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Multiple Choice

Which of the following are contraindications to cranial manipulation?

Cranial manipulation is avoided whenever there is a risk of causing harm or interfering with the patient’s safety. Suspected intracranial hemorrhage or acute head trauma places the brain and intracranial pressure in a delicate state where even gentle forces could worsen bleeding or pressure dynamics. Open or depressed skull fractures represent actual defects or instability in the skull; applying any cranial force could displace bone fragments or transmit forces to brain tissue. Inability to relax or cooperate means the patient cannot allow the subtle, calibrated motions to be performed safely or effectively, increasing the risk of unintended movement or poor technique performance. Because all of these scenarios raise safety concerns, they are all contraindications to cranial manipulation.

Cranial manipulation is avoided whenever there is a risk of causing harm or interfering with the patient’s safety. Suspected intracranial hemorrhage or acute head trauma places the brain and intracranial pressure in a delicate state where even gentle forces could worsen bleeding or pressure dynamics. Open or depressed skull fractures represent actual defects or instability in the skull; applying any cranial force could displace bone fragments or transmit forces to brain tissue. Inability to relax or cooperate means the patient cannot allow the subtle, calibrated motions to be performed safely or effectively, increasing the risk of unintended movement or poor technique performance. Because all of these scenarios raise safety concerns, they are all contraindications to cranial manipulation.