cranial karij

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karij
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cranial karij
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2013-09-24 13:26:38
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cranial karij
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  1. Goal of Cranial
    Release tensions in tissue that surround and protect brain & spinal cord, providing optimal working environment for CNS
  2. Main objective Cranial
    • Find & Release tensions
    • (restrictions or compressions)
  3. Cranial is useful for what conditions:
    • Chronic pain, neck & back
    • Headache prevention
    • TMJ dysfunction
    • emotional trauma
    • auditory problems
    • arthritis
    • colic
    • inner ear
    • learning/behavioral disorders in infants and children
  4. How many session before change?
    4 - 6
  5. What are we working with Cranial?
    Bones of head, spinal column, sacrum & underlying structures
  6. Osteopath who was part of "cranial rhythm"
    • William Sutherland 
    • late 1800's
  7. Osteopath injected dye indicating presence of collagen and elastin fibers.
    Also experimented with live monkeys and antennas to show bone movement and in specific directions
    • John Upledger
    • 1970's
  8. Do we know what creates the Cranial Rhythm
    No
  9. 4 Cranial Sacral System Structures
    1; Brain(thought,movement) & spinal cord (relays info to body) *if pressure or compression occur, adverse messages can cause dysfunction

    • 2. Memingeal Membranes *3layers
    • 1)Dura Mater 2)Arachnoid membrane
    • 3) Pia Mater

    3. CSF *produced in ventricles of brain, 3rd & 4th. lubrication, cushion brain & spinal cord. Responsible for production, circulation, * reabsorption CSF.

    4. Bones *compression or injury to bones can affect underlying structures of system. Story to problems.
  10. Osteopathic Theory
    • Sutherland suggested brain has a contractile capacity.
    • Brain expands=outward pressure
    • Brain contracts=bones drop medially
    • Disproven
  11. Upledger Theory
    • Rise & Fall CSF fluid.
    • Pressure never changes, ventricles don't pump, always same amount CSF
    • Disproven
  12. Energetic Theory
    • movement created by our energetic system.
    • We crawled out of the sea with this rhythm intact.
  13. Does the Cranial Sacral Rhythm follow our heart or respiratory system?
    No
  14. 2 basic movement of cranial rhythm
    • Flexion = Fat head
    • (head wider transversely, shorter ant, post)
    • Extension = Skinny head
    • (head narrows transversely, elongates ant, post)
  15. How many times does rhythm cycle in a minutes
    6 - 14
  16. What is a complete cranial rhythm cycle?
    • flexion, slight pause, than extension
    • (3 sex. flexion/pause/3 sec. extension repeat)
    • Variations occur in case of injury and trauma
  17. SQAR (4 characteristics)
    • S-Symmetry, balance left to right
    • Q - Quality, strength
    • A - Amplitude, distance from midline
    • R - Rate, Speed (rate can stop temporarily
  18. Why Palpate Cranial rhythm
    • Way to monitor cranial sacral system and find restrictions
  19. How many grams or pressure?
    • 5 (weight of a nickel).
    • The goal is to be as unobtrusive as possible
  20. Info about spinal nerves and transmission cranial rhythm
    • As spinal nerves exit dural tube, fascia surrounding each nerve blends with fascia it encounters upon exiting the vertebral column.
    • The cranial rhythm is transmitted through fascia, much like ripples in a pond, can be felt throughout entire body. Limbs of body express flexion by rotating externally, extension by rotation internally.
  21. Technique  for palpating
    • Place hands on area being observed
    • Use only 5 grams of pressure to listen
  22. 5 Palapation Stations
    Feet *Feel for SQAR, Stand at feet, cup heels in palms of your hands or palms on dorsal surface foot.

    Thighs *Side of client, face his head. Rest hands on thighs, lean into table

    Pelvis *hands over each ASIS

    Shoulders *Clients head, hands over tops of shoulder, fingers lie more on lateral aspect shoulder to avoid interference from respiration

    Head *hands each side head, don't cover ears
  23. How will you feel flexion and extension when palpating Feet, Thighs, Pelvis, Shoulders?
    • Flexion = outward or lateral rotation
    • Extension = Medial, toward midline
  24. How will you feel flexion and extension when palpating the Head?
    • Flexion = felt in Parietal and Temporal bones, lateral  movement
    • Extension = Felt in Parietal and Temporal bones as Medial Movement
  25. CV4 technique
    Contraindications
    • Hold up to 5 min compression
    • developed by sutherland
    • creates overall state relaxation connective tissue and body. releases minor restrictions and accumulated stress
    • Contraindications
    • *children under 9
    • *clients at risk of stroke or recent
    • *VERY elevated Blood Pressure
    • *Brain Tumors
  26. CV4 hand placement, technique
    One hand over top other slight diagonal osition with palms facing toward ceiling. Thumbs together so tips make contact. Clients head rests poetions of thenar, line up w/clients ears (no rotation, pull)

    *Wait for head, neck to relax. When you sense cessation, or stopping of all movement = STILLPOINT(deep state healing).
  27. Membrane system of skull
    layers of meninges
    • Layers of meninges covering brain & spinal cord
    • Piamater-against brain
    • arachnoid - between Pia & Dura
    • dura mater - most exterior, thick, against skull
    • CSF - subarachnoid space
  28. Reciprocal tension membrane system
    • The meningeal structure:
    • Falx cerebri
    • Tentorium Cerebelli
    • Falx Cerebelli
    • Cural Tube
  29. Falx Cerebri
    • shaped like a crescent moon
    • Front attaches ethmoid & frontal bones
    • Runs posteriorly along sagittal border of skull, then drops inferiorly as attaches to occiput.
    • Separates right & left hemispheres brain
  30. Tentorium Cerebelli
    • Separates where falx cerebri merges w/outer meninges of occiput.
    • Extends laterally along temporal and parietal bones, moves anteriorly attaching to sphenoid
    • Supports brain weight, suspends above brain system
  31. Falx Cerebelli
    • Small extension falx cerebri
    • Extends below tentrorium cerebelli
    • Attaches foramen magnum, blends into meninges of dural tube
  32. Dural Tube
    • Core Link
    • Spinal dura attaches at foramen magnum, C2, C#, second sacral segment
    • Creates physical, energetic relationship between occiput & sacrum
    • Spinal nerves exit through dura as they extend distally in the body
  33. Membranous Restriction
    • Restriction in membrane system-feels elastic
    • Feel like bone moving into direction being tractioned
    • Bone will appear to  "Snap Back" down if therapist were to release hold
  34. Osseous Restrictons
    • Restrictions within sutures of bones
    • Feel firm & immovable if bone were stuck
  35. 4 concepts to releasing fascial restrictions in body
    • 1 *Fascial system - single system (follows length of body uninterrupted)
    • 2 * Majority fascial fibers run vertically
    • 3 *Some have dense collection of horizontal fibers, Support to these otherwise weak areas
    • 4 *Fascia is very mobile
  36. Diaphragm area info and benefits
    • Dense transverse or horizontal fibers
    • Trunk in body, may form restrictions
    • Hold organs
    • Lose of mobility due to shortened, dense, scar tissue
    • Fascial unwinding releases diaphragm areas

    • Benefits:
    • increase organ and respiratory function
    • mobilize dural tube
    • decrease restriction w/in cranial sacral
    • SER
  37. Unwinding
    Taking horizontal fibers loosening a bit to tighten vertical fibers
  38. Any movement in the body is due to the fact that something has influenced the fascia
    True
  39. Do you break pattern or create a new pattern?
    • Break pattern
    • 50% leading, 50% following
    • Lead toward restricted tissue area
  40. 3 diaphragm release area
    • Pelvic -1 hand in between ASIS, 1hand under body, thumbs toward head
    • Respiratory - Bottom hand under back at T12, top hand over anatomical diaphragm
    • Thoracic - Bottom hand T1-T3, other hand "V" shape, inferior clavicle around brain buttons
  41. Release technique
    • Gently glide direction of non-movement, meet resistance by holding or encouraging movement.Tissue release= area softens, feel spreading out laterally.
    • *look for 360 degrees of symmetry
    • *Move w/tissue as long as it is not repetitive pattern
    • *Do not follow same motion repeatedly
    • *Breaking repetitive patterns brings back mobility
  42. Hyoid Release
    • Bone release
    • Bottom hand under neck, top hand hyoid bone
    • Traction anterior, inferio direction, 40 degree angle
    • Release: feels floating inferiorly & interiorly
    • Indicator: Whiplash
  43. Signs of restrictions releasing
    • Heat *therapist hands warm
    • Body movement or twitching *Acupressure/wind condition common
    • Swallowing *saliva, fluid releasing
    • Rapid Eye Movement
    • SER
    • Therapeutic Pulse
    • Body relaxing
    • Softening
    • Fluid releasing, tears, saliva, stomach grugling
  44. Contraindications
    • Acute intracranial hemorrhages
    • Intracranial aneurysms
    • recent skull fractures (6 weeks)
    • Severe grand mal seizures (acute, 30 days/Chronic,after 72 hours)
    • Recent strokes (6 weeks)
  45. Compressive contraindications
    • Children under age 9
    • Clients at risk of stroke
    • VERY elevated Blood Pressure
    • Brain Tumors
  46. Occiput associated with what 3 cranial nerves
    • Cranial IX, Glossopharyngeal; sensation, taste tongue, internal surface of tympanic membrane (lip gloss)
    • Cranial nerve X, Vagus; muscle of pharynx & larynx, swallowing, digestion, bowel function(vegas buffet, eat, sleep, poop)
    • Cranial Nerve XI, Accessory; motor trapezius, sCM (necklaces, she says "Thank You" strokes ear down to clavicle w/hand)
  47. 3 Master Bones
    • 1 *Sphenoid
    • 2 *Sacrum
    • 3 *Occipitals
  48. bones and meaning
    • Occiput - Flexibility
    • Sacrum - Stability
    • Frontal - Higher intelligence
    • Parietal - Aspiration (bless top head w/oil)
    • Sphenoid - Perception
    • Zygomae-Pride in appearance (no crows feet)
    • Ethmoid - Perception & intuition
    • Temporal Bones - Balance Life
  49. Occiput
    • Flexibility in Life
    • Articulations: parietal, falx cerebeli, cerebellum, tentorium cerebelli, temporal, sphenoid, atlas
    • Characteristics: Able to give/receive, love, support
    • Flexion: rocks inferior toward neck
    • Extension: rocks superior toward top skull
  50. What do you do if client has to get off table before occiput release happens?
    Do stripping motion to get head back to homeostastis
  51. Sacrum
    • Stability in Life "Core Link"
    • directly interacts w/occiput through dural tube
    • Articulation: L5, Ilia(forms SI joint) Coccyx
    • Characteristics: stability
    • Flexion: sacrum rocks Inferiorly
    • Extension: Sacrum base moves Superiorly
  52. Sacral Hold
    • 1 *Spock fingers under spinous processes of sacrum, client lifts hips for you
    • 2 *Same as 1, you lift client
  53. Sacral Traction L5-S1 decompression
    • 1 hand spocked under sacrum, other hand contact L5
    • Traction inferiorly, then L5 superiorly
  54. SI Joint Decompression
    Spocked hand under Sacrum, elbows ASIS, other hand fingers ASIS
  55. Sacral/Occipital Hold
    3 M's
    • Cup sacrum & occiput
    • 1 *monitor-feel rhythm
    • 2 *Mimic -enhance rhythm
    • 3 *milkshake -hold 1 steady while other does motion(visa,versa)
  56. Frontal Bone
    • Higher Intelligence
    • Articulations: parietals, zygomae, sphenoid, maxillae, ethmoid
    • Characteristics: higher intelligence, wisdom to see & accept change, determination, conscience, ethics
    • Indications: over thinking, worrying, help focus, whiplash, frontal affects, headaches, soft tissue release of fascial muscles, short tem memory
    • Flexion - posteriorly
    • Extension -anteriorly
  57. Parietal Bones
    • Aspiration
    • Articulations: occiput, temporals, frontal, sphenoid, falx cerebri
    • Characteristics: Aspiration, strong desire to achieve "crown Soul", material fixations,  longings, discontent
    • Indications: depression, hopelessness, lack joy, SAD, temporal bones are affected
    • Flexion - laterally
    • Extension - medially
  58. Sphenoid
    (cranial nerve 1, over -Cranial nerve 2-6, pass thru - 6 nerves pass thru or under)
    • Perception
    • Articulations: all cranim bones, zygomae, tentorium cerebelli
    • Characteristics: Perceptions, objective, inner seeing, evaluate
    • Indications: ADD/ADHA, epilepsy, headaches, vision issues, stress, tinnitus, inner confusion
    • Flexion - rocks inferior
    • Extension - rocks sperior
  59. Compression Sphenoid
    • pressure posterior direction
    • may feel like bending or twisting
  60. Sphenoid decompression
    • pressure anterior direction
    • follow unwinding movement (compression) while maintaining decompression.
    • May feel like floats up and away from center of cranium
  61. Zygomae (paired bones)
    • Pride in Appearance
    • Articulations: sphenoid, maxillae, temporals(through zygomatic arch), frontal
    • Characteristics: pride in appearance
    • Indications: sinus problems, stress, impact-direct blow,TMJD(because of it's articulation w/temporal bone via zygomatic arch)
    • Flexion - lateral & slightly anterior
    • Extension - move back medially
  62. Ethmoid
    • Perception & Intuition
    • Articulations: frontals, sphenoid, maxillae, nasal bones, falx cerebri
    • Characteristics: perception & intuition
    • Indications: sinus problems, hopelessness, depression, lack inner clarity, spiritual trauma
    • No cranial rhythm.
    • send energy vibes
    • concentrate on working 3rd eye
  63. Temporal Bones
    • Balance in Life
    • Articulations: parietals, occiput, sphenoid, zygomae, mandible(thru jint), tentorium cerebelli
    • Characteristics: balance in life(organs of hearing)
    • Indications: inner ear problems, vertigo, tinnitus, ADD, dyslexia, Bells Palsy, TMJD
    • Flexion - laterally
    • Extension - medially
  64. Temporal Ear Pull
    • Elbows rest table
    • lateral decompression, posterior compression
    • index finger, middle finger under posterior side ear, thumb on inside ear
  65. Mandible
    • Expression of Emotion
    • Articulations: temporals (thru articular disc of TMJ)
    • Characteristics: Expression of Emotion
    • Indications: Tinnitus, headaches, structural & digestion problems, TMJD, Bruxism
    • Flexion - drops inferiorly
    • Extension - moves superiorly
  66. Mandible compression
    • locate angle of mandible, fingers in notch
    • compress jaw superiorly until feels like mandible softens upward into temporomandibular joint
  67. Mandible Decompression
    • fingers on anterior attachment of masseter
    • decompress mandible inferiorly until feels like bone releases
    • When finished moves hands off forward, in front of face

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