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Flashcards in Intro to OCMM Deck (38)
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1

things to observe when screening

face - forehead and supransal vertical folds
orbits and zygomae - nose and nasolabial crease - mouth
top, side and back of head

2

things to palpate during an ocmm examination

sutures
muscles - suboccipitals, occipitalis, temporalis, masseters, frontalis
lympahtics - suboccipital, a and p chains, supraclavicular and submental

3

characteristic motions of the CRI
rate:
rhythm:
amplitude:
strength:
direction:

rate is 10-14 bpm
rhythm should be regular, tide of the ocean
amplitude - significant SD may diminish amplitude
strength - significant SD and vitality of the pt may greatly impact strength
direction - longitudinal and symmetric, SD causes asymmetry

4

flexion
SBS moves _______, the distance between the inferior angle of the sphenoid and occiput ______
Basi-occiput and Basi-sphenoid move superiorly
occipital squama moves inferiorly and posteriorly
greater wing moves inferiorly and anteriorly
paired with ______

stewie
SBS moves superiorly
inferior angle of the sphenoid and occiput decreases
paired with inhalation

5

extension
SBS moves _______ and sphenoid and occiput have a ______ axis of rotation
paired with _______

brain
SBS moves inferiorly with dereased angle
transverse axis
paired with exhalation

6

finger placement for vault contact

index fingers on greater sphenoid wings (inferior to frontozygomatic sutures)
middle fingers anterior to the ear
ring fingers on the mastoid
pinky on the occiput
palms on the parietals
thumbs gently on the frontal

7

finger placement for frontal occipital contact

occipital hand - resnts on the table cradling the patients head and occiput
frontal ahnd - thumb pad on one greater sphenoid wing
index pad on other greater sphenoid wing
palm on anterior aspect of frontal bone
rest elbows on the table

8

finger placement for becker contact

thumbs on the greater sphenoid
index on mastoid
middle and pinky fingers on the occiput with middle finger posterior to OM suture
palms cup the occiput and posterior aspects of the parietals

9

increased transverse diameter, forehead wide and sloping, AP diameters the same on both sides; saggital suture flat or even slightly depressed
describes what type of SBS motion

flexion

10

rotation on a transverse axis, symmetrical positioning of both anterior quadrants in external rotation
wide orbits
eyeballs prominent
zygomatic tuberosities flattened
pterygoid processes equally posterolateral
low wide palatine arch with flared alveolar processes
ER of the maxillae
both frontozygomatic angles incdreased

physiologic motion of flexion

11

pt with this physiologic motion ahve a hx of asthma and nasopharyngeal complaints

extension

12

long narrow head, decreased transverse diameter, beetle-bro type forehead, AP diameter is same on both sides, rigid saggital suture

extension

13

inferior SBS, distance between the inferior angle of the sphenoid and the occiput increases toward the mid-position
basi-occiput and basi-sphenoid moves inferiorly
occiputal squama moves superiorly and anteriorly
greater wing moves superiroly and posterirly

physiologic motion of extension

14

narrow orbits
eyeballs recessed
zygomatic tuberosities prominent
pterygoid processes anterior
high, narrow palatine arch with alveolar processes more vertical
frontozygomatic angles decreased

physiologic motion of extension

15

evidence of rotation of the transverse axis with symmetrical positioning of both posterior quadrants in internal rotation

extension

16

ears close to ehad
mastoid portions are posteromedial
mastoid tips are anterolateral
elevated condylosquama

extension

17

flexion is paired with nutation/counternutaiton

counternutation

18

extension is paired with nutation/counternutation

nutation

19

nutation- the base moves ______ and the apex moves _____

base moves posteriorly
apex moves anteriorly

20

still point

CRI dampens until you cannot feel it while holdning a neutral position by placing the SBS in the midpoint of the available ROM

21

DO that developed OCMM

william garner sutherland, 1900 graduate of kirksville

22

five components of PRM

inherent mobility of the brain and spinal cord
fluctations in the CSF
the mobility of the intracranial and intraspinal membranes
articulatory mobility of the cranial bones
involuntary mobility of the sacrum between the ilia

23

cranial motion d/t changes in blood flow velocity and is measurable by laser doppler flowmetry

traube-hering waves

24

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

sutherland fulcrum

25

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

reciprocal tension membrane

26

refers to its importance in connexcting the articular mechanisms of the cranium with the sacrum to coordinate action

core link

27

what creates the RTM

the temtorium and falx cerebri and cerebellum
attach to the bones of the vault and base and hold them under constant tension
allows but limits motion

28

where does the RTM attach to the vault

anterior/superior pole - crista galli
anterior/inferior pole - clinoid processes of sphenoid
lateral pole- mastoid angles of parietals and petrous ridges of temporal bone
posterior pole - internal occipital protrubernece and transverse ridges

29

SBS stands for

sphenobasilar spymphysis
where the basisphenoid and basiocciput joint to form a synchondrosis

30

where does the dura attach

foramen magnum
posterior body and disk of S2 in spinal canal