2024 ISM Series Update (BC 2024-11)

Who can attend

This course is open to all ISM graduates from 2015 onward who wish to update their skills particularly in the cranium, its fluids (CSF, glymphatics, venous drainage) and the connections from the cranium to the visceral thoracic fascia and spinal dura. If you did your ISM Series prior to 2015, much has changed and I would encourage you to take the whole thing again.

About This Course

This is a 3-day highly practical course that will update/refine your ISM skills for assessment and treatment of cranial region drivers with vectors that can extend into the thoracic visceral system, spinal dura to the coccyx and more.

This will be a smaller group course than usual to ensure hands on validation with Diane.

Preparation

Once registered, you will have access to the ISM Flow in COURSES under your profile. If you did the ISM Series after 2019, you will already have this material in your account; however, there have been some updates in the last 2 years so check them out.

The most common comment I received on the feedback forms for the ISM Cranium, Neck and Upper Thorax course is this: “I wish I had done more anatomy prep for this course!”.  So here is some detail as to what you can study to be prepared. This is a great website to learn about the anatomy of the cranium https://courses.lumenlearning.com/suny-ap1/chapter/the-skull/

Bones of the cranium – anatomy and surface anatomy of:

1. Temporal bones – mastoid process, squamous portion, note the angle of the petrous portion of the temporal bone and the groove along the posterior side in which the sigmoid sinus runs
2. Sphenoid – greater and lesser wings, base of the sphenoid which attaches to the base of the occiput at the sphenobasilar symphysis, anterior and posterior clinoid processes (anterior attachment of the cerebellar tentorium), pterygoid processes (medial part of the lateral pterygoid is the cranial attachment of the visceral fascia surrounding the trachea and esophagus known as the buccophargyngeal fascia)
3. Occiput – note how the petrous portion of the temporal bone has a suture articulation with the sphenoid anteriorly (look at a picture of the base of the cranium), a suture articulation with the occiput only posteriorly (the occipitomastoid suture) and a space between the posterior part of the petrous portion and the occiput. Two spaces include the jugular foramen which holds the internal jugular vein (main vein that drains the brain), posterior meningeal artery (supplies the upper spinal cord and cerebellum) and cranial nerves 9, 10 and 11 and the foramen lacerum through which the carotid artery enters the cranium. We will mobilize the sutures of the sphenoid/temporal bone and the occiput/temporal bone.
4. Parietal bones – find the parietal notch
5. Frontal bone – note its suture with the top of the greater wing of the sphenoid, the zygoma, nasal bones and the coronal suture where it joins the parietal bones
6. Ethmoid – note its attachment to the sphenoid and how the crista galli protrudes through the ethmoid notch of the frontal bones
7. Reciprocal tension membrane (dura) anatomy – note the attachments of the cerebral falx and the cerebellar tentorium
8. Venous sinuses – note the superior and inferior sagittal sinus, confluens of sinuses posteriorly, the transverse sinuses, sigmoid sinus and the inferior and superior petrosal sinuses and how they all drain into the internal jugular vein.
9. Review any other anatomy of the neck, upper and middle thorax including the shoulder girdle you feel you need. We will palpate in detail the following:
   1. medial and lateral ends of the clavicle and the sternoclavicular joint
   2. manubrium

Deep cervical fascia and its connections to the cranium, clavicle and visceral thorax/diaphragm. I will put a 30 minute lecture I have developed into your accounts for your to review this anatomy ahead of time.

Location

Akasha Studio at Diane Lee & Associates

101-15303 31st Ave

Surrey, BC V3Z 6X2