OPP Lect 25 OCF in Adults
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| What type of somatic dysfunction in adults would indicate Cranial OMT | show 🗑
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| What are the 3 Primary HA? | show 🗑
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| show | 1.Post-concussive (after head injury).
2.Cervicogenic (Problem in neck, RA, herniated disc).
3.Congestive (due to rhinitis, sinusitis).
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| show | Facial Effleurage (5-10 passes in each area):
1.Neck (down the SCMs).
2.Maxillary.
3.Mandibular.
4.Frontal.
**Gets better drainage from the ENTIRE face Start proximally and work distally from thoracic inlet.
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| List of RED FLAG symptoms (in history) for pathologic causes of HA requiring a work up | show 🗑
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| show | 1.New Hypertension.
2.Neurologica deficit (CNs or extremities).
3.Pupillary changes.
4.Papilledema.
5.Nuchal Rigidity.
6.Mental Status change.
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| What general OMT techniques would you use to treat HA | show 🗑
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| show | 1.Trigeminal stimulation.
2.Sphenopalatine ganglion stimulation (pressure stimulates watery mucous to help drainage).
3.Frontal lift.
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| show | BOTH.
**be sure to check C1 with HA
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| show | 1.Starts out as pain with eating (opening & closing).
2.Restricted motion.
3.As it persists, Cartilage degeneration.
4.Subluxation (mandible out of joint, jaw is locked open).
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| show | Bite abnormalities.
**also neck and facial muscle strain.
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| If a person has R TMJ tightness, which side will his jaw deviate towards when he opens his mouth? | show 🗑
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| show | 1.Suboccipital inhibition (push on myotendenous junction).
2.C1 treatment (AC1 counterstrain OR AO ME).
3.Temporal balancing.
4.Temporalis MFR.
5.Masseter inhibition (push on myotendenous junction).
6.TMJ Compression-decompression.
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| show | Masseter, performing masseter inhibition.
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| 3 common adult cranial neuropathies | show 🗑
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| When should you ALWAYS work the patient up? | show 🗑
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| What is trigeminal Neuralgia and what somatic dysfunctions could be causing it? | show 🗑
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| show | 1.Neuropraxia.
2.Axonotmesis.
**The axon can regenerate once pressure is removed via OMT.
1.Neurotmesis.
**Axon is severed and will NOT regenerate.
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| What is occuring in Temporal Decompression | show 🗑
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| Differentiate b/w Neuralgia, Neuropathy, and Neuritis | show 🗑
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| show | One side of the face droops.
1.Sphenobasilar strain: Sphenobasilar com-decom.
2.Temporal Int/Ext rotation: Temporal decompression.
3. Occipitoatlantal, Occipitomastoid: treat the JUGULAR FORAMEN AREA.
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| show | 1.Sphenobasilar strain: Sphenobasilar com-decom.
2.Temporal Int/Ext rotation: Temporal decompression.
3.Parietal Int/Ext rotation: Parietal lift.
**If they have hearing loss, need to be worked up.
**Pos Romberg test would indicate cerebellum instea
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