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What is Cranial Sacral Therapy?
is a gentle, hands-on approach to bodywork. It focuses on the bones of the head, spinal column and sacrum, and the underlying structures
What is your main objective?
is to find and release tensions (called restrictions and/or compressions) in the cranial sacral system
When can Cranial Sacral Therapy be used?
alone or incorporated with other bodywork
What are some symptoms/conditions for which Cranial Sacral Therapy is useful?
- Chronic px, especially in the neck and back
- Headaches (tension, migraine, cluster) *helps with migraines more than any other modality - and there is no contraindication to work on during a migrain
- TMJ dysfunction
- Emotional trauma
- Auditory problems
- Stress-related dysfunctions
- Colic, inner ear problems, or learning/behavior disorders in infants & children
How long does it take to see results from Cranial Sacral Therapy?
normally takes 4-6 weeks before you see change or result
The Cranial Sacral System is made up of 4 structures, what are they?
- The Brain & Spinal Cord
- Meningeal Membranes
- Cerebrospinal Fluid
- The Bones
The Brain & Spinal Cord in regards to pressure or compression...
If pressure or compression occurs, adverse messages can cause dysfunction
What is the Meningeal Membranes made up of?
- Three Layers:
- 1. dura mater
- 2. arachnoid membrane
- 3. pia mater
Cerebrospinal Fluid is responsible for
lubricating & cushioning the brain and spinal cord
What is responsible for the production, circulation, and reabsorption of CSF?
The cranial sacral system
What serves as handles to what is going on underneath *like something stuck in a drawer story
What can adversely affect the underlying structures of the system
compression or injury to the bones
What are the 3 theories relating to the Origin of the Cranial Sacral Rhythm
- 1. Osteopathic Theory (disproven): Sutherland suggested the brain has a contractile capacity
- 2. Upledger Theory (disproven): Continually pushing fluid around
- 3. Energetic Theory (has not been disproven): believed to be the most ancient rhythm in our bodies, constant current @ bottom of sea
What is the cranial sacral's therapist's tool for identifying restrictions and compression in the cranial sacral system?
the cranial rhythm
The cranial sacral system consists of 2 basic movements
- Flexion = Fat Head
- Extension = Skinny Head
The cranial rhythm normally cycles...
- 6-14 times per minute
- 1 complete cycle (3 seconds) includes flexion, a slight pause, then (3 seconds) extension
What are the 4 Characteristics of Cranial Sacral? (SQAR)
- Symmetry :: How balanced is this rhythm (from L to R)
- Quality (strength) :: How smooth or how prominent
- Amplitude (distance) :: How far away from midline or distance
- Rate (speed) :: how fast
How do we monitor this rhythm & find restriction?
As beginners, we will be applying no more than ________ of pressure.
*not a question - just need to know*
As the spinal nerves exit the dural tube, the fasica surrounding each nerve blends with the fascia it encounters upon exiting the vertebral column.
The cranial system is therefore transmitted through the fasica, much like ripples in a pond, and can be felt through the entire body.
- *Flexion will be felt as a Lateral Rotation.
- *Extension will be felt as a Medial Rotation.
- Palpation Stations:
- 1. Feet
- 2. Thighs
- 3. Pelvis
- 4. Shoulders
- 5. Head
Contraindications for Ventricle Four Technique (CV4)
- Children under the age of 9
- Clients at Risk of Stroke
- VERY Elevated Blood Pressure
- Brain Tumors
Never hold this technique longer than 5 minutes
Ventricle Four Technique (CV4)
When doing this technique ______ make sure you remove all accessories (clients) incld. belts
Ventricle Four Technique (CV4)
The layers of the meninges covering the brain and spinal cord are the....
- pia mater
- dura mater
Between the pia mater and the arachnoid lies a space called
subarachnoid space (this is where the CSF circulates)
Located inside the skull is a meningeal structure. Sutherland referred to this as
a reciprocal tension membrane system
The three membranes appear as sheets and are as follows:
- Falx Cerebri
- Tentorum Cerebelli
- Falx Cerebelli
- Dural Tube
Falx Cerebri is
- This sheet of tissue is shaped like a crescent moon
- the part attaches to the ethmoid and the frontal bones
- runs posteriorly along the sagittal border of the skull and then drops inferiorly as it attaches to the occiput
- separates the right & left hemispheres
Tentorium Cerebelli is
- separates, a the point at which the falx cerebri merges with the outer meniges of the occiput
- extends laterally along the temporal and perietal bones and moves anteriorly attaching to the sphenoid
Falx Cerebelli is
- this sheet is a small extension of the falx cerebi, which extends below the tentorium cerebelli
- attaches to the foramen magnum and then blends into the meninges of the dural tube
Dural Tube is
- the spinal dura attaches at the foramen magnum, C2, C3 and the second sacrual segment
- the dural tube creates a physical and energetic relationship between the occiput and the sacrum
Restrictions in the membrane are called
Restrictions create a feeling of the bone moving into the direction being tractioned, but the bone will appear to "________" down if the therapist were to release and hold.
Osseous restrictions feel ...
firm and immovable as if the bone were stuck
What are the four concepts to remember when working with fascia?
- 1. The fascial system is a single system
- 2. The majority of fascial fibers in the body run vertically (up & down - head to toe)
- 3. Some locations in the body have a dense collection of horizontal fibers.
- 4. Fasica, under ideal circumstances, is very mobile (360 degrees of movement - should move easily)
Benefits of Unwinding
- Increase organ function (diaphragm release)
- Increase respiratory function
- Mobilize the dural tube
- Decrease restrictions within cranial sacral system
- taking horizontal fibers loosening a bit to tighten vertical fibers
- undwinding wants to happen all the time