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Radiographic evidence of cranial bone mobility.

Sheryl Lynn Oleski1, Gerald H Smith, William T Crow

  • 1Philadelphia College of Osteopathic Manipulative Medicine, PA 19131, USA.

Cranio : the Journal of Craniomandibular Practice
|February 8, 2002
PubMed
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External manipulation of the cranium can alter cranial vault and base parameters. This study demonstrates that cranial bone mobility is measurable using X-ray imaging, with significant changes observed in most patients.

Area of Science:

  • Radiology
  • Orthodontics
  • Anatomy

Background:

  • Cranial manipulation is a therapeutic technique.
  • Assessing its effects on cranial structure requires precise measurement.
  • Radiographic analysis offers a method for quantitative evaluation.

Purpose of the Study:

  • To investigate whether external manipulation of the cranium affects measurable parameters of the cranial vault and base.
  • To determine if these alterations are detectable via X-ray imaging.

Main Methods:

  • Retrospective chart review of twelve adult patients undergoing cranial vault manipulation.
  • Pre- and post-treatment X-rays were taken with the head in a fixed positioning device.
  • Angular changes between specific cranial landmarks were measured radiographically.

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Main Results:

  • Mean angular changes were recorded at various landmarks: atlas (2.58°), mastoid (1.66°), malar line (1.25°), sphenoid (2.42°), and temporal line (1.75°).
  • 91.6% of patients showed measurement differences at three or more sites.
  • These findings indicate measurable cranial bone mobility.

Conclusions:

  • External cranial manipulation can induce measurable changes in cranial vault and base parameters.
  • Radiographic imaging is a viable tool for documenting and quantifying cranial bone mobility.
  • The study supports the concept of cranial bone plasticity and its assessment through X-ray analysis.