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POM Block 11
KYCOM Block 11
51
Medical
Graduate
10/17/2013

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Cards

Term
what are the three types of respiratory mechanisms
Definition
primary
secondary
mixed
Term
what is the primary respiratory mechanism
Definition
central rhythmic impulse. internal tissue rspiration of the CNS (can be felt after heart stops)
Term
what is the secondary respiratory mechanism
Definition
respiration
facalitates movement of fluids and affects cellular exchange
Term
how fast is the cranial rhythmic impulse
Definition
8-12 cycles a minute
Term
what are the 5 phenomena of primary respiratory mechanism
Definition
inherent motility of brain and spinal cord
flux of CSF
mobility of intracranial and intraspinal membranes
articular mobility of cranial bones
involuntary mobility of the scarum between ilia
Term
define flexion and extension of the primary respiratory mechanism
Definition
flexion: inhalation phase
extension: exhalation phase
Term
what is the cranial base
Definition
sphenoid and occiput junction in the middle of the head
Term
where does the sphenobasalsynchrondrosis move in flexion
Definition
superior
Term
where does the sphenobasalsynchrondrosis move in extension
Definition
inferior
Term
where does the sphenoid move in flexion
Definition
rotates counterclockwise (looking from left)
greater wings move anterior and inferior
Term
where does the sphenoid move in extension
Definition
rotates clockwise (when looking from the left)
greater winds move superior and posterior
Term
where does the occiput move in flexion
Definition
clockeisw (looking from lefT)
area posterior to occipital mastoid suture: posterior and inferior
occipital base: superior
Term
where does the occiput move in extension
Definition
rotates counterclockwise (looking from left)
posterior to occipital mastoid suture: moves anterior and superior
occipital base: inferior
Term
what does the sacrum do in flexion why
Definition
SBS rises pulling dura and because it is on anterior surface it pulls base of sacrum posterior (mechanically extending sacrum / counternutation)
Term
what does the sacrum do in extension, why
Definition
SBS drops releaving dural tension and drops sacrum anterior (mechanically flexing the sacrum / nutation)
Term
where do all five fingers go in the vault hold
Definition
1. (thumb) crossed and sitting on the coronal/saggital suture junction without pressure

2. greater wing of sphenoid

3. anterior to external auditory meatus

4. posterior to mastoid

5. occiput
Term
what should your fingers and hands do in vault hold SBS flexion
Definition
fingers spread apart and hands move forward
Term
what should your fingers and hands do in vault hold SBS extension
Definition
fingers move together, hands move backward
Term
explain movement of CSF
Definition
rhythmic movement within neurocranium
absorbed by lymphatics
Term
wht does the CNS do in fextion
Definition
brain gets shorter in AP and wider laterally
spinal cord gets thicker
Term
what does the CNS do in extension
Definition
cord gets thinner and longer
Term
what do the intracranial and intraspinal membranes do in flexion
Definition
posterior falx moves anterior
anterior falx moves inferior
head gets shorter in AP and longer in lateral
Term
what do the intracranial and intraspinal membranes do in extension
Definition
posterior falx moves posterior
anterior falx moves superior
head gets longer in AP and narrow in lateral
Term
explain the movement of bones
Definition
changes in shape
can be seen on MRI and x-ray before and after treatment
Term
why can bone more
Definition
periosteal fibers, nocioceptors, and proprioceptors in the sutures
Term
what are the cranial sutures
Definition
coronal, saggital, lamboidal
Term
what is the bregma
Definition
coronal and saggital suture intersection
Term
what is the lambda
Definition
lamboidal and saggital suture intersection
Term
what is the asteron
Definition
little bone between mastoid and parietal
Term
what is the petron
Definition
junction between greater wing, frontal, parietal, and zygomatic
Term
what is the ionin
Definition
external occipital protuberence
Term
how does the SBS move around the AP axis
Definition
they rotate in opposite directions
Term
what movement occurs in a right torsion
Definition
right greater wing of sphenoid is higher due to AP axis movement
Term
how do the fingers move in a right torsion
Definition
right side rotate toward you and left side away
Term
what movement occurs in a left torsion
Definition
left greater wing of sphenoid is higher due to AP axis movement
Term
how do the fingers move in a left torsion
Definition
left side fingers rotate towards you and right away
Term
what is the normal SBS movement around the vertical axis
Definition
spnenoid and occiput bend towards eachother on each side
Term
what movement occurs in sidebending rotation right
Definition
SBS opens on the right, right ear is lower
Term
how do the fingers move in a sidebending rotation right
Definition
right hand moves forward and fingers spread
Term
what movement occurs in a sidebend rotation left
Definition
SBS opens on the left, left ear is lower
Term
how do the fingers move in a sidebending rotation left
Definition
left hand moves forward and fingers spread
Term
what is the normal SBS movement around the transverse axis
Definition
flexion and extension
Term
what occurs in a superior vertical strain
Definition
base of sphenoid is superior to the base of occiput, greater wings go down and cranium goes forward
on transverse axis
Term
what occurs in a inferior vertical strain
Definition
base of sphenoid is inferior to base of occipitut, greater wings come up and cranium moves back

on transverse axis
Term
what finger movements are there in a superior vertical strain
Definition
index fingers drop down and out and pinkey moves towards you and up
Term
what finger movements occur in inferior vertical strain
Definition
index fingers move up and in, pinkey moves away and down
Term
what occurs in a left lateral strain
Definition
base moves left,
wings move right,
head leans right
on vertical axis
Term
what occrs in a right lateral strain
Definition
base moves right
wings move left
head leans left
on vertical axis
Term
how do the fingers move in a left lateral strain
Definition
index fingers to right, pinkeys to left
Term
how do the fingers move in a right lateral strain
Definition
index to left, pinkey to right
Term
what is a SBS compression, how does it feel
Definition
anteiror posterior compression of spnenoid and occiput
head feels like solid bowling ball
dificult to assess flexion and extension phases
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