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Theresa A. Schmidt, DPT,MS,OCS,LMT,CEAS,Chy,DD
Sponsored by: Cross Country Education
C2009 Copyright Theresa A. Schmidt
In the efforts to comply with the appropriate boards/associations, I declare that I do have an affiliation with or financial interest in a commercial organization that could pose a conflict of interest with my presentation.
Craniosacral Therapy Introduction By Theresa A. Schmidt, DPT,MS,OCS,LMT,CEAS,CHY,DD
Cross Country Education
Leading the Way in Professional Development. www.CrossCountryEducation.com
STRUCTURE & FUNCTION OF FASCIA: Craniosacral Dura
organs.Compartmentalizes and surrounds everything! Maintains posture Supports vessels. nerves. muscles. 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 .
CRANIUM Frontal Parietal-2 Occipital Temporal-2 Sphenoid Ethmoid .
FACIAL BONES Zygomatic-2 Maxillae-2 Mandible Nasal-2 Lacrimal-2 Palatine-2 Vomer Inferior conchae-2 .
S4 Meninges. filum terminale. S2.spinal dura Sacrococcygeal complex.ANATOMICAL LINKS Cranial base Core link. ventricles .
CRANIAL BASE Frontal Sphenoid Ethmoid Temporals Occipital .
MENINGES Dura Arachnoid Pia Mater .
DURA MATER Falx Cerebri Falx Cerebelli Tentorium Cerebelli .
hydraulic system .RECIPROCAL TENSION MEMBRANES Forces across a membrane are transmitted equally through CSF to other membranes.
CEREBROSPINAL FLUID Nourishing fluid produced by choroid plexus circulates through 4 ventricles Fluid mechanics affect membrane tension .
VENTRICLES 2 Lateral Ventricles Third Ventricle Fourth Ventricle 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! .
PRINCIPLES OF CRANIOSACRAL MOTION 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: Opening into flexion Closing in extension .
occiput rotates posteriorly .As sphenoid rotates anteriorly.
SPHENOBASILAR EXTENSION Internal rotation of paired bones Narrowing .
Sacrum moves in synchrony with sphenoid .
DURING SPHENOIDAL FLEXION Sacrum moves: Apex anteriorly Base posteriorly Clamshell opens .
FORAMEN MAGNUM Moves superiorly Elevates Tenses the dura .
COUNTERNUTATION Craniosacral Flexion “Tail tucks in” .
Sutures are not fused in normals! Function as joints .
Sutural Joints Contain: Fascia. nerves. dural attachments. Sharpeys fibers. C fibers and blood vessels NOT FUSED! .
RESPIRATION Inhalation enhances flexion Exhalation enhances extension .
3 DIAPHRAGMS: Tentorium Cerebelli Respiratory Diaphragm Pelvic Diaphragm Depress and flatten during inhalation .
CRANIOSACRAL ASSESSMENT .
Rate Amplitude Quality Symmetry of motion .
ABNORMAL CSR: Low Rate Coma Decreased vitality Intracranial lesions .
ABNORMAL HIGH RATE Denervation Drug use Hyperkinesis Fever Autism Meningeal restrictions .
CRANIOSACRAL THERAPY GOALS 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 .
CONTRAINDICATIONS 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) .
INDICATIONS Acute systemic or local infections Acute sprain and strain Chronic pain Visceral dysfunction Autonomic dysfunction Rheumatoid arthritis Emotional disorders .
ADD.INDICATIONS Scoliosis Visual disturbances Auditory problems Cerebral ischemic episodes Potential use in autism. TMJ. chronic conditions . headaches. seizures.
CRANIOSACRAL ASSESSMENT TECHNIQUES .
GENERAL & LOCAL LISTENING .
” Rhythmic pulse 6-12/min. weight of a nickel . widening and narrowing Palpate 5 grams of pressure or less.CRANIOSACRAL RHYTHM Upledger: “Accept what you sense as real.
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
PELVIC FLOOR RELEASE .
THORACIC OUTLET RELEASE .
SELECT CRANIAL RELEASES Temporal Lift “Ear pull” Frontal Lift Mandibular decompression Craniosacral balancing .
TEMPORAL RELEASE .
FRONTAL LIFT .
MANDIBULAR DECOMPRESSION .
CRANIOSACRAL BALANCING .
CRANIAL RELEASES CV4: Occiput Cochrane Database of Systematic Reviews study showed inprovement in headaches .
CV-4 RELEASE .
Integration of Techniques into a Treatment Plan .
EDUCISE.WWW. DVDs. and professional consultations! .COM Visit for outstanding seminars. textbooks.
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