- Compartmentalizes and surrounds everything!
- Maintains posture
- Supports vessels, organs, muscles, nerves, bones
- Defines muscle motion
- Aids circulation
- Influences cell metabolism
- Aligns with mechanical stresses
- Deposits collagen to rebuild and to heal injuries
- Relays and stores information
- Electromagnetic transmission agent
COMPOSITION OF FASCIA
- Proteins : collagen and elastin
- Ground Substance : lubricates and separates
CRANIOSACRAL ANATOMY
- 8 cranial
- 14 facial
- 6 auditory
CRANIUL
- Frontal
- Parietal 2
- Occipital
- Temporal 2
- Sfenoid
- Etmoid
FACIAL BONES
- Zigomatic 2
- Maxilar 2
- Mandibula
- Nazal 2
- Lacrimal 2
- Palatine 2
- Vomer
- Inferior conchae 2
LEGATURI ANATOMICE ANATOMICAL LINKS
- Cranial base
- Cora link – spinal dura
- Sacrococcygeal complex , S2, filum terminale, S4
- Meninges, ventricles
CRANIAL BASE
- Frontal
- Sfenoid
- Edmoid
- Temporal
- Occipital
- MENINGES
- Dura
- Arachnoid
- Pia Mater
- DURA MATER
- Falx Cerebri
- Falx Cerebelli
- Tentorium Cerebelli
- RECIPROCAL TENSION MEMBRANES
- Forces across a membrane are transmitted equally through CSF to other
membranes, hydraulic system
- CEREBROSPINAL FLUID
- Nourishing fluid produced by choroid plexus
- Circulates through 4 ventricules
- Fluid mechanics affect membrane tension
- VENTRICULES
- 2 Lateral ventricules
- Third ventricule
- Fourth ventricule
- CSF travels through ducts in the system
- EXAMINATION
- History
- Structural assessment
- Motion analysis
PALPATION
Craniosacral rhythm
Cranial bones are anchors for dural membranes
THE WHOLE IS GREATER THAN THE SUM OF ITS PARTS!
PRINCIPIILE MIȘCĂRII CRANIOSACRALE
Craniosacral Rhythm (CSR)
Rhythmic inherent physiological motion of 6-12 cycles/ minute
Cranial motion
-flexion/ external rotation (widening)
-extension/internal rotation (narrowing)
FLEXION: EXTERNAL ROTATION:
-Transverse diameter increases
- A-P diameter decreases
SPHENOBASILAR FLEXION: External rotation of paired bones: widening
SPHENOID AND OCCIPUT ROTATE IN OPPOSITE DIRECTIONS:
Like a clamshell:
- Deschiderea în flexie
- Închidere în extensie
Pe măsură ce sfenoidul se rotește anterior, occiputul se rotește posterior
SPHENOBASILAR EXTENSION
-Internal rotation of paired bones
- Narrowing
Sacrum moves in synchrony with sphenoid Sacrul se mișcă în sincronie cu
sfenoidul
DURING SPHENOIDAL FLEXION
- Sacrum moves:
-Apex anteriorly
-base posteriorly
- Clamshell opens
FORAMEN MAGNUM
-Moves superiorly
-Elevates
-Tenses the dura
CONTRANUTATI
- Craniosacral flexion
- ‘’ tail tucks in’’
Sutures are not fused in normal! Function as joints
Suturile nu sunt fuzionate în mod normal! Funcționează
ca articulații
Satural Joints Contain:
Fascia, dural attachments, Sharpeys fibers, nerves, C fibers and blood vessels NOT
FUSED!
RESPIRATION
- Inhalation enhances flexion
- Exhalation enhances extension
3 DIAFRAGME:
-Tentorium cerebelli
- Diafragma respiratorie
-Diafragma pelviană
-Depress and flatten during inhalation
ABDOMINAL CSR: Low rate
-coma
-decreased vitality
-intracranial lesions
ABNORMAL HIGH RATE
-Denervation
-Drug use
-Hyperkinesis
-Fever
-Autism
- Meningeal restrictions
OBIECTIVELE TERAPIEI
CRANIOSACRALE
-Reduce membrane restrictions
-Increase mobility in articular restrictions
-Improve circulation
-Reduce neural entrapment
-Reduce abnormal sympathetic tone
PRECAUTION – Appropriate diagnostic workup must be done prior to treatment
CONTRAINDICATIE
- Acute intracranial bleeding
- Increased intracranial pressure
- Skull trauma or fracture
- Arnold-Chiari malformation
- ANY condition in which motion is contraindicated (Upledger)
PRECAUTIONS
-Seizures
-Internal hardware
-Psychiatric or psychological disorders
- Any history of brain trauma or stroke
- (Upledger)
INDICATION
-Acute systemic or local infections
-Acute sprain and strain
-Chronic pain
-Visceral dysfunction
-Autonomic dysfunction
-Rheumatoid arthritis
-Emotional disorders
-Scoliosis
-Visual disturbances
-Auditory problems
-Cerebral ischiemic episodes
- Potential use in autism ,add, seizures, headaches, TJM, chronic conditions
CRANIOSACRAL RHYTHM
-Upledger: ‘’Accept what you sense as real’’
-Rhythmic puls 6-12/min.widening and narrowing
-Palpate 5 grams of pressure or less,weight of a nickel
PROPRIOCEPTION EXERCISES
-Enhance your sensitivity
-Rub hands briskly
-Separate slowly
-What do you feel ?
CRANIOSACRAL TECHNIQUES
-Select clinical interventions:
- Transverse Plane Releases
- Cranial & Sacral Releases
-Craniosacral Balancing
TRANSVERSE PLANE RELEASES
-Respiratory diaphragm
-Pelvic floor
-Thoracic outlet
SELECT CRANIAL RELEASES
-Temporal Lift ‘’Ear pull’’
-Frontal Lift
-Mandibular decompression
-Craniosacral balancing
CRANIAL RELEASES
-CV4: Occiput
- Cochrane database of systematic reviews study showed improvement in
headaches
