So we're gonna talk a little bit more about
cranial osteopathic manipulative medicine
So cranial osteopathic manipulative medicine is the
application of osteopathic principles to the cranium
We're looking at the anatomy and physiology
and how it ties to structure and function.
So there's a growing evidence of osteopathic
research looking at how cranial osteopathic medicine
could affect different
medical problems and issues.
And because of the proximity of the
cranium to the central nervous system,
this gives us a good opportunity to apply the
neurologic model in looking at how we could
further examine how cranial osteopathic medicine
could affect different neurologic conditions.
The primary respiratory mechanism
is an inherent physiologic motion
that is perceivable throughout the entire body.
This is a motion that is there at birth, there is a
expansion and contraction of the central nervous system.
Another term for this is the
cranial rhythmic impulse.
So there's been different research related
to examining the cranial rhythmic impulse
and associating with what's called
This has been studied using a laser dopler.
And so what they found is a cycle about 10
to 14 expansion-contractions per minute.
This correlates with what is being
palpated by cranial osteopathic positions
and if you have a rate that is below 10
or above 14- that is considered abnormal.
So the primary respiratory mechanism
is based on 5 basic phenomena.
So the first one is that there is an inherent
motility of the brain and spinal cord.
So there is a expansion and contraction of the
brain and spinal cord
and there is a movement there
present since birth.
There's a fluctuation of the CSF, so there is no
direct blood flow of the central nervous system.
The cerebrospinal fluid base,
the brain and the spinal cord.
And so for motion and
movement of the fluid there,
there's a certain fluctuation that allows
for transport of nutrients and waste.
There is movement of the intracranial
and intraspinous membranes.
So the dural membranes attach to the cranial bones
and similar to how ligaments attach to bone,
the dural membranes help to guide and limit the amount
of motion and movement present at the cranial bones.
There's a articular mobility
of the cranial bones.
So the cranial bones themselves
have motion and movement,
based on the different types
of sutures and attachments
there might be more of a hinge-like
motion with the serrated sutures.
There might be more of a gliding motion
when you have more of a squamous sutures
so the cranial bones have a innate
ablity to articulate and move.
Finally, there's a involuntary, involuntary
mobility of the sacrum between the ilia.
So due to the dural connections from the
cranium down to sacrum via the spinal cord,
the sacrum actually will nutate and
couternutate due to that pull.
And so there is a mobility of that sacrum
as it articulates with the pelvis.