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Flashcards in [DSA] Intro to OCMM [Nichols] Deck (32)
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1

Define osteopathic cranial manipulative medicine

A system of diagnosis and treatment by an OS practitioner using the PRIMARY RESPIRATORY MECHANISM and BALANCED MEMBRANOUS TENSION

2

Who discovered cranial OMT?

William Garner Sutherland, DO

3

Where is the primary respiratory motion of cranial omm?

At the SUTURES

 

Dr. Sutherland believed the cranial sutures behaved like gills of a fish

4

What are the 5 components of the PRIMARY RESPIRATORY MECHANISM?

1. The inherent mobility of the brain and spinal cord

2. The fluctuation of the CSF

3. The mobility of the intracranial and intraspinal membranes

4. The articulatory mobility of the cranial bones

5. The involuntary mobility of the sacrum between the ilia

5

Define: 

 

 

Motility

Moving or capable of moving spontaneously 

6

The brain and spinal cord have an inherent...

 

Motility or Mobility?

Mobility

7

What two things contribute to the inherent mobility of the brain and spinal cord?

Traube-Hering Wave

 

Glial cells

8

What is the Traube-Hering Wave?

 

How is it measured?

Traube-Hering wave= Due to changes in blood flow velocity 

 

Laser Doppler flowmetery

9

What are the average cranial rhythmic impulse (CRI) on the human skull in normal adults?

 

 

What is the range?

Normal adults = 10-14 cycles

 

Range = 6-14 cycles

10

Physicians must be ________ in order to palpate the CRI

Physicians must be relaxed in order to palpate the CRI

11

In order to palpate the CRI...

 

What must be done?

Physician is relaxed

 

Contact of the hands is very light

12

T/F

 

CRI is a visible motion

FALSE!!!

 

CRI must be palpated

13

T/F 

 

If a patient holds their breath, CRI is still palpable

True: 

 

If a patient holds their breath, CRI is still palpable

14

What is the mneumonic for motion characteristics of the CRI?

R-RADS

15

What does R-RADS stand for?

Rate

Rhythm

Amplitude

Direction

Strength

16

What is the sutherland fulcrum?

The functional name given to the straight sinus as the origin of the 3-sickle shaped agents of the falx cerebri and the tentorium cerebelli

17

What is the reciprocal tension membrane (RTM)?

The meninges and the cord constitute a link between the cranium and the sacrum

18

What is the "core link"?

The importance in connecting the articular mechanism of the cranium with the sacrum to coordinate action

19

What is the primary fasica involved in influencing the primary respiratory mechanism?

Meningeal Fascia

20

The _________, __________, and __________ create a reciprocal tension membrane (RTM)

The Tentorium, Falx Cerebri, and Cerebellum create a reciprocal tension membrane (RTM)

21

What is the function of the reciprocal tension membrane (RTM)?

Provides constant tension

 

It allows but limits motion

22

What are the (4) main poles of attachment for the reciprocal tension membrane (RTM)?

Anterior/superior pole = Crista galli

 

Anterior/inferior pole = Clinoid processes of Sphenoid

 

Lateral pole = Mastoid angles of parietals and petrous ridges of temporal bones

 

Posterior pole = Internal occipital protuberance and transverse ridges 

23

Point on your head for practice:

 

Where are the...

Coronal, Pteroin, Sphenosquamous, Temporozygomatic, TMJ, Occipitomastoid, Asterion, Lambdoidal and Parietosquamous sutures?

24

Where is the sagittal suture?

25

What is the SBS?

Sphenobasillar symphysis 

26

Describe what SBS flexion is:

SBS rises superiorly as the distance DECREASES between the inferior angle of the sphenoid and occiput

 

I think of an open clam shell = flexion

27

Describe what SBS extension is:

SBS move inferiorly as the distance INCREASES between the inferior angle of the sphenoid and occiput

 

 

Closing clam shell

28

SBS Motion

 

Which occurs with exhalation vs inhalation?

 

SBS Flexion/Extension

SBS Flexion = Inhalation

 

SBS Extension = Exhalation

29

SBS Extension is associated with which cartoon characters?

Brian and Bert

30

SBS Flexion is associated with which cartoon characters?

Stewie or Ernie