Atlas of Osteopathic Techniques

Front Cover
......Page 1
Back Cover
......Page 2
Dedication
......Page 7
Preface
......Page 9
Acknowledgments
......Page 11
Contents
......Page 13
List of Techniques
......Page 14
PART 1: OSTEOPATHIC PRINCIPLES IN DIAGNOSIS
......Page 19
Barrier Concepts
......Page 23
Myofascial-Articular Components
......Page 24
Layer-By-Layer- Palpation
......Page 25
References
......Page 26
2. Osteopathic Static Musculoskeletal Examination
......Page 27
Landmarks to locate the C1 transverse process
......Page 28
Important landmarks of the shoulder girdle
......Page 29
Landmarks to help determine horizontal levelness
......Page 30
Planes of the body
......Page 31
Anterior view points of reference
......Page 32
Posterior view points of reference
......Page 33
Lateral view points of reference
......Page 34
3. Spinal Regional Range of Motion
......Page 35
Forward bending and backward bending (flexion and extension), Active
......Page 36
Forward bending and backward bending (flexion and extension), Passive
......Page 37
Side bending, Active and Passive
......Page 38
Rotation, Active and Passive
......Page 39
T1 to T4 Side Bending, Passive
......Page 40
T5 to T8 Side Bending, Passive
......Page 41
T9 to T12 Side Bending, Passive
......Page 42
T9 to T12 Rotation, Active 
......Page 43
T9 to T12 Rotation, Passive
......Page 44
Forward Bending and Backward Bending (Flexion and Extension), Active
......Page 45
Side Bending, Active
......Page 46
Side Bending, Passive, with Active Hip Drop Test
......Page 47
Normal Spinal Ranges of Motion for Active and Passive Testing
......Page 48
Skin Topography and Texture
......Page 49
Erythema Friction Rub
......Page 50
Lumbar Region Cross-Section
......Page 52
5. Intersegmental Motion Testing
......Page 53
L1 to L5-S1 Rotation, Short-Lever Method, Prone (L4 Example)......Page 55
L1 to L5-S1 Side Bending, Translational Short-Lever Method, Prone (L4 Example)
......Page 56
L1 to L5-S1 Type 2, Extension (Sphinx Position) and Flexion, Prone
......Page 57
L1 to L5-S1 Passive Flexion and Extension, Lateral Recumbent Position
......Page 58
L1 to L5-S1 Passive Side Bending, Lateral Recumbent Position (L5-S1 Example)
......Page 60
T1 to T4 Side Bending, Lateral Recumbent Position (Long Lever)
......Page 61
T1 to T4 Passive Flexion, Extension, Side Bending, and Rotation, Seated, Long-Lever
......Page 62
T1 to T12 Passive Flexion and Extension, Translatory Method, Seated (T6-T7 Example)
......Page 64
T1 to T12 Translatory Method (Passive Side Bending), Seated
......Page 65
T1 to T12 Prone Short-Lever Method, Passive Rotation, Side Bending (Example T7)
......Page 66
T8 to T12 Long-Lever Method, Passive Flexion and Extension, Lateral Recumbent
......Page 67
T8 to T12 Long-Lever Method, Passive Side Bending, Lateral Recumbent
......Page 68
Rib Excursion with Inhalation
......Page 69
Examination of the Axes of Rib 1 and Rib 6
......Page 70
Bucket Handle Rib Motion
......Page 71
Upper Ribs 1 and 2, Supine Method
......Page 72
First Rib, Elevated, Seated Method
......Page 73
Upper Ribs 3-6, Supine Method
......Page 74
Lower Ribs 7 to 10, Supine Method
......Page 75
Floating Ribs 11 and 12, Prone Method
......Page 76
Occipitoatlantal Articulation (Occiput-C1), Type I Coupling Motion
......Page 78
Atlantoaxial Articulation (C1-C2), Rotation
......Page 80
Atlantoaxial (C1-C2), Supine, with Flexion Alternative
......Page 81
C2 to C7 Articulations, Short-Lever Translatory Effects, Type II Motion
......Page 82
C2 to C7 Articulations, Long-Lever Method, Type II Motion (e.g., C3SRRR or SLRL)
......Page 83
Pelvis on Sacrum (Iliosacral), Anteroposterior Rotation, Supine, Long Lever (Leg Length)
......Page 84
Sacroiliac Joint and Pelvic Dysfunctions, Pelvic (e.g., Innominate Rotation, Shear, Inflare-Outflare), Standing Flexion Test
......Page 85
Sacroiliac Joint and Pelvic Dysfunctions, Pelvic (Innominate) or Sacral, Seated Flexion Test
......Page 86
Sacroiliac Joint Motion, Pelvis on Sacrum (Iliosacral Dysfunction), Anteroposterior Rotation Prone, Long Lever
......Page 87
Sacroiliac Joint Motion, Pelvis on Sacrum (Iliosacral Dysfunction), Inflare-Outflare Prone, Long Lever
......Page 88
Sacroiliac Joint Motion, General Restriction, Prone, Short Lever
......Page 89
Sacroiliac Joint Motion, General Restriction or Anterioposterior Rotation, Supine, Short Lever
......Page 90
PART 2: OSTEOPATHIC MANIPULATION TECHNIQUES
......Page 91
Direct and Indirect Technique
......Page 93
Contraindications
......Page 94
References
......Page 95
Direct Inhibitory Pressure
......Page 97
General Considerations and Rules
......Page 98
Traction, Supine
......Page 99
Forward Bending (Forearm Fulcrum), Supine
......Page 100
Forward Bending (Bilateral Fulcrum), Supine
......Page 101
Contralateral Traction, Supine
......Page 102
Cradling with Traction, Supine
......Page 103
Suboccipital Release, Supine
......Page 104
Rotation, Supine
......Page 105
Supine, Forefingers Cradling
......Page 106
Thumb Rest, Supine
......Page 107
Coupling with Shoulder Block, Supine
......Page 108
Lateral Traction, Seated (Example: Left Cervical Paravertebral Muscle Hypertonicity, Fascial Inelasticity, and Others)
......Page 109
Sitting Traction (Example, Using right knee)
......Page 110
Head and Chest Position, Seated
......Page 111
Prone Pressure
......Page 112
Prone Pressure with Two Hands (Catwalk)
......Page 113
Prone Pressure with Counterpressure
......Page 114
Side Leverage, Lateral Recumbent
......Page 115
Bilateral Thumb Pressure, Prone
......Page 116
Trapezius, Inhibitory Pressure, Supine
......Page 117
Upper Thoracic with Shoulder Block, Lateral Recumbent
......Page 118
Lower Thoracic Under the Shoulder, Lateral Recumbent
......Page 119
Over and Under Technique
......Page 120
Midthoracic Extension, Seated
......Page 121
Rib Raising, Supine Extension
......Page 122
Prone Pressure
......Page 123
Prone Traction
......Page 124
Bilateral Thumb Pressure, Prone
......Page 125
Scissors Technique, Prone
......Page 126
Prone Pressure with Counterleverage
......Page 127
Lateral Recumbent Position
......Page 128
Supine Extension
......Page 129
Long-Lever Counterlateral with Knees, Supine
......Page 130
Left, Lumbar Paravertebral Muscle Spasm, Myofascial Hypertonicity, Seated
......Page 131
References
......Page 132
Technique Principles
......Page 133
General Considerations and Rules
......Page 134
Supine Cradling
......Page 136
Thoracic Inlet and Outlet, Seated Steering Wheel
......Page 137
Prone
......Page 138
Bilateral Sacroiliac Joint wiht Forearm Pressure, Supine
......Page 139
Prone
......Page 140
Interosseous Membrane, Seated
......Page 141
Supine Leg Traction
......Page 142
References
......Page 146
Technique Principles
......Page 147
Absolute Contraindications
......Page 148
General Considerations and Rules
......Page 149
Abbreviations for Counterstrain Technique
......Page 150
Anterior Cervical Tender Points
......Page 152
AC1
......Page 154
AC2 to AC6
......Page 156
AC7 (Sternocleidomastoid Muscle)
......Page 157
AC8
......Page 158
Posterior Cervical Tender Points
......Page 159
PC1Inion
......Page 160
PC1 and PC2
......Page 161
PC3 to PC7, Midline
......Page 162
PC3 to PC7, Lateral
......Page 163
Anterior Thoracic Tender Points
......Page 164
AT1 and AT2
......Page 165
AT1 to AT6
......Page 166
AT3 to AT4, Alternative Technique
......Page 167
AT7 to AT9
......Page 168
AT9 to AT12
......Page 169
Posterior Thoracic Tender Points
......Page 170
PT1 to PT4, Midline
......Page 171
PT1 to PT6,Midline
......Page 172
PT7 to PT9, Midline
......Page 173
PT4 to PT9, Lateral
......Page 174
PT4 to PT9, Lateral
......Page 175
PT9 to PT12
......Page 176
Anterior Costal Tender Points
......Page 177
Anterior Rib, Exhaled and Depressed, AR1 and AR2
......Page 178
Anterior Rib, Exhaled and Depressed, AR3 to AR6
......Page 179
Posterior Costal Tender Points
......Page 180
Posterior Rib, Inhaled and Elevated, PR1
......Page 181
Posterior Rib, Inhaled and Elevated, Ribs 2 to 6
......Page 182
Anterior Lumbar Tender Points
......Page 183
AL1
......Page 184
AL2
......Page 185
AL3 and AL4
......Page 186
AL5
......Page 187
Posterior Lumbar Tender Points
......Page 188
PL1 to PL5
......Page 189
PL1 to PL5
......Page 190
PL3 and PL4, Lateral
......Page 191
PL5, Lower Pole
......Page 192
Iliacus Dysfunction (Ilaiacus Tender Point)
......Page 193
Pelvic Dysfunction- Piriformis Dysfunction (PIR Tender Point)
......Page 194
Supraspinatus
......Page 195
Infraspinatus
......Page 196
Levator Scapulae
......Page 197
References
......Page 198
Post Isometric Relaxation
......Page 199
Primary Indications
......Page 200
General Considerations and Rules
......Page 201
Trapezius Muscle Spasm (Long Restrictor): Post Isometric Relaxation
......Page 202
Left Sternocleidomastoid Spasm (Acute Torticollis): Reciprocal Inhibition
......Page 203
Left Sternocleidomastoid Contracture (Chronic): Post Isometric Relaxation
......Page 204
Cervical Range of Motion: Oculocervical Reflex
......Page 205
Occipitoatlantal (CO-CO1) Dysfunction Example: CO ESLRR; Post Isometric Relaxation 
......Page 206
Occipitoatlantal (C0-C01) Dysfunction Example: C0 FSLRR Post Isometric Relaxation
......Page 208
Atlantoaxial (C1-C2) Dysfunction Example: RL Post Isometric Relaxation
......Page 210
C2-C7 Dysfunction Example: C3 FSRRR Post Isometric Relaxation
......Page 211
T1-T4 Dysfunction Example: T4 ESRRR Post Isometric Relaxation
......Page 212
T1-T6 Dysfunction Example: T4 FSRRR Post Isometric Relaxation
......Page 214
T5-T12 Dysfunction Example: T8 ESRRR Post Isometric Relaxation
......Page 216
Right First Rib, Inhalation Dysfunction: Respiratory Assist, Seated
......Page 218
Right First Rib, Inhalation Dysfunction: Respiratory Assist, Supine
......Page 219
Right Ribs 1 and 2, Inhalation Dysfunction: Post Isometric Relaxation to Relax Scalene Muscles, Seated
......Page 220
Right Ribs 1 and 2, Inhalation Dysfunction: Post Isometric Relaxation to Relax Scalene Muscles, Supine
......Page 221
Right Ribs 2 to 6, Inhalation Dysfunction: Respiratory Assist
......Page 222
Right Ribs 7-10, Inhalation Dysfunction: Respiratory Assist
......Page 223
Right Ribs 11 and 12, Inhalation Dysfunction: Respiratory Assist
......Page 224
Anatomy of the Scalene Muscles
......Page 225
Right Ribs 1 and 2, Exhalation Dysfunction: Contraction of Scalene Muscles Mobilizes Dysfunctional Ribs
......Page 226
Pectoralis Minor Muscle
......Page 227
Right Rib 3, 4, or 5, Exhalation Dysfunction: Contraction of Pectoralis Minor Mobilizes Dysfunctional Ribs
......Page 228
Right Rib 3, 4, or 5, Exhalation Dysfunction: Contraction of Pectoralis Minor Mobilizes Dysfunctional Ribs
......Page 229
Serratus Anterior Muscle
......Page 230
Right Rib 6, 7, or 8, Exhalation Dysfunction: Contraction of Serratus Anterior Mobilizes Dysfunctional Ribs
......Page 231
Latissimus Dorsi Muscle
......Page 232
Right Ribs 9 and 10, Exhalation Dysfunction: Contraction of Latissimus Dorsi Mobilizes Dysfunctional Ribs
......Page 233
Quadratus Lumborum Muscle
......Page 234
Right Ribs 11 and 12, Exhalation Dysfunction: Contraction of Quadratus Lumborum Mobilizes Dysfunctional Ribs
......Page 235
Right Ribs 11 and 12, Exhalation Dysfunction: Respiratory Assist
......Page 236
Type I Dysfunction Example: L2 NSLRR Post Isometric Relaxation
......Page 238
Type II Dysfunction Example: L2 ERRSR Post Isometric Relaxation
......Page 240
Type I Dysfunction Example: L4 NSLRR Post Isometric Relaxation
......Page 242
Type II Dysfunction Example: L4 E/FSRRR Post Isometric Relaxation
......Page 244
Right Posterior Innominate Dysfunction: Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation
......Page 246
Right Posterior Innominate Dysfunction: Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation
......Page 247
Right Posterior Innominate Dysfunction: Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation
......Page 248
Right Anterior Innominate Dysfunction: Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation......Page 249
Right Anterior Innominate Dysfunction: Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation 
......Page 250
Anterior Innominate Dysfunction: Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation 
......Page 251
Right Superior Iliosacral Shear
......Page 252
Right Outflare Innominate Dysfunction: Post Isometric Relaxation
......Page 253
Right Inflare Innominate Dysfunction: Post Isometric Relaxation
......Page 254
Right Superior Pubic Shear Dysfunction: Muscle Contraction Mobilizes Articulation 
......Page 255
Right Inferior Pubic Shear Dysfunction: Muscle Contraction Mobilizes Articulation 
......Page 256
Fixed Compression of the Pubic Symphysis (Adducted Pubic Bones): Muscle Contraction Mobilizes Articulation
......Page 258
Fixed Gapping of the Pubic Symphysis (Abducted Pubic Bones): Muscle Contraction Mobilizes Articulation
......Page 259
Hip Region: Psoas Major and Psoas Minor Muscles
......Page 260
Hip Region: Iliacus Muscle
......Page 261
Hip Region: Psoas Muscle, Acute Dysfunction: Reciprocal Inhibition
......Page 262
Hip Region: Psoas Muscles, Subacute or Chronic Dysfunction: Post Isometric Relaxation
......Page 263
Piriformis Muscle
......Page 264
Hip Region: Piriformis Muscle, Acute Dysfunction: Reciprocal Inhibition
......Page 265
Hip Region: Piriformis Muscle, Acute Dysfunction: Reciprocal Inhibition
......Page 266
Hip Region: Piriformis Muscle, Subacute or Chronic Dysfunction: Post Isometric Contraction
......Page 267
Hip Region: Piriformis Muscle, Subacute or Chronic Dysfunction: Post Isometric Contraction
......Page 268
Forward Torsion About a Left Oblique Axis (Left on Left): Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation
......Page 270
Forward Torsion About a Right Oblique Axis (Right on Right): Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation
......Page 272
Backward Torsion About a Left Oblique Axis (Right on Left): Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation......Page 274
Backward Torsion About A Right Oblique Axis (Left on Right): Combined Reciprocal Inhibition and Muscle Contraction Mobilize Articulation
......Page 276
Overview of Sacral Torsion Dysfunction
......Page 278
Unilateral Flexed Sacrum on the Left, Respiratory Assist
......Page 280
Unilateral Extended Sacrum on the Left, Respiratory Assist
......Page 282
Bilaterally Flexed Sacrum, Respiratory Assist
......Page 284
Bilaterally Extended Sacrum, Respiratory Assist
......Page 286
Posterior Radial Head, Pronation Dysfunction: Post Isometric Relaxation 
......Page 287
Anterior Radial Head, Supination Dysfunction: Post Isometric Relaxation
......Page 288
Posterior Fibular Head Dysfunction: Post Isometric Relaxation 
......Page 289
Anterior Fibular Head Dysfunction: Post Isometric Relaxation 
......Page 290
References
......Page 291
Technique Principles
......Page 293
Technique Styles
......Page 294
Shorthand Rules
......Page 295
Occipitoatlantal (C0-C1, OA) Dysfunctions Example: OA, F/E or N-SLRR
......Page 296
Atlantoaxial (C1-C2, AA) Dysfunction Example: C1 RL
......Page 298
C2 to C7 Dysfunctions Example: C4 FSLRL Short-Lever, Rotational Emphasis......Page 299
C2 to C7 Dysfunctions Example: C5 ESRRR Long-Lever Rotational Emphasis
......Page 300
C2 to C7 Dysfunctions Example: C5 NSLRL Short-Lever Technique, Side-Bending Emphasis
......Page 301
T1 to T12 Dysfunctions Example: T4 FSLRL Supine
......Page 302
T1 to T12 Dysfunctions Example: T9 ESRRR Supine
......Page 304
T1 to T8 Dysfunctions Example: T2 FSLRL Supine Over the Thigh
......Page 306
T3 to T8 Dysfunctions Example: T6 FSRRR Prone
......Page 307
T1 to T4 Dysfunctions Example: T2 FSRRR Prone (Long Lever)
......Page 308
T8 to T12 Dysfunctions Example: T9 ESRRR Seated (Short Lever)
......Page 309
T8 to T12 Dysfunctions Example: T10 ESRRR Seated (Long Lever)
......Page 310
Right First Rib Inhalation Dysfunction Seated
......Page 311
Left First Rib Inhalation Dysfunction Supine
......Page 312
Left Rib 6 Inhalation Dysfunction Supine
......Page 313
Left Rib 8 Exhalation Dysfunction Supine
......Page 314
Right Ribs 11 and 12 Inhalation Dysfunction Prone
......Page 315
Right Ribs 11 and 12 Exhalation Dysfunction Prone
......Page 316
L1 to L5 Dysfunctions Example: L5 NSLRR Lateral Recumbent (Long Lever)
......Page 317
L1 to L5 Dysfunctions Example: L4 FRRS Lateral Recumbent (Long Lever)
......Page 318
L1 to L5 Dysfunctions Example: Left L5-S1 Radiculitis Lateral Recumbent (Long Lever)
......Page 319
L1 to L5 Dysfunctions Example: L4 NSLRR Supine Lumbar Walk-Around (Long Lever)
......Page 320
L1 to L5 Dysfunctions Example: L2 ESRRR Lumbar Seated Position (Short Lever)
......Page 321
L1 to L5 Dysfunctions Example: L2 ESRRR Lumbar Seated Position (Long Lever)
......Page 322
Left Posterior Innominate Dysfunction, Lateral Recumbent
......Page 324
Right Posterior Innominate Dysfunction, Leg Pull, Supine
......Page 326
Left Posterior Innominate Dysfunction, Supine Fulcrum
......Page 327
Left Anterior Innominate Dysfunction, Lateral Recumbent
......Page 328
Right Anterior Innominate Dysfunction, Leg Pull
......Page 329
Wrist, Dorsal Carpal Dysfunction
......Page 330
Elbow, Flexion Dysfunction (Distal Elbow, Ulna)
......Page 331
Elbow, Extension Dysfunction (Proximal Elbow, Ulna)
......Page 332
Elbow, Radial Head, Supination Dysfunction
......Page 333
Elbow, Radial Head, Pronation Dysfunction
......Page 334
Knee: Anterior Dysfunction of the Tibia on the Femur (Posterior Femur Over Tibia), Supine
......Page 335
Knee: Anterior Dysfunction of the Tibia on the Femur (Posterior Femur Over Tibia), Seated
......Page 336
Knee: Posterior Dysfunction of the Tibia on the Femur (Anterior Femur Over Tibia), Prone
......Page 337
Knee: Posterior Dysfunction of the Tibia on the Femur (Anterior Femur Over Tibia), Seated
......Page 338
Knee: Anterior Fibular Head Dysfunction
......Page 339
Knee: Posterior Fibular Head Dysfunction
......Page 340
Knee: Anterior Medial Meniscus Dysfunction
......Page 341
Ankle: Anterior Tibia on Talus
......Page 342
Ankle: Posterior Tibia on Talus
......Page 343
Foot: Cuniform, Plantar Dysfunction (Dr. Hiss's Whip Technique)
......Page 344
Foot: Fifth Metatarsal Dysfunction, Plantar Styloid
......Page 345
Foot: Cuboid, Plantar Rotation
......Page 346
References
......Page 347
Technique Principles
......Page 349
Primary Articular (x-, y-, z-axis) Type I and II Dysfunctions
......Page 350
Right: Suboccipital Muscle Hypertonicity
......Page 352
C2 to C4 Dysfunction Example: C4 FSRRR
......Page 353
T4 to T12 Dysfunctions Example: T6 ESRRR
......Page 354
Right-Sided Trapezius Muscle Hypertonicity
......Page 355
Left First Rib Dysfunction, Posterior Elevation: Nonrespiratory Model, Soft-Tissue Effect
......Page 356
Left Seventh Rib, Inhalation Dysfunction
......Page 357
L1 to L5 Dysfunctions Example: L3 NSLRR
......Page 358
L1 to L5 Dysfunctions Example: L4 FSRRR
......Page 359
Left-Sided Erector Spinae Muscle Hypertonicity
......Page 360
Left Posterior Innominate Dysfunction
......Page 361
Left Anterior Innominate Dysfunction
......Page 362
References
......Page 363
Compression
......Page 365
Contraindications
......Page 366
Occipitoatlantal (C0-C1, OA) Dysfunction Example: C0 ESRRL, Seated
......Page 367
Atlantoaxial (C1-C2) Dysfunction Example: C1 RL, Supine
......Page 368
C2 to C7 Dysfunction Example: C4 ESRRR, Supine
......Page 369
T1 and T2 Dysfunctions Example: T1 ERRSR, Seated
......Page 370
T1 and T2 Dysfunctions Example: T2 FRLSL, Supine
......Page 371
T3 to T12 Dysfunctions Example: T5 NSLRR, Seated
......Page 372
First Rib Dysfunction Example: Right, Posterior, Elevated First Rib (Nonphysiologic, Nonrespiratory)
......Page 373
First or Second Rib Example: Left, First Rib Exhalation Dysfunction, Seated
......Page 374
First Rib Example: Right, First Rib Exhalation Dysfunction, Seated
......Page 375
L1 to L5 Dysfunctions Example: L4 NSRRL, Supine 
......Page 376
L1 to L5 Dysfunctions Example: L3 ESRRR, Lateral Recumbent
......Page 377
Innominate Dysfunction Example: Right Anterior Innominate, Modified Sims Position
......Page 378
Innominate Dysfunction Example: Right Posterior Innominate, Modified Sims Position
......Page 379
Elbow: Radial Head, Pronation Dysfunction
......Page 380
Elbow: Radial Head, Supination Dysfunction
......Page 381
Acromioclavicular Joint Example: Right Distal Clavicle Elevated
......Page 382
Acromioclavicular Joint Example: Right, Proximal Clavicle Elevated (Distal Clavical Depressed)
......Page 383
References
......Page 384
Indirect Technique
......Page 385
Positioning
......Page 386
Treatment
......Page 387
Occipitoatlantal (C0-C1, OA) Dysfunction Example: C0-C1 ESLRR
......Page 388
Atantoaxial (C1-C2, AA) Dysfunction Example: C1 RR
......Page 389
Atlantoaxial (C1-C2) Dysfunction Example: C1 Right, Lateral Translation
......Page 390
C2 to C7 Dysfunction Example: C4 ESRRR
......Page 391
T1 and T2 Dysfunctions Example: T1 FSRRR
......Page 392
Anterior Cervical Fascia, Direct Technique
......Page 393
T3 to L4 Example: T12 ESLRL
......Page 394
T8 to L5 Example: L5 FSRRR with Sacral Tethering
......Page 395
First Rib Dysfunction Example: Left, Posterior, Elevated First Rib (Nonphysiologic, Nonrespiratory)
......Page 396
Dysfunction of the Respiratory Diaphragm and/or Exhalation Dysfunction of the Lower Ribs
......Page 397
Clavicle: Left Sternoclavicular Dysfunction (Direct Method)
......Page 398
Shoulder: Spasm in the Teres Minor Muscle (Direct Method)
......Page 399
Shoulder: Glenohumeral Dysfunction
......Page 400
Forearm and Elbow: Ulnohumeral and Radioulnar Dysfunctions
......Page 401
Wrist: Carpal Tunnel Syndrome
......Page 402
Hypertonicity of the External Hip Rotators and Abductors of the Femur (Example: Piriformis Hypertonicity and Fibrous Inelasticity)
......Page 403
Knee: Posterior Fibular Head Dysfunction
......Page 404
Knee: Femorotibial Dysfunctions Example: Sprain of the Cruciate Ligaments
......Page 405
Gastrocnemius Hypertonicity, Direct Method
......Page 406
Ankle: Posterior Tibia on Talus
......Page 407
Foot and Ankle Example: Left Calcaneus Dysfunction, The Boot Jack Technique (1)
......Page 408
Foot Dysfunction: Metatarsalgia
......Page 409
Foot: Plantar Fasciitis, Direct Method
......Page 410
References
......Page 411
Alleviation of Somatic Dysfunction
......Page 413
General Considerations and Rules
......Page 414
Occipitomastoid Suture Pressure
......Page 416
Alternating Pressure, Left Second Rib
......Page 418
Singultus (Hiccups)
......Page 420
Rib Raising
......Page 422
Colonic Stimulation
......Page 423
Splenic Stimulation
......Page 424
Sacral Rock
......Page 425
Gastric Release
......Page 426
Hepatic Release
......Page 427
Gallbladder
......Page 428
Kidney Release
......Page 429
References
......Page 430
Technique Principles......Page 431
Indications
......Page 432
General Considerations and Rules
......Page 433
Anterior Cervical Arches: Hyoid and Cricoid Release
......Page 434
Cervical Chain Drainage Technique
......Page 435
Manibular Drainage: Galbreath Technique
......Page 436
Articular Drainage Technique
......Page 437
Alternating Nasal Pressure Technique
......Page 438
Submandibular Release
......Page 439
Trigeminal Stimulation Technique
......Page 440
Maxillary Drainage: Effleurage
......Page 442
Frontal Temporomandibular Drainage: Effleurage
......Page 443
Thoracic Inlet and Outlet: Myofascial Release, Direct or Indirect, Seated, Steering Wheel Technique
......Page 444
Thoracic Inlet and Outlet: Myofascial Release, Direct, Supine
......Page 445
Miller Thoracic (Lymphatic) Pump
......Page 446
Miller Thoracic (Lymphatic) Pump, Exaggerated Respiration
......Page 447
Thoracic (Lymphatic) Pump, Side Modification
......Page 448
Thoracic (Lymphatic) Pump, Ateletasis Modification
......Page 449
Pectoral Traction: Pectoralis Major, Pectoralis Minor, and Anterior Deltoid
......Page 450
Anterior Axillary Folds: Pectoralis Major and Anterior Deloid Muscles
......Page 451
Doming the Diaphragm
......Page 452
Rib Raising: Bilateral Upper Thoracic Variation
......Page 454
Marian Clark Drainage
......Page 455
Mesenteric Release, Small Intestine
......Page 456
Mesenteric Release, Ascending Colon
......Page 458
Mesenteric Release, Descending Colon
......Page 460
Presacral Release, Direct or Indirect
......Page 462
Ischiorectal Fossa Release, Supine
......Page 463
Ischiorectal Fossa Release, Prone
......Page 464
Pedal Pump (Dalrymple Technique), Supine
......Page 465
Pedal Pump (Dalrymple Technique), Prone Variation
......Page 466
Hip, Indirect LAS/BLT, Supine
......Page 467
Popliteal Fossa Release, Supine
......Page 468
References
......Page 469
Rhythmic
......Page 471
General Considerations and Rules
......Page 472
Shoulder Girdle: Spencer Technique
......Page 473
Shoulder Girdle: Spencer Technique Stage 1- Shoulder Extension with Elbow Flexed
......Page 474
Shoulder Girdle: Spencer Technique Stage 2- Shoulder Flexion with Elbow Extended
......Page 475
Shoulder Girdle: Spencer Technique Stage 3- Circumduction with Slight Compression and Elbow Flexed
......Page 476
Shoulder Girdle: Spencer Technique Stage 4- Circumduction and Traction with Elbow Extended......Page 477
Shoulder Girdle: Spencer Technique Stage 5A- Abduction with Elbow Flexed
......Page 478
Shoulder Girdle: Spencer Technique Stage 5B- Adduction and External Rotation with Elbow Flexed
......Page 479
Shoulder Girdle: Spencer Technique Stage 6- Internal Rotation with Arm Abducted, Hand Behind Back
......Page 480
Shoulder Girdle: Spencer Technique Stage 7- Distraction, Stretching Tissues, and Enhancing Fluid Drainage with Arm Extended
......Page 481
Hip Girdle: Spencer Technique Stage 1- Hip Flexion
......Page 482
Hip Girdle: Spencer Technique Stage 2- Hip Extension
......Page 483
Hip Girdle: Spencer Technique Stage 3 and 4- Circumduction
......Page 484
Hip Girdle: Spencer Technique Stage 5 and 6- Internal and External Rotation
......Page 485
Hip Girdle: Spencer Technique Stage 7 and 8- Abduction and Adduction
......Page 486
Elbow: Radioulnar Dysfunction, Long Axis, Pronation Dysfunction (Loss of Supination), Muscle Energy, HVLA......Page 487
Elbow: Radioulnar Dysfunction, Long Axis, Supination Dysfunction (Loss of Pronation), Muscle Energy, HVLA 
......Page 488
Right Anterior Innominate Dysfunction: HVLA with Respiratory Assistance, Lef-Pull Technique
......Page 489
C2 to C7, Articulatory, Type 2 Motion
......Page 490
T1 to T4, Articulatory, Side Bending
......Page 491
References
......Page 492
Technique Principles
......Page 493
Flexion and Extension of the Sphenobasilar Synchondrosis
......Page 494
Indirect Technique 
......Page 495
Disengagement
......Page 496
General Considerations and Rules
......Page 497
Cranial Vault Hold
......Page 499
Fronto-occipital Hold
......Page 500
Sacral Hold
......Page 501
Decompression of the Occipital Condyles
......Page 502
Occipitoatlantal Decompression (8)
......Page 503
Compression of the Fourth Ventricle
......Page 504
Interparietal Sutural Opening (V-Spread)
......Page 506
Sutural Spread (V-Spread, Direction-of-Fluid Technique)
......Page 507
Venous Sinus Drainage (6)
......Page 508
Unilateral Temporal Rocking Example: Left Temporal Bone in External or Internal Rotation
......Page 510
Frontal Lift (8)......Page 511
Parietal Lift (8)
......Page 512
References
......Page 513
INDEX
......Page 515