05/01/10 - Had our first ASM lecture today. I'm really excited about this module as having seen tutors who are able to use this technique in clinic look so professional and slick, they make it look effortless and the patients say that it is so comfortable to have it done to them.
12/01/10 - Okay so this week we revisited the principles of ASM. I'm still struggling with doing HVT with long levers that I don't think I'm at the stage where I can learn minimal leverage yet.
19/01/10 - Today we discussed junctional areas and looked at mobilising the T/L and L/S. Now normally I can manage to cavitate a T/L as the rotational element of the joint means it is an easy joint to cavitate with rotation, but with ASM I just cant feel the tension in the joint.
What has been good about today is the discussion of the L/S and that its plane of movement can vary quite considerably hence why is a standardised approach to winding up the L/S then it may not be possible to cavitate it, but the direction of the plane needs to be tested before hand.
26/01/10 - Today we looked at side bending as the primary lever to HVT. It would be extremely advantageous to be able to mobilise the LSpine or CSpine with side bending. I can think of numerous occasions where if I was proficient at side bending thrusts it would have been more comfortable for the patient. I can also think of alot of patients whereby side bending as the primary lever in the LSpine would have been beneficial when there has been the possibility of discal involvement hence why rotation isn't suitable hence Ive opted not to mobilise the LSpine.
09/02/10 - Sitting CSpine thrusts are something that I like and something that I find relatively easy to perform, however I'm still struggling to apply minimal leverage. One really important thing that Daryl mentioned to us today is that he thinks we possible are so used to feeling the tight tension of a locked joint pre thrust that we are missing the tension of a wound up joint, I think he is right here but I just feel that I don't have enough experience to establish if the joint is wound up. I guess the only way it to attempt the trust, but that goes against everything we have been taught about not delivering the impulse unless we feel the joint is wound up.
He also demonstrated how to perform sitting LSpine thrust as side bending .... he's very good !!!
My struggle with the CT junction continues but today we were shown a seated CT thrust. As always Daryl made it look so easy, but its not. The beauty of the technique is that apart from having your head held and vision slightly obscured it was a really comfortable position to be in during the thrust. This one definitely needs some practice so I can utilise it on my patients.
23/02/10 - Rib thrusts are interesting thrusts. But as I'm struggling with my Dog technique I'm also struggling with my rib thursts. If I'm honest I don't feel today's session added anything to my rib thrust technique ... perhaps I'm just feeling rather despondent at the moment.
09/03 - Having the same old issue here with the SI thrusts as I'm having with all the other thrusts, i.e. if I cant feel the wind up with long levers how am I supposed to feel it with minimal short levers. Daryl's SI thrust is interesting as he delivers the impulse to the SI closest to the table opposed to the SI closest to the operator. I'm not sure what to think about this technique. I know Daryl is expectational at HVT's so I can see how it would work for him but I really struggled to establish where my force was being applied into the patients pelvis so I really could not say if I was feeling tension in the correct SI !!!
Tuesday 5 January 2010
Monday 4 January 2010
What Is Cranial Osteopathy?
Even though Im no longer taking the cranial elective, I still feel its important for my learning that I have a greater understanding of what cranial osteopathy is. Hence after some research this is what I have found out.
Cranial Osteopathy - The five fundamental principles of the cranio sacral mechanism
The cranial concept is a system of therapy that is being used widely throughout the world and I will try to explain the fundamental principles that apply to it. The cranial concept was first developed by an osteopath called William Garner Sutherland in the early 20th century and he was the first to coin the phrase cranial-osteopathy. Since Sutherland, there have been practitioners like Upledger who have further developed the theory and other branches have developed such as cranio-sacral therapy (craniosacral). The system of cranial osteopathy and cranio-sacral therapy is becoming more and more popular in Israel and in Jerusalem specifically patients are beginning to benefit from it due to greater awareness.
Whether an osteopath uses cranial osteopathy, structural osteopathy, classical, visceral or functional osteopathy, the same principles of diagnosis are used which are based on a system that applies anatomy and physiology in order to prevent disease. The osteopath considers the whole body as a unit all of whose parts need to be properly nourished by its internal fluid environment in order to function, heal itself and thus combat disease.
When the osteopath considers the body as a whole, inevitably this includes the cranium and all of it components; it's bone, cartilage, membranes and internal environment that is nourished by blood-vessels and nerves.
5 fundamental principles exist in cranial osteopathy:
1) That an inherent mobility exists within the brain and spinal cord.
The neural tube develops in the embryo with 2 anterior sections that invaginate and curl up like a ram's horn to form the cerebral cortex. Since it is believed that there is inherent motility within the brain, the pulsating motility responds by curling and uncurling in the way it was developed.
2) Fluctuation of the cerebro-spinal fluid.
There are a number of theories as to how the CSF fluctuates and what the basis of its movement is. For the osteopath however, the important factor is that changes in pressure can be palpated along the route of the CSF and any existing restrictions may alter the CSF fluctuation and have consequences on the body.
3) Motility of intracranial and spinal membranes.
The spinal membranes that form the structures of the intracranial membranes are the falx cerebri and the 2 tentorium cerebelli. These sickle-shaped structures arise from a common origin at the straight sinus known as "The Sutherland fulcrum". The insertions of these membranes are along various points around the cranium. The falx cerebri originates at the internal occipital protuberance, travels upward and forward and eventually insert into the crista galli of the ethmoid bone. The 2 tentoria cerebelli pass along the transverse ridges and the two converge on the body of the sphenoid and insert onto the anterior clinoid process. Together, these membranes constitute the reciprocal tension membranes linking the cranium to the sacrum, functioning as a unit around a common fulcum - the Sutherland fulcrum.
4) Mobility of the bones of the skull.
Whilst the skull may appear to be a solid structure in fact it has zigzag edges which grow together to form movable sutures. These joints evolve from smooth-edged plates of membrane in the newborn and eventually evolve into articulations with slight movement according to the contours of the two surfaces.
5) The involuntary mobility of the sacrum between the ilia.
Not to be confused with movement of nutation and counter-nutation of the sacrum between the ilia, the cranial-osteopathic concept considers the sacrum having an involuntary, respiratory mobility. We have already mentioned the mobility of the intracranial and spinal membranes and it is the lower attachment of these membranes to the sacrum that results in the direction and containment of the sacrum's movement. The movement is a physical extension of the primary respiratory mechanism and allows the sacrum to flex an extend at the level of the second sacral vertebra.
It is with the comprehension of these five fundamental concepts that the cranial osteopath starts to understand the craniosacral mechanism. With a knowledge of the anatomy of the cranium, the physiology of the respiratory mechanism and the cranio-sacral rhythm the osteopath embarks upon a path of therapeutics that are applicable to all kinds of ailments experienced by patients.
(http://osteopathy4osteopaths.blogspot.com/)
Cranial Osteopathy - The five fundamental principles of the cranio sacral mechanism
The cranial concept is a system of therapy that is being used widely throughout the world and I will try to explain the fundamental principles that apply to it. The cranial concept was first developed by an osteopath called William Garner Sutherland in the early 20th century and he was the first to coin the phrase cranial-osteopathy. Since Sutherland, there have been practitioners like Upledger who have further developed the theory and other branches have developed such as cranio-sacral therapy (craniosacral). The system of cranial osteopathy and cranio-sacral therapy is becoming more and more popular in Israel and in Jerusalem specifically patients are beginning to benefit from it due to greater awareness.
Whether an osteopath uses cranial osteopathy, structural osteopathy, classical, visceral or functional osteopathy, the same principles of diagnosis are used which are based on a system that applies anatomy and physiology in order to prevent disease. The osteopath considers the whole body as a unit all of whose parts need to be properly nourished by its internal fluid environment in order to function, heal itself and thus combat disease.
When the osteopath considers the body as a whole, inevitably this includes the cranium and all of it components; it's bone, cartilage, membranes and internal environment that is nourished by blood-vessels and nerves.
5 fundamental principles exist in cranial osteopathy:
1) That an inherent mobility exists within the brain and spinal cord.
The neural tube develops in the embryo with 2 anterior sections that invaginate and curl up like a ram's horn to form the cerebral cortex. Since it is believed that there is inherent motility within the brain, the pulsating motility responds by curling and uncurling in the way it was developed.
2) Fluctuation of the cerebro-spinal fluid.
There are a number of theories as to how the CSF fluctuates and what the basis of its movement is. For the osteopath however, the important factor is that changes in pressure can be palpated along the route of the CSF and any existing restrictions may alter the CSF fluctuation and have consequences on the body.
3) Motility of intracranial and spinal membranes.
The spinal membranes that form the structures of the intracranial membranes are the falx cerebri and the 2 tentorium cerebelli. These sickle-shaped structures arise from a common origin at the straight sinus known as "The Sutherland fulcrum". The insertions of these membranes are along various points around the cranium. The falx cerebri originates at the internal occipital protuberance, travels upward and forward and eventually insert into the crista galli of the ethmoid bone. The 2 tentoria cerebelli pass along the transverse ridges and the two converge on the body of the sphenoid and insert onto the anterior clinoid process. Together, these membranes constitute the reciprocal tension membranes linking the cranium to the sacrum, functioning as a unit around a common fulcum - the Sutherland fulcrum.
4) Mobility of the bones of the skull.
Whilst the skull may appear to be a solid structure in fact it has zigzag edges which grow together to form movable sutures. These joints evolve from smooth-edged plates of membrane in the newborn and eventually evolve into articulations with slight movement according to the contours of the two surfaces.
5) The involuntary mobility of the sacrum between the ilia.
Not to be confused with movement of nutation and counter-nutation of the sacrum between the ilia, the cranial-osteopathic concept considers the sacrum having an involuntary, respiratory mobility. We have already mentioned the mobility of the intracranial and spinal membranes and it is the lower attachment of these membranes to the sacrum that results in the direction and containment of the sacrum's movement. The movement is a physical extension of the primary respiratory mechanism and allows the sacrum to flex an extend at the level of the second sacral vertebra.
It is with the comprehension of these five fundamental concepts that the cranial osteopath starts to understand the craniosacral mechanism. With a knowledge of the anatomy of the cranium, the physiology of the respiratory mechanism and the cranio-sacral rhythm the osteopath embarks upon a path of therapeutics that are applicable to all kinds of ailments experienced by patients.
(http://osteopathy4osteopaths.blogspot.com/)
Subscribe to:
Posts (Atom)