201_CraniosacralTherapy

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Craniosacral TherapyIntroduction

Theresa A. Schmidt,DPT,MS,OCS,LMT,CEAS,Chy,DD

www.educise.comSponsored by: Cross Country Education

C2009 Copyright Theresa A. Schmidt
http://www.educise.com/http://www.educise.com/


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In the efforts to comply with the appropriateboards/associations, I declare that I do have an

affiliation with or financial interest in a commercialorganization 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 EducationLeading the Way in Professional Development.

www.CrossCountryEducation.com


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STRUCTURE & FUNCTIONOF FASCIA:

Craniosacral Dura


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Compartmentalizes andsurrounds everything!

Maintains posture Supports vessels, organs,

muscles, nerves, bones

Defines muscle motion


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Aids circulation Influences cell metabolism

Aligns with mechanicalstresses

Deposits collagen to rebuildand to heal injuries


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Relays and storesinformation

Electromagnetictransmission agent


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COMPOSITION OF FASCIA

Proteins:

collagen and elastin

Ground Substance:lubricates and separates


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CRANIOSACRAL ANATOMY

8 cranial

14 facial

6 auditory


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CRANIUM Frontal

Parietal-2 Occipital

Temporal-2 Sphenoid

Ethmoid


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FACIAL BONES Zygomatic-2

Maxillae-2

Mandible Nasal-2

Lacrimal-2

Palatine-2

Vomer

Inferior conchae-2


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ANATOMICAL LINKS

Cranial base

Core link- spinal dura

Sacrococcygeal complex,

S2, filum terminale, S4 Meninges, ventricles


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CRANIAL BASE Frontal

Sphenoid Ethmoid

Temporals Occipital


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MENINGES

Dura

Arachnoid Pia Mater


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DURA MATER

Falx Cerebri

Falx Cerebelli

Tentorium Cerebelli


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RECIPROCAL TENSIONMEMBRANES

Forces across a membraneare transmitted equallythrough CSF to othermembranes, hydraulicsystem


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CEREBROSPINAL FLUID Nourishing fluid produced by

choroid plexus circulates through 4

ventricles

Fluid mechanics affectmembrane tension


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VENTRICLES 2 Lateral Ventricles

Third Ventricle Fourth Ventricle

CSF travels through ducts inthe system


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EXAMINATION History

Structural Assessment Motion Analysis


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PALPATION

Craniosacral Rhythm

Cranial bones are anchors

for dural membranes


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THE WHOLE IS

GREATER THAN

THE SUM OF ITS

PARTS!


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PRINCIPLES OFCRANIOSACRAL MOTION

Craniosacral Rhythm (CSR)

Rhythmic inherent physiologicalmotion of 6-12 cycles/ minute


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CRANIAL MOTION Flexion / external rotation

(widening) Extension / internal

rotation (narrowing)


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FLEXION:EXTERNAL ROTATION:

Transverse diameter increases

A-P diameter decreases


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SPHENOBASILAR FLEXION:

External rotation of pairedbones: widening


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SPHENOID AND OCCIPUTROTATE IN OPPOSITE

DIRECTIONS:

Like a clamshell:

Opening into flexion

Closing in extension


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As sphenoid rotatesanteriorly,

occiput rotates posteriorly


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SPHENOBASILAR EXTENSION

Internal rotation of pairedbones

Narrowing


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Sacrum moves

in synchronywith sphenoid


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DURING SPHENOIDAL

FLEXION

Sacrum moves:Apex anteriorly

Base posteriorly

Clamshell opens


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FORAMEN MAGNUM

Moves superiorly Elevates Tenses the dura


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COUNTERNUTATION Craniosacral Flexion

Tail tucks in


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Sutures are not fused

in normals!Function as joints


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Sutural Joints Contain:

Fascia, dural attachments,Sharpeys fibers, nerves,

C fibers and blood vesselsNOT FUSED!


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RESPIRATION Inhalation enhances flexion

Exhalation enhances extension


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3 DIAPHRAGMS:

Tentorium Cerebelli

Respiratory Diaphragm

Pelvic Diaphragm

Depress and flatten during

inhalation


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CRANIOSACRALASSESSMENT


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Rate

Amplitude Quality

Symmetry of motion


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ABNORMAL CSR: Low Rate

Coma

Decreased vitality

Intracranial lesions


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ABNORMAL HIGH RATE Denervation

Drug use Hyperkinesis

Fever

Autism

Meningeal restrictions


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CRANIOSACRAL THERAPY

GOALS Reduce membrane restrictions

Increase mobility in articularrestrictions

Improve circulation

Reduce neural entrapment

Reduce abnormal sympathetic

tone


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PRECAUTIONAppropriate

diagnosticworkup mustbe done prior

to treatment


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CONTRAINDICATIONS Acute intracranial bleeding

Increased intracranial pressure Skull trauma or fracture

Arnold-Chiari malformation

ANY condition in which motionis contraindicated (Upledger)


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PRECAUTIONS Seizures

Internal hardware

Psychiatric or psychological disorders

Any history of brain trauma or stroke (Upledger)


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INDICATIONS

Acute systemic or local infections

Acute sprain and strain

Chronic pain

Visceral dysfunction

Autonomic dysfunction Rheumatoid arthritis

Emotional disorders


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INDICATIONS

Scoliosis

Visual disturbances

Auditory problems Cerebral ischemic episodes

Potential use in autism, ADD, seizures,

headaches, TMJ, chronic conditions


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CRANIOSACRAL

ASSESSMENT TECHNIQUES


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GENERAL & LOCAL

LISTENING


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CRANIOSACRAL RHYTHM Upledger: Accept what you sense

as real. Rhythmic pulse 6-12/min.

widening and narrowing

Palpate 5 grams of pressure orless, weight of a nickel


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PROPRIOCEPTION EXERCISES Enhance your

sensitivity

Rub hands briskly

Separate slowly

What do you feel?


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CRANIOSACRAL TECHNIQUES Select clinical interventions:

Transverse Plane Releases Cranial & Sacral Releases

Craniosacral Balancing


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TRANSVERSE PLANERELEASES

Respiratory diaphragm Pelvic floor

Thoracic outlet


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RESPIRATORY DIAPHRAGAM


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PELVIC FLOOR RELEASE


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THORACIC OUTLET RELEASE


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SELECT CRANIAL RELEASES

Temporal Lift Ear pull

Frontal Lift

Mandibular decompression

Craniosacral balancing


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TEMPORAL RELEASE


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FRONTAL LIFT


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MANDIBULAR

DECOMPRESSION


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CRANIOSACRAL BALANCING


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CRANIAL RELEASES

CV4: Occiput

Cochrane Database ofSystematic Reviews study

showed inprovement inheadaches


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CV-4 RELEASE


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Integration of Techniques

into a Treatment Plan


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WWW.EDUCISE.COM

Visit for outstanding seminars, DVDs,textbooks, and professional

consultations!

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