OCMM Midline and Paired Bones and SBS dysfunctions Flashcards

1
Q

what are some indications for craniosacral treatment?

A

stresses, after denistry, after trauma, URI, Headaches, Torticollis, Vertigo, Orofacial pain, ottitis media

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2
Q

what is the sphenobasilar syndcondrosis

A

this is a hyaline cartilage junction at the sphenoid and the base of the occiput

not a symphysis

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3
Q

what are the midline bones

A

occiput, sphenoid, ethmoid, vomer, mandible

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4
Q

what is the motion at the cranium

motion is around the _ axis

A

flexion and extension

transverse

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5
Q

midline bones are named for _ and _ and they normally rotate about a _ axis in a / direction

A

flexion and extensions

transverse axis

anterior/posterior direction

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6
Q

paired bones are named for _ _ and usually move about a _ axis in a _ motion

A

internal or external rotation

AP

lateral motion

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7
Q

what are the parts of the ethmoid bone

A

cribiform plate
perpendicular plate
lateral masses

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8
Q

the lateral masses form what (2 things)

A

medial wall of the orbit

and the middle and superior conchae

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9
Q

the ethmoid bone rotates _ as the head flexes

A

anteriorly

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10
Q

vomer articulates with what other 5 bones?

A

sphenoid, ehtmoid, spetal cartilage, maxillae, palatines

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11
Q

_ drives vomer motion

A

sphenoid

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12
Q

the _ will move in the same direction as the occiput

midline bones

A

ethmoid

vowels move together

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13
Q

the _ will move in the same direction as the sphenoid

midline bone

A

vomer

consonants move togther

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14
Q

what are the cranial vault paired bones

A

frontal

parietal

temportal

squamous occiput

greater wing of sphenoid

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15
Q

what are the paired facial bones

A

inferior nasal concha (turbinates)
lacrimal
maxilla
palatine
zygoma
frontal

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16
Q

what other bones does the parietal bone articulate with?

A

occiput
frontal
sphenoid
temportal
opposite parietal

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17
Q

there is _ muscle attachment in the partieal bone (3 inches above the acoustic meatus)

A

termporalis

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18
Q

there is _ _ artery grooves in the parietal bones

A

middle meningeal

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19
Q

there are _ changes in the parietal bone along the coronal and lambdoidal articulations

A

bevel

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20
Q

the _ bone is the only bone that contacts all 4 fontanelles

A

parietal bone

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21
Q

what are the 4 fontanelles

A

anterior
anteriolateral
posterior
posterolateral

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22
Q

what is the motion of the parietal bone during flexion

what about extension?

A

flexion: external rotation

Extension: internal rotation

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23
Q

in external rotation of the parietal bone the (during flexion) what happens to the sagital articulation and the termporal articulation

A

the sagital articulation moves inferiorly

the temporal articulation moves laterally

the cranium widens

24
Q

in interal rotation of the parietal bone (during extension) what happens to the sagital articulation and the temporal articulation

A

sagital articulation moves superiorly

the temporal articulation moves medially ( the cranium narrows)

25
Q

the temporal bone articulates with what other 5 bones?

A

occiput, parietal, sphenoid, zygoma, mandible

26
Q

the eustachian tube exit is between the _ and the _ bones

A

sphenoid and temporal bones

27
Q

what are the three portions of the temporal bone?

A

petrous (deep)
squamous
mastoid

28
Q

what are the thwo processes of the temporal bone

A

styloid
zygomatic

29
Q

petrous means ?

in the superior view of the petrous portion what are the consituients

A

rock like

the formaen lacerum= hold the interal carotic artery

attachment of the tentorium

lateral part of the jugular foramen: glossophayngeal nerve, vagus, spinal acessory nerve, post meningeal

30
Q

what does the foramen lacerum contain?

what does the lateral part of the jugular foramen contain

A

internal carotid artery

glossopharyngeal nerve, vagus nerve, spinal accessory nerve, post meningeal artery

31
Q

what muscles attach to the temporal bone? (7)

A
  1. splenius capitis
  2. longissimus capitis
  3. digastric
  4. sternocleidomastoid
  5. stylopharyngeus
  6. styloglossus
  7. masseter
32
Q

the temporal bone _ rotates in flexion

the temportal bone _ rotates in extension

A

external

internal

same as parietal bone

33
Q

axis of the temporal bone is?

A

inferior to the petrous ridge

34
Q

the frontal bone articulates with?

A

parietal bones
sphenoid
zygoma
lacrimals
ethmoid
maxillae
nasals

35
Q

the _ suture remains in 10 % of adults in the frontal bone

A

metopic

36
Q

_ flexion and extension moves the frontal bones

A

sphenoid

37
Q

vault contact

A

thumbs on frontal bones
index finger on the greater wings of the sphenoid

middle finger anterior to the ear on the frontal bone

4th finger (ring finger) on the mastoid processes

5th finger on the occiput

palms on the pariteal s

38
Q

frontal occipital contact

A

index or middle finger on the greater wing of the sphenoid

thumb pad on the opposite greater wing of the sphenoid

palm on anterior aspect of the frontal bone (over eyebrows is okay)

posteriorly contact the patients occiput

39
Q

becker contact

A

thumbs on the greater wing og the sphenoid (infterior to frontozygomatic suture)

index fingers on the mastoid process

middle -5th finger on the occiput (middle finger posterior to the occipital mastoid suture

palms cup the occiput and posterior parietal bones

40
Q

physiologic cranial SBS patterns

A

torsions
sidebending rotation

41
Q

torisons are named for?

they have a _ axis and they rotate in what direction

A

the greater wing of the sphenoid that moves superiorly

sagital axis (a-p)

rotate in opposite directions

42
Q

sidebending rotation is named for ?

axes?

rotation around axes?

A

base of the sphenoid

1 sagital axis
2 vertical axis

same direction in sagital axis

opposite direction in vertical axes

43
Q

what are the non physiologic cranial SBS patterns

A

vertical strain, lateral strain, SBS compression

44
Q

vertical strain is named for

(greater stresses invloved in the side of strain)

axes?

rotation around the axes?

A

the base of the sphenoid

two transverse axes

motions are in the same direction around the axes (superior strain- anteriorly, inferior strain- posteriorly)

45
Q

lateral strain is named for?

axes?

rotation around the axis?

A

base of the sphenoid

2 vertical axes

same direction around the axes

46
Q

SBS compression is a _ axis compression

A

sagital

47
Q

what causes SBS compression

A

trauma/sustained pressure

48
Q

SBS compression is associated with?

A

depression and anxiety

49
Q

SBS flexion and the sacrum

A

pulls dural sleeve of the cord and pulls the sarcum postrioly into counternutation

50
Q

the dural sleeve of the spinal cord attaches where

A

at the foramen magnum and s2

51
Q

SBS extension causes sacral _

A

nutation (moves anteriorly)

52
Q

the sacrum moves in the same way as the _ because of the dural pull as the foramen magnum rises in flexion

A

occiput

53
Q

where would trauma occur to cause lateral strain

A

anterior or posterior to the SBS

54
Q

where would trauma occur to cause a vertical strain

A

superior or inferior shearing forces on the SBS

55
Q

where would trauma occur to cause a torsion

A

twist or rotational force anterior or posterior to the SBS

56
Q

where would trauma occur to cause sidebending rotation?

A

directly towards the SBS