Cranial OMM

Elements of the PRM

100

Fill in the blank:

The ____ of the cranial bones

mobility

200

Fill in the blank:

The mobility of the _____ tension membrane

reciprocal

300

Fill in the blank:

The involuntary mobility of the _____ between the ilia

sacrum

400

Fill in the blank:

The ____ of the CSF

fluctuation

500

Fill in the blank:

The motility of the _____

CNS

Cranial Movements

100

In flexion, the AP diameter of the head (increases/decreases)

decreases

200

In Extension, the transverse diameter of the head (increases/decreases)

decreases

300

What is the motion of the paired bones in extension?

Internal rotation

400

What is the motion of the sphenoid in flexion?

anterior rotation 

500

In flexion/extension, the sphenoid and occiput rotate about their axes in the (same/opposite) direction.

opposite

Cranial(General)

100

What of the four physiologic strain patterns?

Flexion

Extension

Torsion

Sidebending and rotation

200

What are the three non-physiologic strain patterns?

Vertical shear

Lateral shear

SBS compression

300

What bones make up the vault?

Frontal and parietals

400

What bones make up the cranial base?

occiput, sphenoid, temporals, ethmoid

500

Name one relative  and one absolute contraindication to cranial OMM

Relative: Coagulopathies, Space occupying lesion in cranium, Increased intracranial pressure

Absolute: Acute intracranial bleeding, Skull fracture, Acute cerebrovascular accident

Axis of Cranial Strain patterns

100

Name the axes of the following cranial strain pattern:

flexion/extension

two transverse axes

200

Name the axes of the following cranial strain pattern:

vertical strain

two transverse axes

300

Name the axes of the following cranial strain pattern:

sidebending rotation

Two vertical axes, one anterior/posterior axes

400

Name the axes of the following cranial strain pattern:

torsion

one AP axis

500

Name the axes of the following cranial strain pattern:

lateral strain

two vertical axes

Hand Movements

100

Describe the hand movements of the following cranial strain pattern while in the vault hold:

flexion

fingers move inferior and spread

200

Describe the hand movements of the following cranial strain pattern while in the vault hold:

vertical strain

Superior shear - index fingers point down towards the feet

Inferior shear – fingers point up towards the head

300

Describe the hand movements of the following cranial strain pattern while in the vault hold:

sidebending rotation

the fingers separate and move inferior on side of convexity, approximate and move superiorly on side of concavity

400

Describe the hand movements of the following cranial strain pattern while in the vault hold:

torsion

Hands rotate in opposite directions, the index finger on greater wing of sphenoid moves cephalad on the side of torsion

500

Describe the hand movements of the following cranial strain pattern while in the vault hold:

lateral strain

Index fingers move to direction greater wings shifted (opposite of the strain), the 5th digits move to the opposite side (same side of the strain)