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OPP Lect 24
OPP Lect 24 Cranial Membrane Strains
Question | Answer |
---|---|
Dural reflections | 1.Falx Cerebri. 2.Falx Cerebelli. 3.Tentorium Cerebelli. 4.Diaphragma Sellae (covers the pituitary gland). |
Membrane motion during cranial flexion | 1.Falx cerebri: shortens Anteriorly & Posteriorly, lowers. 2.Tentorium cerebelli: moves anteriorly & flattens (pulled out by temporal bones). |
Membrane motion during Cranial Extension | 1.Falx cerebri: Lengthens A & P, rises. 2.Tentorium Cerebelli: moves posteriorly & becomes lax/ tent shaped. |
Reciprocal Tension Membrane System | 1.Motion occurs around the straight sinus. 2.Fulcrum automatically shifts within the straight sinus. **everything is shifting around the straight sinus. |
Functions of the Cranial Membranes | 1.Structural integrity during dev. 2.Division of hemispheres & cerebellum. 3.Transmission & reabsorption of CSF. 4.Drainage from venous sinus. 5.Shock absorption/stress transmission. |
Which Cranial membrane function limits cranial mobility | Shock absorption/stress transmission. **will try and stop force transmission to the other side in response to trauma. |
Limitation of cranial mobility: Falx cerebri | Ant-post, Sup-inf |
Limitation of cranial mobility: Falx Cerebelli | Sup-inf |
Limitation of cranial mobility: Tentorium Cerebelli | Lateral |
How would a tentorium cerebelli strain present? how would you treat it? | Dec lateral amplitude. **Treat w/ temporal decompression OR balanced membranous tension. |
How would a falx cerebri strain present? how would you treat it? | Dec Ant-post amplitude. **Treat w/ frontal or parietal lift OR balanced membranous tension. |
Balanced membranous Tension Treatment technique | 1.Find neutral point of strain pattern by exaggerating abnormal motion. 2.Position towards ease of motion. 3.Hold until a still point is reached. 4.When motion returns, recheck for symmetry. |
How does balanced membranous tension affect still points? | It can cause a still point (no CRI) when compression or restrictive pressure is applied in step 2. **Allows everything to relax |
In Balanced membranous Tension, after a still point has been induced, what occurs? | It allows the inherent motion of primary respiratory motion to be a corrective force while everything is relaxed. **A wave of inherent motion is restored w/ greater amplitude with more symmetry. |
path of Venous sinus flow | Superior & Inferior sagital sinuses and the straight sinus drain into the confluence of sinuses. From there, it drains out the transverse sinuses and down the sigmoid sinuses. |
Compressin of the 4th Ventricles (CV4 technique) | Causes still point and then inherent motion. Has positive effect on sinus flow. **Avoid occipitomastoid suture. |
4 main ways Cranial bones affect venous sinuses | 1.Emissary veins pass through cranium. 2.CT in sutures is continuous w/ periosteal dura. 3.Sutures have elasticity. 4.Muscle tension strains the sutures. **dysfunction in bones OR membranes results in obstruction of free BF. |
Venous Sinus drainage treatment | Indications: HA, Upper respiratory infection. Technique: 1.Transverse sinuses (superior nuchal ridge). 2.Occipital sinus (below inion). 3.Superior sag sinus (sagital suture) |
How can C2 & C3 somatic dysfunctions cause dural tension? | Myodural bridge: Rectus capitus posterior minor is attached to the posterior atlantooccipital membrane. |
How can sacral restriction contribute to head somatic dysfunction? | Inner/meningeal dural layer in the cranium is continuous with the dural sac attaching to S2. |
Are Primary Respiratory Mechanism (PRM) and CRI the same thing? | NO, CRI is the head's response to the PRM. **PRM can be palpated anywhere in the body |
How can PRM be used diagnostically? | Since the PRM is felt anywhere on the body, areas of somatic dysfunction WONT transmit the PRM. |
PRM in the body related to CRI | CRI Flexion: Ext rotation. CRI Extension: Internal rotation. |
When using balanced membranous tension elsewhere in the body it is called _______? | Balanced Ligamentous tension. |