Master the OMM 6 Cranial Skills 2026 – Elevate Your Osteopathic Game!

In the cranial rhythmic mechanism, you have two phases: flexion and extension. Flexion is linked to inhalation and external rotation, while extension is linked to exhalation and internal rotation. So during the extension phase, the sphenoid and occiput rotate internally relative to each other and move toward extension, and this occurs with exhalation. That’s why internal rotation paired with exhalation is the correct combination.