By Alain Gehin
This name is directed basically in the direction of healthiness care execs open air of the U.S.. The author's a number of years of expertise give you the again bone for this quintessential illustrated creation to osteopathic manipulations of the cranium. the purpose of this booklet is to offer the practitioner or the scholar of osteopathy the elemental wisdom of biomechanics and cranial pathomechanics. those matters are on the center of all prognosis and supply the practitioner with the alternative of strategies they are going to use.
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Additional resources for Cranial Osteopathic Biomechanics, Pathomechanics and Diagnostics for Practitioners
The method of detection of these movements that we have developed will lead to the diagnosis and choice of speciﬁc techniques in order to restore the general motion of the temporal bone. Let us ﬁrst scrutinize the overall spectrum of movements of the temporal bone, which consists of four quite distinct sequences (see diagram on the next page) starting from its neutral position: • external rotation; • depression; • extreme rotation; • internal rotation. 58 Movements of the peripheral bones (the paired bones) • Figures 39 to 42 External rotation Neutral position Depression Extreme rotation 59 PA RT O N E : Movement of the pivots of the temporal bone Cranial Biomechanics The three pivots of the cranial base The petro-basilar pivot The articular surfaces involved include the seams located at the base of the occipital bone and the grooves lying in the temporal petrous, where it articulates with the occipital bone.
Movements of the midline bones • Figures 20, 21, 22 43 PA RT O N E : Movements of the sphenoid The main movement of the sphenoid occurs about its transverse axis in two successive stages: Cranial Biomechanics • ﬁrst, its body and its greater wings are displaced inferiorly and anteriorly with respect to its main axis, which is located in the middle of its body; • once this movement has taken place, the greater wings continue to move inferiorly and anteriorly, but this time about a transverse axis running through their roots or sites of attachment to the body.
Movements of the midline bones • Figures 30, 31, 32 51 PA RT O N E : Cranial Biomechanics 52 Movement of the vomer The vomer is a lamellar bone with oblique lines of force that run inferiorly and anteriorly; on the one hand, they balance vertical forces and, on the other, they stabilize the maxillary vault laterally. This double role forces the bone to offset this double stress by undergoing torsion. The transverse axis of the vomer lies in its central part between the strongest lines of force.