Cranial Somatic Dysfunction

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The OMT Cranial Somatic Dysfunction provides High Yield information that is needed for the COMLEX Level 1, 2, and 3 during Medical School.

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Cranial Basics

Components of the primary respiratory mechanism (PRM)
  1. Fluctuation of the CSF.
  2. Inherent Rhythm of Brain & Spinal Cord.
  3. Articular Mobility of Cranial Bones.
  4. Tension of Dura (Reciprocal Tension Membrane).
  5. Motion of Sacrum between Ilia.

Cranial Rhythmic Impulse (CRI)

Attachment of dura

Midline cranial bones (SOVE)

Physiologic Craniosacral Somatic Dysfunction (Postural)




Non-Physiologic Craniosacral Somatic Dysfunction (E.g. Car accident)


Superior Vertical strain

Phantom Hands

Index fingers move inferiorly to patient’s feet, pinkies move superiorly toward physician

Superior Vertical Strain Phantom Hands Movement
Powellle / CC BY-SA

Inferior Vertical strain

Lateral strain


OMT Cranial Somatic Dysfunction Treatments

Vault hold 

Compression of the fourth ventricle (CV-4)

SBS decompression

Venous Sinus Technique

V-Spread treatment