CS2 - Created for FS Flashcards

(111 cards)

1
Q

Dr A T Still

A
  • Body functions ad dynamic unit
  • Structure and function are inter-related
  • Body is self-regulating towards homeostasis
  • Movement/motion = health
  • 1828 - 1917
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2
Q

Dr William G Sutherland

A
  • Father of Cranial Osteopathy
  • Rhythmic motions in cranium and body
  • Looked at what shuts down and encourages motion
  • 1873 - 1954
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3
Q

Dr John Upledger, DO

A
  • Father of CST
  • Scientific confirmation of osteopathic principles
  • Inner Physician
  • To help people soften and become more humane
  • Body holds memories, lead to SER
  • 1932 - 2012
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4
Q

Neutral Therapeutic Presence

A
  • Being, not doing
  • Neutral witness
  • No attachment to outcome
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5
Q

CSR Neutral Zone

A
  • The pause between flexion and extension
  • At the start of flexion and extension, and between flexion and extension
  • Helps determine if flexion and extension are equal
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6
Q

How do we name lesions?

A

Named in the direction of ease

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7
Q

Cranial Base Lesions

A

Flexion
Extension
Torsion
Side bending
Lateral strain
Vertical strain
Compression

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8
Q

Flexion Lesion
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • physiological
  • axis position: transverse
  • direction of rotation: opposite
  • original of dysfunction: external to dura mater / compensatory
  • scale of severity: 1
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9
Q

Flexion / Extension - Sphenoid photo

A
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10
Q

Flexion / Extension - Rotation Illustration

A
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11
Q

Extension Lesion
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • physiological
  • axis position: transverse
  • direction of rotation: opposite
  • original of dysfunction: external to dura mater, compensatory
  • scale of severity: 1+
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12
Q

Torsion
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • non-physiological
  • axis position: longitudinal
  • direction of rotation: opposite
  • original of dysfunction: external to dura mater, compensatory
  • scale of severity: 2
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13
Q

Sidebending
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • non-physiological
  • axis position: vertical
  • direction of rotations: opposite
  • original of dysfunction: external to dura mater / compensatory
  • scale of severity: 2+
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14
Q

Lateral strain
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • non-physiological
  • axis position: vertical
  • direction of rotations: same
  • original of dysfunction: inside the head, probably intracranial dural mater, non-compensatory
  • scale of severity: 3
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15
Q

Vertical strain
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • non-physiological
  • axis position: transverse
  • direction of rotations: same
  • original of dysfunction: inside the head, probably intracranial dural mater, non-compensatory
  • scale of severity: 4
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16
Q

Compression
- physiological or non-physiological
- axis position
- direction of rotation
- original of dysfunction
- scale of severity

A
  • non-physiological
  • axis position: none
  • direction of rotations: none
  • original of dysfunction: Inside the head, membrane or sutures, occipital condyles, L5-S1. Severe emotional distress. Non-compensatory
  • scale of severity: 5
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17
Q

Flexion - Sphenoid: evaluation

A

Monitor CSR in vault hold 3, evaluate if moving more into flexion

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18
Q

Flexion - Sphenoid: treatment

A

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

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19
Q

Flexion - Sphenoid: clinical significance

A

Often chronic and recurrent but not disabling
- Meso to endomorphic body habitus is most common
- Headaches
- Sinusitis
- Low back pain

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20
Q

Extension - Sphenoid: evaluation

A

Monitor CSR in vault hold 3, evaluate if moving more into extension

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21
Q

Extension - Sphenoid: treatment

A
  • follow sphenoid in direction of ease (extension) and hold at end range of motion for release
  • follow the lesion as it moves into direction of barrier (flexion), hold at end range for tissue release
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22
Q

Extension - Sphenoid: clinical significance

A

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

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23
Q

Torsion - Sphenoid: evaluation

A

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

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24
Q

Sidebending - Sphenoid: evaluation

A

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

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25
Sidebending - Sphenoid: treatment
Treatment: - Stabilize occiput in neutral zone - Recreate direction of ease - Neutral zone - Repeat process for direction of barrier, hold for tissue release - Re-evaluate and repeat if necessary
26
Sidebending - Sphenoid: clinical significance
Clinical significance: same as torsion but more severe - sacrum mimics occiput - head, neck, back pain of varying severity - sinusitis - temporal bone dysfunction - scoliosis - eye motor problems In addition: - headaches - endocrine disorders - allergies - TMJ problems Sacrum mimics occiput
27
Torsion - Sphenoid: treatment
Treatment: - Stabilize occiput in neutral zone - Lift wing that moves cephalad more easily, hold to end range for tissue release - Neutral zone - Repeat process for direction of barrier, hold for tissue release - Re-evaluate and repeat of necessary
28
Vertical Strain Sphenoid: evaluation
Evaluation: - As sphenoid is moving forward toward flexion, stabilize occiput in the neutral zone - Slide sphenoid in caudal direction, take note of how far it glides inferior - As sphenoid is moving toward extension, stabilize the occiput in neutral zone - Slide / glide the sphenoid in the cephalad direction *if sphenoid glides caudally more easily - superior vertical strain (forward forehead) * if sphenoid glides cephalad direction more easily - inferior vertical strain (sloped back forehead) - base of SBJ direction determine lesion direction
29
Vertical Strain Sphenoid: treatment
Treatment: - move in direction of ease and wait for tissue release - repeat process for direction of barrier - re-evaluate and retreat if necessary - different than flexion and extension because the occiput but be stabilized
30
Vertical Strain Sphenoid: clinical significance
Clinical significance: More severe than lateral strain, manifestation same as lateral strain - pain syndromes - personality disorders - endocrine disorders - various learning disabilities - eye/motor coordination problems - reading problems
31
Torsion - Sphenoid: clinical significance
Clinical significance: - sacrum mimics occiput - head, neck, back pain of varying severity - sinusitis - temporal bone dysfunction - scoliosis - eye motor problems Sacrum mimics occiput
32
Lateral Strain Sphenoid - evaluation
Evaluation - Sphenoid in neutral zone, stabilize occiput - Slide sphenoid laterally and bring back to midline - Repeat on other side - Lesion names for side to which the sphenoid moves the most easily laterally
33
Lateral Strain Sphenoid - treatment
Treatment - Stabilize occiput in neutral zone - Move in direction of ease and wait for release - Return to midline - Move in direction of barrier and wait for release - Re-eval and repeat if necessary
34
Lateral Strain Sphenoid - clinical significance
Clinical significance: Severe implications - pain syndromes - personality disorders - endocrine disorders - various learning disabilities - eye/motor coordination problems - reading problems
35
Compression Sphenoid: evaluation
Evaluation: stabilize the occiput and gently compress the sphenoid and feel for lack of movement
36
Compression Sphenoid: treatment
Treatment: move into decompression and possible use direction of energy to help facilitate the release
37
Compression Sphenoid: clinical significance
Clinical significance: most severe - severe emotional problems - depression - childhood autism
38
Name the physiological and non-physiological movements of the sphenoid
Physiological: flexion and extension Non-physiological: torsion, sidebending, lateral strain, vertical strain, compression
39
Describe a release
Types of releases include: - fascial releases - osseous releases on bony structures - membranous releases in the falx cerebri, falx cerebelli, or tentorium - energy cyst Indirect release: practitioner follows the motion in the direction of ease Direct techniques: involve moving in the direction of the barrier and gently nudging movement through the barrier Signs of release: - softening - lengthening - increased fluid flow - increased energy flow - heat - energetic repelling - therapeutic pulse - sighing or taking a deep breath - borborygmi signs - twitching - rapid blinking - itching
40
What is the "unlatching phenomenon"?
Start with compression in the direction of ease to release, and then decompress in the direction of barrier. Used for sphenoid and TMJ.
41
Nasal Bones: movement
Flexion: posterior-lateral Extension: superior-medial
42
Nasal Bones: Core Intent
Disimpact / decompress the nasal bones from the Frontonasal sutures and the nasomaxillary sutures
43
Nasal Bones: Eval and Treatment of Nasomaxillary Suture
Eval: glide left and right to eval direction of ease Treat: - indirect technique to release in direction of ease - direction of barrier and hold for tissue release - DOE if need assistance in release
44
Nasal Bones: Frontonasal Sutures Treatment
Use 3 point grip with fingertips - 1 fingerson glabella on midline - others place on each nasal bone Stabilize frontal bone and apply inferior, anterior traction to decompress suture
45
Zygomas: flexion and extension movement
Flexion: inferior and lateral Extension: superior and medial
46
Zygomas - articulation
- Maxillae - Frontal - Sphenoid - Temporal (small) - if impaired, can reflect into masticatory system and into cranial vault - Contributes to inferior and lateral aspect of orbits of eye These bones articulate with maxilla on each side and when these sutures are restricted, the maxillary mobility may be compromised
47
Zygomas - Core intent - Hand Placement - Technique - Clinical Considerations
Core intent: release zygotes to help balance hard palate Hand Placement: index fingerprint on inside / medial aspect of the zygoma (fingernail against the alveolar ridge / tooth). Thumb on outside of the zygoma, making firm 2 point contact. Technique: - Treat one side at a time - Stabilize sphenoid and frontal bone - Anterior-lateral traction on zygomas Osseous release - use only as much force as necessary
48
Implications of Mouth Work
- bridges, palate expanders, implants - partial plates, dentures, retainers, Invisalign - Oromyofunctional disorders - ALFs - Braces - TMJ associations
49
Maxillae: Movement / Lesion
Widens with flexion, narrows with extension Name the lesion with direction of ease Torsion: - rotate right and left (turn key in lock) - non-physiological Sheer: - lateral - non-physiological
50
Maxillae: Core Intent
The ensure the maxilla is in synchrony with the sphenoid Ensure as much symmetry in the maxilla as possible
51
Maxillae: Hand Position
- one hand tunes into flexion and extension of the sphenoid with direct contact to greater wings or through the frontal bone - other hand, place fingers on biting surfaces of upper molars; monitor flexion and extension of the transverse distance across the hard palate
52
Maxillae: Technique
- Assess flexion / extension, torsion, or sheer - Treat direction of ease first - Treat direction of barrier - Bring back to neutral, allow flexion and extension
53
Vomer: Movement
Flexion: inferior aspect inferior (sphenoid pushes it down) Extension: inferior aspect "re-seats" and inferior aspect returns to superior Like cracking an egg open
54
Vomer: Torsion and Sheer - Hand Placement - Technique - Clinical Considerations
Hand placement: Technique: - Follow bones flexion - neutral - extension - neutral - Stabilize sphenoid in neutral - Rotate left and right (torsion) or right / left (sheer) name lesion for direction of ease - Treat in direction of ease, then direction of barrier - Bring back to neutral - Let it go through extension / flexion integration Clinical Considerations:
55
Vomer Disimpaction - Core Intent - Hand Placement - Technique - Clinical Considerations
Core intent: provide anterior-inferior directed midline traction on vomer to move it away from sphenoid Hand Placement: - Place one finger on vomer and thumb underneath front lip (or thumb on bridge of nose) - Other hand stabilize sphenoid in neutral zone Technique: - Intension / suction cup on finger on vomer - Disimpact anterior-inferior (follow bridge of nose) while stabilizing sphenoid Clinical Considerations: - impact to face such as child hitting face on handlebars, person face planting with fall - Vomer-sphenoid relationship will feel like a semi-rigid vs feeling like independent bones with a hinge movement
56
Vomer Disimpaction - Core Intent
Core intent: provide anterior-inferior directed midline traction on vomer to move it away from sphenoid
57
Vomer Disimpaction - Hand Placement
Hand Placement: - Place one finger on vomer and thumb underneath front lip (or thumb on bridge of nose) - Other hand stabilize sphenoid in neutral zone
58
Vomer Disimpaction - Technique
Technique: - Intension / suction cup on finger on vomer - Disimpact anterior-inferior (follow bridge of nose) while stabilizing sphenoid
59
Vomer Disimpaction - Clinical Considerations
- impact to face such as child hitting face on handlebars, person face planting with fall - Vomer-sphenoid relationship will feel like a semi-rigid vs feeling like independent bones with a hinge movement
60
What is the difference between maxillae and vomer disimpaction?
Maxillae is anterior Vomer is anterior-inferior
61
Palantines: Core Intent
To evaluate and treat palatine bones
62
Palantines: Hand position
One hand placed on palatine bone, other hand contact the cranium Can follow the teeth to last molar at end of hard palate and then slide medially to palatine Are like washers between maxilla and pterygoid process
63
Palantine: Technique
Very gentle, 1-2 grams, almost energetically 1. Cephaladad 2. Lateral 3. Return to midline 4. Palantine
64
Palantine: Clinical Implications
Making sure everything is moving and not impacting others bones such as sphenoid or maxilla
65
Individual Teeth
After completing work on hard palate, lay fingers along biting surfaces of upper and lower teeth. Treat any tooth that "jumps out", may unwind. Teeth can hold tension and trauma
66
Finishing Touches after Mouthwork
1. Synchronize maxilla and sphenoid 2. Rebalance mandible with upper jaw with TMJ work 3. Temporal Bones - bilateral ear pull 4. Sphenobasilar Technique - compression / decompression 5. CV-4
67
MacLean's Triune Model of Brain - General info
- Reptilian brain (r-complex) - first part of the brain that develops neurologically. - Limbic system (mammalian brain) - next area to develop. Protects the r-complex. - Neocortex (Cerebral Cortex) - last to develop, unique to humans. Designed to protect limbic system. Cerebrum Cerebellum
68
Triune Brain: Reptilian / R-Complex
- all creatures have this, reptiles don't have higher level brain - Basic autonomic life functions: brain, lungs, heart, reproduction - Contains RAS - reticular activating system - Continuation of species, self-preservation - Hard wired for safety and survival - Agression - Repetitive, automatic responses - React, not respond
69
Triune Brain: Reptilian - Clinical Implications
* Basic need = Safety, avoiding harm * Need met = Peace * Need not met = Fear * Addictions, compulsive habits, retreat, reactive behaviors – Rigid, obsessive, compulsive, ritualistic, paranoid – Filled with ancestral memories – Repeats same behaviors over and over – Never learns from past mistakes * Difficult to connect with others via limbic system or intellect
70
Triune Brain: Mammalian
- Emotional center (limbic system): hippocampus, amygdala, thalamus, hypothalamus - Memories, emotions, feelings, learning, satisfaction, reward based learning - Hard wired for safety and survival. Attachment, nurturing, bonding. Avoidance of pain, repetition of pleasure.
71
Triune Brain: Mammalian - Clinical Implications
* Basic need = Satisfaction, reward * Need met = Contentment * Need not met = Frustration * Can understand the problem and learn new behaviors – Often can’t implement new behaviors * Overly attached to others, codependent * Rationalizes sense of self-worth * Fear-based behavior, based on past experiences/memories * “Black or white thinking” – Might not be able to connect to neocortex and utilize it's features
72
Triune Brain: Neocortex
- frontal, temporal, parietal lobe, etc - Critical thinking, reasoning, decision making, imagination, intellect (higher cognitive functions that distinguish humans from other mammals) - Consciously implement new behaviors or adopt new thoughts / beliefs - Attachment to others, connection...and appreciation for that - Respond vs react
73
Triune Brain: Neocortex - Clinical Implications
* Basic need = Connection, attachment to others * Need met = Love * Need not met = Heartache * Depression, despair, hopelessness * Can understand problem, learn and implement new behaviors to facilitate change * Can ignore heart-felt or gut instincts * Lives too much in head, and not in heart or body * Over-analyzes and rationalizes things
74
Triune Brain: CST Treatment Implications
* Quality of CST touch impacts these three areas – Facilitates a state of safety for healing * Mouth work is connected to the RAS by the trigeminal nerve (CN V) – CST mouth work helps brain reset primary functions – Effective for psychological stress, trauma – Facilitates integration of all three centers
75
Whole Body Evaluation - Arcing General definition and treatment modalities
Discovers active, energy producing problem - no residual arching after resolution - use it to evaluate the effectiveness of your therapy Treat with DOE, RTR, DR, SER, etc
76
Whole Body Evaluation - Dural Tube Evaluation General definition and treatment modalities
Facilitated segments - caused by active problem with may still be present or which may have been resolved. After resolution, facilitation may be self-perpetuating. Treat with DT traction, DOE, DR, fascial glide
77
Whole Body Evaluation - Fascial Glide General definition and treatment modalities
Fascial mobility - active problem or residuum of resolved problem Treat with - Fascial glide, DR, DOE
78
Whole Body Evaluation - CSR General definition and treatment modalities
SQAR Active problems or residuum of resolved problem General vitality, evaluate paravertebral musculature to assess innervation of tissues In cases of facilitated segments, evaluate the muscles surrounding the spinal column for innervation issues Treat with - Anything from CS1 or CS2
79
Energy Cysts - Active vs Inactive
Active - Energy cyst present - Distinctive energetic pattern - Take priority over inactive lesion - Actively affecting body systems - Hot, like house is on fire Inactive - No energy cyst present - No energetic pattern - Strain / restriction; may be remnants of old EC - Inflammation? - Not hot, had a fire and now need to clean it up
80
Arcing
Refers to feeling oscillating arcs of energy coming from the area Smaller arcs = closer to energy cysts Larger arcs = farther away from the energy cyst
81
Energy Cysts - What are they?
- Caused by trauma - accident, trauma, environment toxins, medications, etc. - Localized area of increase entropy - encapsulated foreign energy, trying to make it as small as possible - Body unable to dissipate foreign energy - walls it off, contains it - Alternative defense against a more generalized negative effect - Body can adapt to energy cysts but over time body needs extra energy to continue performing day-to-day functions. Over time, symptoms increase and become more difficult to suppress. Causes dysfunction or dis-ease.
82
Energy Cysts - Characteristics
Affects tissues and energy around it - Tissues feels devitalized, lacking in life force, denser - Energy feels fuzzy, chaotic
83
Energy Cysts - Significance
Dr Upledger considered this the most important area to address in arcing Primary underlying cause of current problems 1. disrupt fascial organization 2. impair organ function 3. block fluid flow 4. create FS 5. Restrict body's restorative abilities 6. Disrupts acupuncture meridian or chakras
84
Energy Cysts - Factors
1. Force of trauma - physical, emotional, spiritual, disease process 2. Repeated injuries to same area 3. Emotional state at time of trauma - positive or negative outlook increases or decreases chances of developing cysts. Negative emotions plus trauma create ECs Can serve a purpose - lead to insight and personal growth
85
Energy Cyst - Formation
1. Injured body may immediately begin dissipating force and natural healing process with follow 2. Physical forces imposed upon body may be retained rather than dissipated. Drains energy. May have to move through series of injuires May have to break up one big energy cyst and then work on smaller pieces
86
Energy Cyst - How to treat?
1. DOE 2. DR 3. RTR 4. SER, therapeutic imaging, dialogue
87
Facilitated Segments: Significance
1. Hypersensitive: stimulus threshold is decreased, respond to minimum input 2. Hyperactive: stimuli triggers are increased, because it's stimulated too much; chronically overstimulated (Hyper-responsive: too much response, complete regional pain disorder to stimulus is should not respond to) 3. Dysautonomia: when 1 & 2 happen too much (Dystrophic: system so impaired, limited nutrition / protein deprivation to target cells/organs) 4. Results in dysfunction of end organs / tissues / structures: including organs, skin, glands, blood vessels, muscles, etc.
88
Facilitated Segments: Cycle
1. Hyperactive motor root 2. Related sympathetic ganglion becomes hyperactive 3. Dysfunctional. deterioration of target organs 4. Sensory stimuli related to dysfunction sent back to spinal cord segment 5. Further increased facilitation of motor signals
89
Facilitated Segments: Characteristics
1. Palpable change in tissues texture (shoddy, mushy, lower tone) 2. Tissues are tender and often painfully irritable when palpated 3. Joints are less mobile 4. Changes in skin texture, sweat gland activity, and capillary blood supply to skin (skin might be dry, area isn't creating sweat,
90
Facilitated Segments: Core Intent
To find and treat hyperactive, hypersensitive spinal cord segments, i.e. FS
91
Facilitated Segments: Hand Placement
Varies depending on which approach to treatment the therapist chooses to employ
92
Facilitated Segments: Technique
1. Find the first FS: - DT traction - perispinal drag - gentle palpation along the vertebral column - arcing 2. Treat the segment, calm irritation, get nutrients in FS - DT traction, DT R&G, or - DOE - DR or fascial glide on segment or - Segmental RTR / unwinding, or - Any combination of the above 3. Then find the organ or structure associated with FS using fascial glide, arcing, intuit, feel energetically. 4. Treat organ or structure - DOE or - DR of fascial glide or - Segmental RTR / unwinding or - Etc 5. Finally, treat the pathway between FS and the organ / structure with DOE or modified DT R&G - one hand on segment, one on source - DOC or R&G along pathway
93
Facilitated Segments: Treatment Goals
Relax muscle Mobilize DT, join, fluid Reduce postural stress Decrease inflammation / irritation of spinal cord, dura, ganglia, nerves, organ Reduce signals from higher centers of CNS Interrupt self-perpetuating activity of FS Release sympathetic overdrive of ANS at FS
94
Whole Body Evaluation: Technique - Reveals - Treat with...
1. Arcing - Energy cysts (active lesions) - DOE, RTR, DR, SER, etc 2. Dural Tube Eval - FS - DT Traction, DOE, DR, fascial glide 3. Fascial glide - fascial restrictions and adhesions - fascial glide, DR, DOE 4. CSR - Fascial restrictions and adhesions; SQAR issued - anything from CS1 or CS2
95
Arcing is a way to locate: a. fascial restrictions b. energy cyst c. osseous restrictions d. facilitate segment
b. Energy cyst
96
True or false: The reason we person the thoracic inlet release before doing the OCB or cranial bones is because these areas will not release well if the inlet has not been released.
False - It is due to venous drainage might be compromise and create a back flow
97
Which of the following is considered to be normal physiological movement of the sphenoid? a. sidebending b. torsion c. flexion / extension d. vertical strain e. all of the above
c. flexion / extension
98
A restriction in the diaphragm most commonly reflects: a. abnormal tension in the vertically arranged fascial fibers in the body b. changed in the ANS function c. an energy cyst d. abnormal tension in the horizontally arranged fascial fibers in the body e. none of the above
d. abnormal tension in the horizontally arranged fascial fibers in the body
99
Regional Tissue Release can be used to treat / release: a. An energy cyst b. Fascial restrictions c. Trapped energy in the body d. A facilitated segment e. All of the above
E. All of the above
100
True or false: A restriction in the cranial suture feels elastic in nature
False: It feels rigid, osseous, hard. A restriction in the cranial membrane feels elastic in nature.
101
What percentage of sphenoid lesion can be corrected with compression / decompression?
90%
102
What sphenoid lesions are NOT treated with stabilization of the occiput?
Flexion and extension
103
How is normalization / release achieved in spheno-basilar work?
Stabilizing the occiput, and the corrected ROM moves a great distance away from the neutral zone
104
Regional Tissue Release: Core Intent
to treat an active lesion / energy cyst identified with arcing, or an know injury to an extremity
105
Regional Tissue Release: Hand Placement
firmly support the extremity with one hand and place the other hand on the active lesion or symptom site and monitor the CSR with this hand
106
Regional Tissue Release: Technique
- allow extremity to move through strain pattern - may have to rock the extremity to help person relax - monitor for CSR and wait for SD, hold limb still and let body experience significant position - release will occur and the CSR return and moves to the next point of tissue release and SD - continue process until the release is complete along the pathway of the injury
107
What type of sphenoid lesion can be cause by an upper cut or severe blow to under the jaw?
Lateral Strain Check - is this correct?
108
Illustration of axis of rotation for sphenoid lesions
109
Fascial Glide: Core Intent
find and treat fascial restriction or inactive lesions
110
Fascial Glide: Hand Placement
blend and meld with tissues - side by side - anterior - posterior - lateral and medial Can assess shoulders / clavicles with "cat kneading" at shoulders
111
Fascial Glide: Technique
Apply gentle traction in arbitrary directions or stacking until a release and softening is achieved Stacking can include: - inferior / superior - medial / lateral - CW / CCW