Cranial Paired Bones

Question 1

Paired bones

Answer 1

Parietal
Frontal
Temporal

Question 2

Parietal Bone motion during flexion

Answer 2

external rotation during cranial F

Question 3

Parietal Bone axis/panes

Answer 3

AP axis in coronal plane

Question 4

Parietal Bone clinical associations or symptoms of disease

Answer 4

HA, alteration of seizure threshold, localized pain

Question 5

Parietal Lift Technique:

Is IR or ER more common?

Answer 5

IR is more common

Question 6

Parietal Lift Technique
Position of patient.
Position of physician.
Points of contact.
Movement

Answer 6

Position of patient - supine
Position of physician - at head
Points of contact - MODIFIED VAULT HOLD. Thumbs INTERLOCKED AT SAGITTAL SUTURE, fingers contact inferior aspects of parietal bones.
Movement - Pull thumbs against each other, increasing pressure at fingretips to move bones toward IR. Disengages inf sutures from temporal bones. DISENGAGE PARIETALS by gaping and DISTRACTING CEPHALAD.

Question 7

When are you done with parietal lift technique?

Answer 7

when CRI quality/quantity changes

Question 8

Frontal Bone motion during cranial F?

Cranial E?

Answer 8

Flexion - ER (low slowing forehead - toboggan slide)
Extension - IR (high bulging/prominent forehead - ski jump)

Rotation related to inferior edge of bone.

Question 9

Frontal Bone axis/planes

Answer 9

Dual AP axis in CORONAL plane

Question 10

Frontal Bone clinical association/symptoms of disease

Answer 10

HA, visual or smell disturbances (anosmia)

Question 11

Frontal Lift Objective

Answer 11

Allow frontal bone to perform its normal physiological motion and to free the inferior aspects of the coronal suture.

Question 12

Parietal Life Technique Objective

Answer 12

Restore proper physiologic motion to parietal bones when restricted in either IR or ER

Question 13

Frontal Lift position of patient.

Answer 13

supine

Question 14

Frontal Lift position of physician.

Answer 14

at patient’s head

Question 15

Frontal Lift points of contact

Answer 15

Fingers interlaced on forehead with hypothenar eminences on lateral angle of frontal bone. Heels of hand at coronal suture.

Question 16

Frontal Lift Movement

Answer 16

During Extension/IR:
interlaced fingers exert pressure on each other, resulting in medial pressure against hypothenar eminences, raising frontal anteriorly into ER - hold for release of tension.

Question 17

Temporal Bone motion.

What is it named for?

Answer 17

Motion - ER during Cranial F (sup border moves anterolatera”forward and out”l/slightly superior)
Named for the superior border of petrous portion.

Question 18

Temporal axis/plane

Answer 18

oblique axis, modified coronal plane

Question 19

Temporal Bone clinicial

Damage can be attributed to

Answer 19

OM, mastoiditis, tinnitus, hearing loss, Bell’s

Damage - trauma, whiplash, chronic neck tension, detanl exraction

Question 20

IR of Temporal can do what to the eustacian tube and result in what type of tinnitus?

Answer 20

close eustachian tubes - high pitched tinnitus

Question 21

ER of temporal can result in what type of sound?

Answer 21

Low roaring sound or tinnitus

Question 22

Temporal bone holds

Answer 22

Five finer temporal hold and rocking the temporals

Question 23

Five finger temporal hold is uni or bilateral?

Answer 23

Either!

Question 24

Five finger temporal hold
PATIENT POSITION
PHYSICIAN POSITION
POINTS OF CONTACT

Answer 24

supine
doc at head of table
Points of Contact - middle finger on EAC, index finger and thumb pinch the zygomatic arch. Ring anterior to mastoid process and little finger posterior to mastoid process

Question 25

Rocking the temporals objective

Answer 25

release CN 9, 10, 11 entrapment, eustacian tube compression, jugualr vein copmression, restricted temporal or occipital articulation, tinnitus

Question 26

``` Rocking the temporals PATIENT POSITION PHYSICIAN POSITION POINTS OF CONTACT MOVEMENT - indirect or diret and describe ```

Answer 26

Supine Doc seated at head Points of contact - five finger temporal hold Movement - indirect encourage ER, mastoid = medial pressure with ring and little finger, zygomatic arch = direct sup/lat with index and thumb (IR opposite)

Question 27

Left temporal prefers ER and right temporal prefers IR. What should doc's left hand exaggerate? What should doc's right hand exaggerate?

Answer 27

Left hand exaggerates left temporal flexion/ER Right hand exaggerates right temporal extension/IR (zygomatic arch = direct sup/lat with index and thumb) Get asynchronous motion --> reverse -->

Question 28

Goal of rocking the temporals

Answer 28

Asynchronous motion of the temporals THEN REVERSE THE PROCESS until bones are to balance and symmetrically moving in IR and ER.

Question 29

What can result if pt left in asynchronous motion?

Answer 29

vertigo

Question 30

What suture can V-SPREAD be used on?

Answer 30

any suture

Question 31

``` V-Spread OBEJCTIVE PATIENT POSITION PHYSICIAN POSITION POINTS OF CONTACT MOVEMENT - ```

Answer 31

objective - release any peripheral suture patient SUPINE DOC AT HEAD OF TABLE Points of contact - ipsilateral hand with second and thrid fingers on either side of suture to be released. Contralateral hand 180 degress opposite, palm or two fingers contact head. Movement - disengage suture by spreading fingers, apply force with oppsoing hand toard dysfunctional suture - push fluid flow toward

Question 32

``` CV 4 technique OBEJCTIVE PATIENT POSITION PHYSICIAN POSITION POINTS OF CONTACT MOVEMENT - ```

Answer 32

objective - stimulate the body's inherent capacity to deal with whatever dysfunction is present Patient is supine Physician is at head of table, volleyball hands Contact lateral angles of occiput medial to occipitomastoid sutures Movement - encourage EXTENSION (hand move toward you) and discrouage FLEXION Wait for motion to flow to STILL POINT

Question 33

How do you know you've hit still point?

Answer 33

Feel warmth in your hands. | Perspiration on brow of patient.

Question 34

What's the only bone that contacts all four fontanelle?

Answer 34

Parietal bone

Question 35

Bregma

Answer 35

junction of coronal and sagittal suture

Question 36

Lambda

Answer 36

junction of sagittal and lambdoidal suture

Question 37

ASTERION and PTERION

Answer 37

Asterion - at mastoid fontanella, confluens of the parietal occipit, and temporal Pterion - at temporal area, confluens of the (deepest) frontal, parietal, sphenoid, temporal (most superficial)

Question 38

What artery is deep to the pterion? | What sinus is deep to the asterion?

Answer 38

MMA | Sigmoid sinus

Question 39

Parietal bone articulates with what other bones?

Answer 39

Occipital, temporal, frontal, other parietal, sphenoid

Question 40

Parietal motion during cranial flexion and extension.

Answer 40

Cranial flexion - ER | Cranial extension - IR

Question 41

What exits between the petrous portion of the temporal bone and sphenoid?

Answer 41

EUSTACIAN TUBE

Question 42

In the petrous portion of the temporal bone, what travels at the border of foramen lacerum

Answer 42

Greater superficial petrosal nerve - LACRIMATION

Question 43

Temporal bone touches what. Problems with the temporal? What is below the tentorium, which is attached to the petrous ridge?

Answer 43

occiput, parietals, sphenoid, zygomae, mandible Cavernous sinus - torsion to tentorium can affect CN3,4,6,V1 Below tentorium - hindbrain, medulla, pons, 4th ventricle, cerebellum