indirect
A gentle force is applied to move the dysfunctional relation- ship back to a normal pattern/relationship
Mainly used in children who lack the fully developed sutures (“gears”)
Direct Action
Direct separation of a locked suture
Applying traction between two dysfunctional bones
Disengagement
Direct action used to normalize the shape of the cranium
Used mostly in infants to correct the lesions created in the birth canal or by forceps
Molding
Axis of Torsion
ONE axis runs AP from nasion to opisthion
In Torsion, Sphenoid and Occiput rotate in ___ directions about the AP axis
opposite
In Torsion, If the occiput is low on one side, then the temporal bone on the same side is in relative ___
external rotation
Left torsion = left temporal ___ rotated, right temporal ___ rotated
Left temporal externally
right temporal internally
R-GWS: Superior
R-O: Inferior
L-GWS: Inferior
L-O: Superior
RIGHT TORSION
R-GWS: Inferior
R-O: Superior
L-GWS: Superior
L-O: Inferior
LEFT TORSION
In a right torsion:
left orbit __
left globe (eye) ___
narrow
retruded
In a left torsion:
left frontal bone is ___ due to relative ___ rotation
full, external
In a left torsion:
left ear moves __ from the head
left mastoid tip is ___, due to left temporal bone in relative ___ rotation
away
posteromedial, external
Finish the chart for Torsion
High wing will have:
Orbit ___
Eyeball ___
Occiput ___
Ear ___
Orbit wide
Eyeball protruded
Occiput low quadrant
Ear protruding
Finish the chart for Torsion
Low wing will have:
Orbit ___
Eyeball ___
Occiput ___
Ear ___
Orbit narrow
Eyeball retruded
Occiput high quad.
Ear close to head
In Sidebending Rotation, Side of low occiput= temporal relatively ___ rotated
externally
Left Sidebending Rotation= left ___ rotated temporal bone (relative)
externally
LEFT Sidebending Rotation= right ___ rotated temporal bone (relative)
internally
Sidebending Rotation, Named for the direction of ___ (the side of the convexity). That is, for the side that drops
rotation
Right Sidebending/Rotation
Right orbit ___
Right globe ___
Right frontal bone is __, less full due to relative __ rotation
narrow
retracted
flat, internal
Right Sidebending/Rotation
Right ear ___ from head
Right mastoid tip ___, due to right temporal bone in relative ___ rotation
away
posteriomedial, external
RIGHT Sidebending/Rotation
Left orbit ___
Left globe ___
Left frontal bone is ___, due to relative __ rotation
wide
protracted
full, external
RIGHT Sidebending/Rotation
Left ear ___ from head
Left mastoid tip __, due to left temporal bone in relative __ rotation
toward
anterior-lateral, internal
R-GWS: Ant/Inf
R-O: Post/Inf
L-GWS: Post/Sup
L-O: Ant/Sup
RIGHT SIDEBENDING ROTATION
R-GWS: Post/Sup
R-O: Ant/Sup
L-GWS: Ant/Inf
L-O: Post/Inf
LEFT SIDEBENDING ROTATION
Types of Pathologic Strains
Vertical Strains (superior and inferior)
Lateral Strains (right and left)
SBS compression
Characteristics of Pathologic Strains
Named for the position of _________
basi-sphenoid relative to basi-occiput
Vertical Strain
Sphenoid and Occiput rotate in the same direction about _______
TWO parallel transverse axes
across sphenosquamous pivots of the sphenoid
just above the jugular processes of the occiput
Which strain?
sphenoid in flexion
occiput in extension
temporals in internal rotation
Superior vertical strain
Which strain?
sphenoid in extension
occiput in flexion
temporals in external rotation
Inferior vertical strain
forefingers of both hands move inferiorly
little fingers of both hands move superiorly
Superior vertical strain
forefingers of both hands move superiorly
little fingers of both hands move inferiorly
Inferior vertical strain
Etiologies:
Blow on top of the head posterior to the plane of the SBS
Blow from below anterior to the plane of the SBS
Palpation:
Both hands move inferiorly
Superior vertical strain
Etiologies:
Blow on top of the head anterior to the plane of the SBS
Blow from below posterior to the plane of the SBS
Palpation:
Both hands move superiorly
Inferior vertical strain
R-GWS: Inferior
R-O: Superior
L-GWS: Inferior
L-O: Superior
Superior vertical strain
R-GWS: Superior
R-O: Inferior
L-GWS: Superior
L-O: Inferior
Inferior vertical strain
In Lateral Strain, Sphenoid and occiput rotate in the same direction around ____
two parallel vertical axes
Through the body of the sphenoid
Through the foramen magnum of the occiput
forefingers shift lateral to the right (sphenoid base turns to the left), and the little fingers shift to the left (occipital base turns to the right)
left lateral strain
forefingers shift lateral to the left (sphenoid base turns to the right), and the little fingers shift to the right (occipital base turns to the left)
right lateral strain
R-GWS: Ant/Med
R-O: Ant/Lat
L-GWS: Post/Lat
L-O: Post/Med
RIGHT LATERAL STRAIN
R-GWS: Post/Lat
R-O Post/Med
L-GWS: Ant/Med
L-O: Ant/Lat
LEFT LATERAL STRAIN
There is approximation of sphenoid and occipital bases as they compress together along an anteroposterior axis
SBS Compression
The distance between greater wings of sphenoid and occipital lateral angles on both sides is reduced
This causes reduction in flexion/extension
SBS Compression
Sphenoid & Occiput: Little or no motion
Etiologies: Trauma, Severe depression
SBS Compression