OCMM Midline and Paired Bones and SBS dysfunctions

Question 1

what are some indications for craniosacral treatment?

Answer 1

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

Question 2

what is the sphenobasilar syndcondrosis

Answer 2

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

not a symphysis

Question 3

what are the midline bones

Answer 3

occiput, sphenoid, ethmoid, vomer, mandible

Question 4

what is the motion at the cranium

motion is around the _ axis

Answer 4

flexion and extension

transverse

Question 5

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

Answer 5

flexion and extensions

transverse axis

anterior/posterior direction

Question 6

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

Answer 6

internal or external rotation

AP

lateral motion

Question 7

what are the parts of the ethmoid bone

Answer 7

cribiform plate
perpendicular plate
lateral masses

Question 8

the lateral masses form what (2 things)

Answer 8

medial wall of the orbit

and the middle and superior conchae

Question 9

the ethmoid bone rotates _ as the head flexes

Answer 9

anteriorly

Question 10

vomer articulates with what other 5 bones?

Answer 10

sphenoid, ehtmoid, spetal cartilage, maxillae, palatines

Question 11

_ drives vomer motion

Answer 11

sphenoid

Question 12

the _ will move in the same direction as the occiput

midline bones

Answer 12

ethmoid

vowels move together

Question 13

the _ will move in the same direction as the sphenoid

midline bone

Answer 13

vomer

consonants move togther

Question 14

what are the cranial vault paired bones

Answer 14

frontal

parietal

temportal

squamous occiput

greater wing of sphenoid

Question 15

what are the paired facial bones

Answer 15

inferior nasal concha (turbinates)
lacrimal
maxilla
palatine
zygoma
frontal

Question 16

what other bones does the parietal bone articulate with?

Answer 16

occiput
frontal
sphenoid
temportal
opposite parietal

Question 17

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

Answer 17

termporalis

Question 18

there is _ _ artery grooves in the parietal bones

Answer 18

middle meningeal

Question 19

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

Answer 19

bevel

Question 20

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

Answer 20

parietal bone

Question 21

what are the 4 fontanelles

Answer 21

anterior
anteriolateral
posterior
posterolateral

Question 22

what is the motion of the parietal bone during flexion

what about extension?

Answer 22

flexion: external rotation

Extension: internal rotation

Question 23

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

Answer 23

the sagital articulation moves inferiorly

the temporal articulation moves laterally

the cranium widens

Question 24

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

Answer 24

sagital articulation moves superiorly

the temporal articulation moves medially ( the cranium narrows)

Question 25

the temporal bone articulates with what other 5 bones?

Answer 25

occiput, parietal, sphenoid, zygoma, mandible

Question 26

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

Answer 26

sphenoid and temporal bones

Question 27

what are the three portions of the temporal bone?

Answer 27

petrous (deep) squamous mastoid

Question 28

what are the thwo processes of the temporal bone

Answer 28

styloid zygomatic

Question 29

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

Answer 29

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

Question 30

what does the foramen lacerum contain? what does the lateral part of the jugular foramen contain

Answer 30

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

Question 31

what muscles attach to the temporal bone? (7)

Answer 31

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

Question 32

the temporal bone _ rotates in flexion the temportal bone _ rotates in extension

Answer 32

external internal ## Footnote same as parietal bone

Question 33

axis of the temporal bone is?

Answer 33

inferior to the petrous ridge

Question 34

the frontal bone articulates with?

Answer 34

parietal bones sphenoid zygoma lacrimals ethmoid maxillae nasals

Question 35

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

Answer 35

metopic

Question 36

_ flexion and extension moves the frontal bones

Answer 36

sphenoid

Question 37

vault contact

Answer 37

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

Question 38

frontal occipital contact

Answer 38

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

Question 39

becker contact

Answer 39

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

Question 40

physiologic cranial SBS patterns

Answer 40

torsions sidebending rotation

Question 41

torisons are named for? they have a _ axis and they rotate in what direction

Answer 41

the greater wing of the sphenoid that moves superiorly sagital axis (a-p) rotate in opposite directions

Question 42

sidebending rotation is named for ? axes? rotation around axes?

Answer 42

base of the sphenoid 1 sagital axis 2 vertical axis same direction in sagital axis opposite direction in vertical axes

Question 43

what are the non physiologic cranial SBS patterns

Answer 43

vertical strain, lateral strain, SBS compression

Question 44

vertical strain is named for (greater stresses invloved in the side of strain) axes? rotation around the axes?

Answer 44

the base of the sphenoid two transverse axes motions are in the same direction around the axes (superior strain- anteriorly, inferior strain- posteriorly)

Question 45

lateral strain is named for? axes? rotation around the axis?

Answer 45

base of the sphenoid 2 vertical axes same direction around the axes

Question 46

SBS compression is a _ axis compression

Answer 46

sagital

Question 47

what causes SBS compression

Answer 47

trauma/sustained pressure

Question 48

SBS compression is associated with?

Answer 48

depression and anxiety

Question 49

SBS flexion and the sacrum

Answer 49

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

Question 50

the dural sleeve of the spinal cord attaches where

Answer 50

at the foramen magnum and s2

Question 51

SBS extension causes sacral _

Answer 51

nutation (moves anteriorly)

Question 52

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

Answer 52

occiput

Question 53

where would trauma occur to cause lateral strain

Answer 53

anterior or posterior to the SBS

Question 54

where would trauma occur to cause a vertical strain

Answer 54

superior or inferior shearing forces on the SBS

Question 55

where would trauma occur to cause a torsion

Answer 55

twist or rotational force anterior or posterior to the SBS

Question 56

where would trauma occur to cause sidebending rotation?

Answer 56

directly towards the SBS