Dr A T Still
Dr William G Sutherland
Dr John Upledger, DO
Neutral Therapeutic Presence
CSR Neutral Zone
How do we name lesions?
Named in the direction of ease
Cranial Base Lesions
Flexion
Extension
Torsion
Side bending
Lateral strain
Vertical strain
Compression
Flexion Lesion
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Flexion / Extension - Sphenoid photo
Flexion / Extension - Rotation Illustration
Extension Lesion
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Torsion
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Sidebending
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Lateral strain
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Vertical strain
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Compression
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity
Flexion - Sphenoid: evaluation
Monitor CSR in vault hold 3, evaluate if moving more into flexion
Flexion - Sphenoid: treatment
Treatment:
- follow sphenoid in direction of ease (flexion) and hold at end range of motion for release
- follow the lesion as it moves into direction of barrier (extension), hold at end range for tissue release
Flexion - Sphenoid: clinical significance
Often chronic and recurrent but not disabling
- Meso to endomorphic body habitus is most common
- Headaches
- Sinusitis
- Low back pain
Extension - Sphenoid: evaluation
Monitor CSR in vault hold 3, evaluate if moving more into extension
Extension - Sphenoid: treatment
Extension - Sphenoid: clinical significance
Clinical Significance: least severe
- Ecto to mesorphic body habits is most common
- migraine type of headaches
- sinus trouble
- may be disabling for a few days at a time
- OCD personality
- usually into solitary, non- team athletics like running
Torsion - Sphenoid: evaluation
Evaluation:
- Stabilize sphenoid in neutral zone
- Stabilize occiput and lift one greater wing in cephalad direction, neutral zone, repeat other side
- Name lesion for greater wing that moves in cephalad direction most easily
Sidebending - Sphenoid: evaluation
Evaluation:
- Stabilize sphenoid in neutral zone
- Stabilize occiput and compress one greater wing in posterior direction, neutral zone, repeat other side
- Name lesion for greater wing that moves in anterior direction most easily
- Right side bending lesion can also be called “side bending with convexity right”, same for left