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    Craniosacral Osteopathy

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    khorrami4
    This document discusses craniosacral osteopathy and the craniosacral system. It describes how the cranial bones are designed to allow movement and how the brain and spinal cord float in cerebrospinal fluid contained within the meningeal membranes. Craniosacral therapy works to balance CSF circulation and pressure by releasing tension in the dural membrane system through gentle manipulation of the cranial bones and sacrum.

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    Craniosacral Osteopathy

    Uploaded by

    khorrami4
    970 views90 pages
    This document discusses craniosacral osteopathy and the craniosacral system. It describes how the cranial bones are designed to allow movement and how the brain and spinal cord float in cerebrospinal fluid contained within the meningeal membranes. Craniosacral therapy works to balance CSF circulation and pressure by releasing tension in the dural membrane system through gentle manipulation of the cranial bones and sacrum.

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    It is about Cranial osteopathy

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    This document discusses craniosacral osteopathy and the craniosacral system. It describes how the cranial bones are designed to allow movement and how the brain and spinal cord float in cerebrospinal fluid contained within the meningeal membranes. Craniosacral therapy works to balance CSF circulation and pressure by releasing tension in the dural membrane system through gentle manipulation of the cranial bones and sacrum.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    970 views90 pages

    Craniosacral Osteopathy

    Uploaded by

    khorrami4
    This document discusses craniosacral osteopathy and the craniosacral system. It describes how the cranial bones are designed to allow movement and how the brain and spinal cord float in cerebrospinal fluid contained within the meningeal membranes. Craniosacral therapy works to balance CSF circulation and pressure by releasing tension in the dural membrane system through gentle manipulation of the cranial bones and sacrum.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    The document discusses craniosacral osteopathy, its principles, and the craniosacral system.

    The osteopathic principles discussed are that the body is a unit, structure and function are interrelated, and normal movement is essential for homeostasis.

    Craniosacral osteopathy involves the movement of cranial bones and membranes surrounding the brain and spinal cord known as the craniosacral rhythm or motion.

    Craniosacral

     Osteopathy  

    Hossein  Khorrami,  Ph.D.  DOMP  


    Osteopathic  Principles  
    •  The  body  is  a  unit,  and  the  person  represents  a  
    combina=on  of  body,  mind  and  spirit  
    •  The  body  is  capable  of  self-­‐regula=on,  self-­‐
    healing  and  health  maintenance  
    •  Structure  and  func=on  are  reciprocally  
    interrelated  
    •  Ra=onal  treatment  is  based  on  an  understanding  
    of  these  principles:  body  unity,  self-­‐regula=on,  
    and  the  interrela=onship  of  structure  and  
    func=on  
    Osteopathic  Principles  

    •  Andrew  Taylor  S=ll:  


    –  Normal  movement  of  the  body’s  structure  is  
    essen=al  to  their  func=on  and  to  effec=ve  
    homeostasis    
    Dysfunc=on  in  Osteopathy  
    •  When  the  normal  movement  of  an  organ  
    hindered  
    •  Could  be  symptoma=c    
    •  Modifica=ons  or  mi=gated  by  the  organism  
    Dysfunc=on    
    •  Primary  dysfunc=on  
    •  Secondary  modifica=on  or  a  new  
    dysfunc=on(some=mes)  
    •  …..  
    •  Restric=on  in  movement  
    •  Adapta=on  
    •  Characteris=cs  like  morphology,  gene=cs,  
    ac=vi=es,  life  style,  habits  and…  are  important  
    •  Asymptoma=c    
    •  Or  a  complex  dysfunc=onal  network  
    Complex  dysfunc=onal  network  
    •  If  permanent  and  reaches  vital  structures:  
    –  Reduce  adapta=on  ability  
    –  e.g.  diaphragm,  liver,  intes=ne…  
    –  Fa=gue,  cons=pa=on,  diarrhea,  insomnia,  mood  
    disorder…  as  symptoms  
    Craniosacral    
    •  It  was  an  American  osteopath  in  the  early  
    1900's,  William  Garner  Sutherland,  who  made  
    a  study  of  the  cranial  bones  and  he  realized  
    that  the  sutures  were  designed  to  allow  for  a  
    specific  movement  paYern  of  the  cranial  
    bones  
    •  The  brain  is  surrounded  by  a  fluid,  the  
    cerebrospinal  fluid  (CSF),  which  also  surrounds  
    the  spinal  cord  
    •  The  CSF  is  enclosed  within  a  membrane  
    system,  the  dural  membranes,  or  meninges,  
    which  together  form  a  hydraulic  system  
    •  The  dural  membranes  give  aYachment  to  the  
    cranial  bones  and  the  sacrum,  which  together  
    with  the  spine,  offer  protec=on  to  the  brain  
    and  spinal  cord  
    •  Our  brain  and  spinal  cord,  our  central  nervous  
    system  (CNS),  is  essen=ally  floa=ng  inside  our  
    head  and  spine  
    CSF  
    •  Choroid  plexus  
    •  Ventricles  I-­‐IV  

    •  Foramen  of  Magendie  

    hYps://www.youtube.com/watch?v=Gqw4vd8qApQ    
    Ventricles    
    CSF  &  BBB  
    Flow  of  CSF  
    CSF    
    •  CSF;  produc,on:  650ml/day-­‐  total  vol:  
    125ml/  circula,on/composi,on:  isosmo,c;  
    low  protein  &  glucose,  hi  Na  &  Cl,    
    •  O2  consump,on  at  rest:  49  ml/min  (20%  of  
    total)  
    •  Blood  flow  at  rest:  798  ml/min  (15%  of  total)      
    •  Glucose  consump,on  at  rest:  77  mg/min    
    Maninges    
    •  Dura  mater  
    –  AYachments:  occip.  Sagital,  frontal,  Crista  Galli  of  
    ethmoid,  sella  tursica  of  sphenoid,  C2-­‐3,  S2-­‐3  
    •  Arachnoid  
    •  Subarachnoid  
    •  Pia  mater  
    •  the  CSF  is  able  to  circulate  around  the  brain  
    and  up  and  down  the  inside  of  the  spine  
    •  The  pulsa=on  is  called  "THE  CRANIAL  
    RHYTHM",  the  movement  paYern  of  the  skull,  
    dural  membranes  and  CNS  is  known  as  
    "CRANIOSACRAL  MOTION”  
    •  Not  only  the  skull  and  CNS,  but  all  body  
    =ssues  exhibit  cranio-­‐sacral  mo=on  
    CSF  Absorp=on  
    •  Dura  95%  
    •  Lympha=c  system  5%  
    Dura  MaYer  &  Dural  Sinuses  
    AYachment  Points  In  Dural  System  
    •  In  front,  the  crista  galli(part  of  Ethmoid)  and  
    clinoid  processes(Sphenoid)  
    •  Laterally,  the  two  temporal  bones  
    •  In  back,  the  occipital  bone  
    •  Below,  the  sacrum  
    Dural  aYachments  
    Reciprocal  Tension  Membranes  
    Malposi=on    
    •  A  sacral  malposi=on  affects  the  
    occipitoatlantoaxial  (OAA)  complex  just  as  
    much  as  a  malposi=on  in  the  temporal  bone  
    or  sphenoidal  bone  
    •  The  consequences  are  even  greater  in  the  
    spinal  column  because  the  sensi=ve  muscle  
    spindles  there  have  an  exponen=al  effect  
    Theory  
    •  Balancing  CSF  circula=on  and  pressure  by  way  
    of  releasing  the  reciprocal  tension  membrane  
    of  the  Meningeal  System  or  the  Dural  tube    
    •   Cranial  Sacral  Therapy  u=lizes  the  cranial  
    bones  and  the  sacrum  as  levers  on  the  Dural  
    tube  in  a  manner  that  through  trac=on  'folds'  
    or  ‘riqs’  on  the  meningeal  membrane  are  
    stretched  and  re-­‐aligned    
    Important  Sutures  
    1.  Coronal  Suture  –  between  frontal  &  Parietal  bones    
     Very  few  adult  cases  with  frontal/  Metopic  Suture    
    2.  SagiYal  Suture  (Parietal  Suture)  between  the  2  Parietal  Bones    
     a.  Parietomastoid  Suture    
     b.  Sphenoparietal  Suture    
    3.  Sphenofrontal  Suture    
     a.  Spheno  parietal  suture    
     b.  Spheno  squamosal  suture    
     c.  Spheno  zygoma=c  suture    
    4.  Squamosal  Suture    
     a.  Sphenosquamosal  Suture    
     b.  Zygoma=c  temporal  Suture    
    5.  Lambdoidal  Suture    
     a.  Occipitomastoid  Suture    
    •  The  metopic  suture  (also  known  as  the  
    median  frontal  suture)  is  a  type  of  calvarial  
    suture.  It  is  oqen  associated  with  frontal  sinus  
    agenesis  or  hypoplasia    

    hYps://www.youtube.com/watch?v=FrpVzSK23Q0    
    Temporal  Bone  
    •  Mastoid  part  
    •  Squamous  part  
    •  Tympanic  part  
    •  Zygoma=c  part  
    •  Styloid  process  (  anchor  for  muscles  and  ligaments)  
    –  stylohyoid  ligament  
    –  stylomandibular  ligament  
    –  styloglossus  muscle    
    –  stylohyoid  muscle    
    –  stylopharyngeus  muscle    
    Temporal  bone  
    •  The  temporal  bone  ar=culates  with  five  skull  
    bones:  
    •  Occiput        
    •  Parietals      
    •  Sphenoid        
    •  Zygomas  
    •  Mandible    
    Pterion    
    Pterion    
    •  the  region  where  the  frontal,  parietal,  temporal,  and  
    sphenoid  bones  join  together  
    •   The  pterion  is  known  as  the  weakest  part  of  the  skull  
    •  The  anterior  division  of  the  middle  meningeal  artery  
    runs  underneath  the  pterion  
    •  Consequently,  a  trauma=c  blow  to  the  pterion  may  
    rupture  the  middle  meningeal  artery  causing  an  
    epidural  hematoma  
    •  The  pterion  may  also  be  fractured  indirectly  by  blows  
    to  the  top  or  back  of  the  head  that  place  sufficient  
    force  on  the  skull  to  fracture  the  pterion  
    Bevel  angle    
    •  Perpendicular  
    –  Frontal-­‐parietal  
    •  Flat    
    –  Temporal-­‐parietal  
    Sutherland  model  
    •  By  Garner  Sutherland  
    –  Movement  of  cranial  sutures,  -­‐-­‐-­‐>  craniosacral  
    concept  
    –  Cranial  Rhythmic  Impulse(CRI)  
    •  Is  the  mo=lity*  of  the  nervous  system  

    *mobility  is  possibility  of  being  moved  


    *mo=lity  is  move  by  itself  
    •  The  CNS  has  been  found  to  expand  and  
    contract  in  a  rhythmic  mo=on,  to  pulsate,  at  
    the  rate  of  about  6-­‐12  =mes  per  minute,  or  
    should  do  so  in  health    
    •  To  allow  for  this  normal,  pulsing  movement,  
    the  dural  membranes  must  be  free  and  
    flexible  and  the  cranial  bones  need  to  move  in  
    a  regular,  coordinated  paYern  
     
    Receptors  
    (eyes,  ears,  other  sense  organs)  
    change  informa=on     from  outside  the  
    body  (  for  example,  light  waves)  into  
    electrical  impulses.  
    Digitaliza=on    

    59  
    Recep=ve  field    

    60  
    S,mulus     Receptor   Loca,on   Recep,ve   Adapta,on    
    field  
    mechanorecep=on  
    Touch,  pressure     Free  nerve  ending   Hair  root     Variable    
     
    Small    
    Texture,  steady   Merkel  receptor     Slow    
    pressure   Superficial    
    FluYer,  stroking     Meissner     Rapid    
    Stretch     Ruffini     Deep   Large     Slow  
    Vibra=on     Pacinian  corpuscle   Extremely  rapid  
    Thermorecep=on    
    Cold     Free  nerve  ending   Superficial     Small     Rapid    
    Warm    
    Nocicep=on    
    Thermal         Small     Rapid    
    Free  nerve  ending   Superficial    
    Mechanical     Large     Slow    
    Polymodal  (  chemical)   Large     Slow    
    61  
    Flexion  and  Extension  
    •  Flexion  is  the  normal  mo=lity  movement  
    –  Induces  a  swelling  sensa=on  
    Flexion/Extension  
    Cranial  Flexion  
    Primary  Respiratory  Mechanism(PRM)  

    •  Fluctua=on  of  CSF  


    •  Ar=cular  mobility  of  the  cranial  bones  
    •  Involuntary  mo=on  of  sacrum  
    •  Inherent  mobility  of  brain  &  Sp.cord  
    Meninges    
    •  Dura  mater  
    –  Outer  layer  
    •  Fibrous  connec=ve  =ssue,  covering  inner  aspect  of  
    cranial  bones,  extend  to  sutures  and  outer  surface  
    –  Innermost  layer  
    •  Falx  cerebri  
    •  Tentorium  cerebelli  
    –  Sinuses  between  them  
    •  Arachnoid  
    •  Pia  mater  
    Dural  AYachments  
    •  Cranial  vault,  crista  galli,  sella  turcica    
    •  Foramen  magnum  to  C2-­‐C3  
    •  Anterior  por=on  of  sacral  canal,  S2  (S3)  
    •  Periosteum  of  coccyx  
    Reciprocal  Tension  Membrane(RTM)  
    •  Dural  membranes  are  under  constant  tension  
    •  Movement  of  brain  &  CSF  transmit  to  
    membranes  as  a  dynamic  shiqing  of  the  
    reciprocal  tension  
    Flexion    
    •  The  occipital  bone  makes  a  backward  rota=on,  
    and  the  sphenoidal  bone  makes  a  forward  
    rota=on,  in  which  the  SBS  rises    
    •  The  occipital  bone  slides  forward  over  the  atlas      
    •  This  corresponds  to  a  mechanical  extension  of  
    the  occiput  
    •  The  ethmoidal  bone,  lying  in  front  of  the  
    sphenoidal  bone,  makes  the  same  rota=on  as  the  
    occipital  bone    
    •  The  paired  or  peripheral  bones  make  an  external  
    rota=on  during  flexion  
    Flexion  &  Extension  
    •  The  forward  movement  of  the  occipital  bone  
    and  upward  
    •  movement  of  the  basilar  part  shiq  the  
    foramen  magnum  forward  
    •  This  results  in  a  cranial  pull  on  the  spinal  dura  
    mater  
    •  Consequently,  the  base  of  the  sacrum  pulled  
    upward  
    •  Causes  sacrum  extension  &  spine  stretch  
    Venous  Sinuses    
    •  1/3rd  of  blood  in  brain  

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