Comlex stuff 2015 cranial and sacral

ruhland2's version from 2015-06-22 16:35

Section 1

Question Answer
CRI rate10-14 min
CRI cranial pathoscompression strain SBS
what causes SBS compression starintrauma back o head
dural attc2,c3,foramen magnum, S2
meninges outerdura mater
meninges middlearachnoid mater
dura SBS flexionmoves cephalad
SBS flexion means sacral ___ which is this motioncounternutation (ext)
sacral base moves post and supcounternutate (think clockwise!)
sacral ila moves sup and postflexion/nutation

Section 2

Question Answer
paired bones during extint rot
frontal bone unqiqebehaves as paried bone
paired bone during flexext rot (think of paired bones on sides of head)
cranial ext dural attachment goescaudad
sacral base during cranial extnutation(think nutate think counterclockwise) sacral flex
ap diam extentionincrease
med lat diam flexincrease
siddbent R on sbswider opening SBS on right
sidebent L on sbsleft sphenoid inf
sidebent rot R on occiputocciput rotate CW (up SBS opening on right)
physiologic cranial strain meansdoes not interefer w/ flexion / ext
ex of physiologic cranial straintorsions or Sidbent rotated
sphenoid determinesvertical strain
sphenoid moves caudad to occiputinf strain
cranium paralelogramlateral strain
etio of paralllelogramtrauma on front or side of head

Section 3

Question Answer
L lateral strains meanssphenoid deviate L compared to occiput
R lateral strain meanssphenoid dev R compare to occi
compression strainsphenoid and occiput pushed together
CNV1 exitssup orbital fissure
cn3 exitsS O F
cn 4 exitss o f
V2 somatatic dysftrigem neur
in styloid foramenCN VII (bells palsy)
poor sucklingCN12 occipital condylar compression
poor suckling other nervesalso CN9/10 at jug foramen
CNX dnOA som dys
AA dn (also OA and C2)CNX dn
spine C2 dnCNX dn
poor sucking CNXII omtcondylar decomp
sutural dysf omtv-spread
papiledemacontra cranial tx
axis of sacrum for CRI and pulm respsuperior transverse axis
best tech raise CRICV4
use CV4 forcompression strain
why use Cv4 for compression strainup up CRI
HA txsuboccipital release
sinus headache txvenous sinus technique tx
restores optimal intra cranial blood flowvenous sinus tech does
moves skull sutureV spread

Section 4

Question Answer
2 m. of pelvic diaphragmlevator ani, coccygeus
sacral bases moves during inspirationpost (sacral extension/nutation b/c dura tightens in inspiration)
SBS flexion sacral BASE movesposterior (counternutate=ext)
SBS ext sacral base movesant/sacral nutation/flexion
axis of sacrum in CRIsup trans
sacral postural motion axismiddle transverse axis
dyanmic motion sacral axisoblique
weight bearing on one legengages opposite oblique
sacral axis for inominate rot aroundinf transverse axis
inf transvers axis s4

Section 5

Question Answer
cuase of ant inomquad
post inom causehams
missed stepsup inom shear
ipsi fallsup inom shear
tight adductorinf inom shear
hip traumainf inom shear
L5 SB R meanssacral oblique R axis
L5 Rot R meansacral oblique L axis
R pos seated meansL oblique axis
superior pole names oblique axis
negative spring meansdoesnt move (forward torsion, stuck in ext) or unil flex
sacral extensioncounter nut (base goes post Ila goes ant)
sacral flexflex (base goes ant ila goes post)

Section 6

Question Answer
postpartum scarumbil sacral flexion (ILA pushed back to fuck)
tx L5 or scarum firstL5 (may correct sacral problem)

Notes L5/S Sidebend Same so if L5 SB R therefore S rotates on R oblique axis.

L5 ROT R is opposite, so sacral oblique would be on L axis.
psoas synd causesL1/2 F SB R same side
divides greater and lesser ciatic formensacrospinus lig
true pelvic ligsacroliliac