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Cranial OPP

WVSOM -- Osteopathy in the Cranial Field

Is the skull mobile? yes
Who implemented cranial OPP? William Garner Sutherland
What is cranial motility? inherent motion
What is cranial mobility? passive secondary motion
What is the primary respiratory mechanism theory? Motility of brain and spinal cord, fluctuation of CSF, mobility of intracranial and intraspinal membranes, mobility of cranial bones and involuntary mobility of sacrum between ilium
What is movment directly related to? CSF pressure or volume
What is movement inversely related to? extrinsic pressure
What is the baseline lateral and rotational movement? up to 30 microns
How is cranial mobility related to pulse pressure? palpation of cranial mobility has a high correlation to peak pulse pressure
What is cranial rhythmic impulse? palpation of cranial mobility
What is cranial rate? cycles/minute
What is normal cranial rate? 10-14 cycles/min
What is amplitude? distance from peak to minimal (flexion to extension)
What is normal amplitude? 4-5
How is amplitude graded? 0-5, 5 being the most
What is cranial symmetry? motion of the cranium whether it is symmetrical or not
What is a slow cranial rate? <10
What is a fast cranial rate? >14
What is a low amplitude? <4
What is an amplitude of 0 represent? cranial base compression
What are some reasons for cranial asymmetry? base strains, bone restrictions and membrane strains
Is CRI palpable on the body? yes, it is the palpable summation of multiple intrinsic oscillations mediated by the ANS
What are some indications for Cranial Manipulations? headache, neck pain, upper respiratory congestion, cranial nerve dysfunction, TMI, mood disorders, otitis media, torticollis, newborn colic, infant feeding disorder
What is contraindicated with cranial manipulation? craniofascial fracture, intracranial bleed, CNS infection or malignancy
A 27 year old with severe headache has a cranial rate of 10, amplitude of 4/5 and symmetrical flexion/extension. What is the dysfunction? none
A 27 year old with severe headache has a cranial rate of 10, amplitude of 4/5 and symmetrical flexion/extension. What treatment would be done? none
Created by: tjamrose