Index

fronto-occipital hold, 482

general considerations and rules,
479-480
indications for,479

occipitoatlantal decompression,484

Presacral release, 444

fibular head dysfunction

Procerus, 423

posterior,271

476-477
still poin t,479
styles, 479
sutural opening, 488
sutural spread, 489
technique classification, 477-479

lumbar region,105
with counterleverage, 109
thoracic region, 94

contracture, 186

with counterpressure,96

lumbar region
type I dysfunction, 220-221,
224-225

with two hands (catwalk),95

Psoas major muscle
anatomy of, 242

type II dysfunction,222-223,
226-227

reciprocal inhibition for,24 4

subacute or chronic dysfunction,

occipitoatlantal dysfunction,

245

188-191
piriformis muscle, 249-251

venous sinus drainage, 490-491

radial head dysfunction

Prone pressure

left sternocleidomastoid

W1ilateral temporal rocking, 492

Over and "-1nder technique, 102

tender points,152-158

atlantoaxial dysfunction, 192

principles of,475-476

sphenobasilar synchondrosis,

ISS
PT9 to PTI2, 152, 1 52t,158

description of,181-182
anterior, 272

sacral hold,483

PT7 to PT9,midline, 152, 152t,

Post isometric relaxation

parietal lift, 494

respiratory mechanisms,475-476

156-157

posterior, 15
Positive motion testing, 36

484

PT4 to PT9,lateral, 152, 152t,

lateral, 16

interparietal sutural opening (V

occipital condyle decompression,

154

anterior, 14

Popliteal fossa release, 450

spread),488

PTI to PT6, midline, 152, 152t,

Points of reference

indirect,477-478

Psoas minor muscle

anatomy of,242

anterior, 270

reciprocal inhibition for, 244

posterior, 269

subacute or chronic dysfunction,

245

right inflare innominate

Palpation, layer-by-layer. see Layer-bylayer palpation

Parallel traction,79
Parietal lift, 494
Parietal pleura, 401
Parotid duct, 423

dysfunction,236

scalene muscle relaxation using,

trapezius muscle spasm,184

Posterior cervical counterstrain

Pelvic counterstrain techniques,

PC3 to PC7
lateral, 141, 141t, 145
midline, 141, 141t, 144

lymphatic techniques for, 445-446

tender points, 14 1-145

myofascial release techniques for,

Posterior costal counters train

121
techniques of Still for, 360-361
Philadelphia College of Osteopathic
Medicine,413
Phrenic nerve, 402-403
Physical examination, 7
Physiologic barrier,S
Physiologic range of motion,S
Piriformis muscle

Pump handle rib motion, 53

o
Quadratus lumborum
anatomy of, 216
contraction of, 217

P C l inion, 14 1, 141t, 142

PCI-PC2, 141, 141t,143

Pelvic region

fixed gapping of, 241

techniques

Pedal pump technique,447-448

175-176

fixed compression of, 240

202-203
T1-T6 dysfunction, 196-197

traction,432

right superior,237
Pubic symphysis

TI-T4 dysfunction, 194-195

T5-T12 dysfunction, 198-199

lymphatic techniques, 432-433

right inferior,238-239

dysfunction, 235

Pectoralis minor muscle

contraction of,210-211

Pubic shear dysfunction

right ou tflare innominate

Pathologic barrier,6
anatomy of,209

techniques
PRl, 162, 162t, 163
PR2 to PR6,162, 162t, 164
tender points, 162-164
Posterior lumbar counterstrain
techniques
PLI to PL5,170, 170t,
171-172
PL3, 170, 170t,173

R
Radial head dysfunction
anterior,270
articulatory techniques, 469-470
high-velocity, low-amplitude
techniques for,315-316
posterior,269
techniques of Still for, 362-363
Rami communicantes, 401
Range of motion,S
Reciprocal inhibition
description of, 182
left sternocleidomastoid spasm,185
muscle contraction mobilize
articu lation and, 228-233

anatomy of, 246

PL4, 170, 170t, 173

counterstrain technique for, 176

PL5, 1 70, 170t,174

piriformis muscle,247-248

tender points, 170-174

psoas muscle dysfunction,244

hypertonicity of, 385

tender point,176
Plantar dysfunction, 326
Plantar fascial release, 127
Plantar fasciitis, 392
Platysma, 423

503

Posterior scalene muscle,207

Posterior thoracic counters train
techniques

PTI to PT4,midline, 152, 152t,

153

right anterior innominate

dysfunction, 231-233
right posterior innominate
dysfunction,228-230
sacral torsion

504

Index

inhalation dysfunction

Reciprocal inhibition-concinued
left-on-Ieft, 252-253

high-velociry,low-amplitude

left-on-right,258-259

techniques for,295

right-on-Ieft,256-257

respiratory assistance for,204

right-on-right,252-253

7 to 10

about a right oblique axis (right

on-right),254-255,260t
Sacrococcygeal release, 126
Sacroiliac joint
motion testing for

Reciprocal tension membrane,476

exhalation dysfunction,296

Reflex oriented treatment

high-velociry,low-amplitude

prone,short kver,71

description of,395

techniques for,296

supine,short lever,72

occipitomastoid suture pressure,

inhalation dysfunction
facilitated positional release

398-399

general restriction

pelvis on sacrum (iliosacral)

anteroposterior rotation

for,339

rib raising,404

prone,long lever, 69

respiratory assistance for,205

sacral rock,407
singultus,402-403

II and 12 (right)

supine,long lever, 66
inflare-outflare prone, long

exhalation dysfunction,298

Regional range of motion testing

cervical spine,18-21

inhalation dysfunction
high-velociry, low-amplitude

description of,17
lumbar spine,27-29

techniques for,297
respiratory assistance for,

thoracic spine, 22-26

Release-enhancing mechanism,33 I,

206
angle of inclination,52

367
Respiratory assistance

lever,70
sacroiliac joint and pelvic
dysfunctions
seated flexion test,68
standing flexion test, 67
myofascial release techniques for,
121

excursion with inhalation, 51

Sagittal plane, 13
Scalene muscles

description of,182

exhalation, 56-57

osteopathy technique and,479

first.

right first rib,200-20 I

inhalation,56-57

right ribs I and 2

vertebrochondral,51

contraction of,208

vertebrosternal,51

middle,207

exhalation dysfunction,208
inhalation dysfunction, 202-203

First rib

:ee

Rib motion

right ribs 2 to 6

bucket handle,53
pump handle,53

exhalation dysfunction,210-211
inhalation dysfunction, 204

Rib raising,104,404,436

pectoralis minor muscle

Right inferior pubic shear dysfunction,

contraction for,210-211
right ribs 7 to 10
exhalation dysfunction,213,215

238-239

post isometric relaxation to relax,

202-203
posterior,207
release of, 125
Scapular landmarks, 10-11
Scissors technique,108
Scoliosis, 10

Right superior pubic shear dysfunction,

Seated steering wheel,119

237

Serratus anterior muscle,212

Rotation

contraction for,215
serratus anterior muscle
contraction for,213

Shoulder girdle

atlantoaxial articulation,62

landmarks of, 11

hip girdle,467

Spencer technique for,455-463

L! to L5-SI,37

right ribs I I and 12

exhalation dysfunction,217-219

Side bending

TI toT4,44-45

of cervical spine, 20-21

Tl toT12,48

of lumbar spine,28-29

inhalation dysfunction, 206

quadratus lumborum contraction

anterior, 207

Right superior iliosacral shear,234

inhalation dysfunction,205
latissimus dorsi muscle

anatomy of, 207

occipitoatlantal articulation,61

of thoracic spine,22-25

for,217

Sacral extension

sacral extension

bilateral,268

Skin topography and texture,31-32

unilateral,264-265

Small intestine,mesenteric release, 438

bilateral,268
unilateral,264-265
sacral flexion
bilateral,266-267
unilateral,262-263
Respiratory mechanisms,475-476

Sacral flexion

Singultus, 402-403

Soft tissue techniques

bilateral,266-267

classification of,79

unilateral, 262-263

contra indications, 80

Sacral hold, 483

definition of, 79

Sacral region,121-122

direct inhibitory pressure, 79

Restrictive barriers,6, 76

Sacral rock,407

general considerations and rules, 80

Rib(s)

Sacral torsion

indications,80

I and 2. see also First rib

exhalation dysfunction, 208
inhalation dysfunction,202-203
respiratory assistance for,
202-203,208
techniques of Still for,355-357
2 to 6
alternating pressure for, 400-40I

backward
about a left oblique axis (right
on-left),256-257, 261t
about a right oblique axis (left
on-right),258-259,261t
forward
about a left oblique axis (Ieft-on
left),252-253,260t

parallel traction, 79
perpendicular traction,79
styles of, 79
Somatic dysfunction
alleviation of,395-396
asymmetry,9
definition of,76
description of,6

Index

rype 1,35

translatory method, 4 6

rype 2, 35
Spencer technique
hip girdle, 464-468
shoulder girdle, 455-463

T horacic inlet and outler

passive rotation, 48

description of, 119

prone short-lever method, 48

lymphatic techniques, 426-427

side bending

T horacic region

lateral recumbent position, 50

articulatory treatment for, 473

Sphenobasilar flexion, 476

prone short-lever method, 48

balanced ligamentous

Sphenobasilar symphysis, 476

translatory method, 4 7

Sphenobasilar synchondrosis, 476-477

Sphinx position, 3 9
Spinal coupled pattern, 35
Spinal motion testing, 35-36

translatory method, 47
T5 toT12 dysfunction, 23
muscle energy techniques for,
198- 199
post isometric relaxation for,

Spine
cervical.
lumbar.

Cervical spine

sa:
sa:

Lumbar spine

supine view of, 286

thoracic. seeT horacic spine

198-199
Talus, 324 -325
Techniques of Still
acromioclavicular joint, 3 64-365

505

tension/ligamentous articular
strain technique for, 374
bilareral thumb pressure, prone, 98
cross-secrion of, 34
facilirared posirional release
technique for, 336-337
intersegmental motion tesring
Tl to T4, 43 -4 5
T I toT l 2 , 47-50
lower rhoracics under the shoulder,

Splenic stimulation, 406

atlantoaxial dysfunction, 350

Springing technique, 453

C2 to C7 dysfunction,351

midthoracic extension, seated, 103

Static musculoskeletal examination, 9

cervical region, 349-351

myofascial release techniq ues,

Sternal release, 125

classification of, 347

Sternoclavicular joint

contraindications, 348

balanced ligamentous
tension/ligamentous articular
sHain technique for, 380
traction of, 125
Sternocleidomastoid muscle

costal region, 355-357

elbow, 362-363

lateral recumbent, 101

119-120
over and under technique,seated,
102
prone pressure, 94

first rib, 355-357

with counterpressure, 96

innominates, 360-361

with two hands (catwalk), 95

L1 to L5 dysfunctions, 358-359

rib raising, supine extension, 104

contracture of,186

lumbar region, 358-359

side leverage, lateral recumbent, 97

spasm of, 185

occipitoatlantal dysfunction, 349

soft tissue rechniq ues for, 94-104

Sternum, 1 1

pelvic region, 360-361

techniques of Still for, 35 2-354

Still point, 479

principles of, 347

thoracic inlet and outlet, seated

Stimulatory technique, 396

ribs, 355-357

Subclavian vein, 403

styles,347-348

Submandibular lymphatic technique,

T 1 and T2 dysfunctions,
352-353

421
Submandibular release, 127
Suboccipital muscle hypertonicity, 334

T3 and TI2 dysfunctions, 354

thoracic region, 352-354

Superior tarsal plate, 423

Temporal rocking, unilateral, 492

Supraspinatus counterstrain

Temporomandibular drainage, 425

techniques, 177
Supratrochlear nerve, 423
Sutural spread, 489
Sympathetic ganglia, 401

Tender points
cervical
anterior, 134-140
posterior, 141-145
costal

anterior, 159-161

T l toT4

posterior, 162-164

dysfunction
muscle energy techniques for,
194-195
POSt isometric relaxation,
194-195
passive flexion and extension (Jong
lever merhod), 44
rotation, seated, long-lever method,
44-45
side bending, lateral recumbent

steering wheel, 119

thumb pressure (bilateral), prone,
98
trapezius, inhibitory pressure,
supine, 99
upper thoracic with shoulder block,
lateral recumbent, 100
T horacic spine.

see

alsoT I to T4; T5 to

T12
range of motion testing, 22-26, 30
side bending, 22-25
T horacolumbar release, 126
T humb pressure
lumbar region, 107
thoracic region, 98

discovery of, 129

T ibia, 324-325

iliacus, 175

Torsion, 477

infraspinatus, 178

Torticollis, acure, 185-186

levator scapulae, 179

Traction

lumbar
anterior, 165-169
posterior, 170-174

arm, 125
cervical region
contralateral, supine, 84

piriformis, 176

cradling with traction,supine, 85

supraspinatus, 177

lateral traction, seated, 91

thoracic

sitting traction, 92

position (long-lever method),

anterior, 146- 151

43-44

posterior, 152-158

supine, 8 1
leg, supine, 124

T l toT6 dysfunction, 196-197

Tendon palpation, 32

lumbar region, 106

T l toT12

Teres minor muscle, 381

parallel, 79

T hermal asymmetry, 32

pectoralis, 432

T horacic duct, 401

perpendicular, 79

passive flexion and extension

lateral recumbent position, 4 9

506

Index

Traction-conlinued
prone, 106
sternoclavicular joint, 125

Vertebrosternal rib, 51

sacral rock, 407

V ibratory/stimulatory technique

singultus, 402-403

colonic stimulation, 405

splenic stimulation, 406

Transverse plane, 1 3

description of, 396

styles,395-396

Trapezius muscle

splenic stimulation, 406

facilitated positional release

technique for,337

V isceral techniques
colonic stimulation, 405

inhibitory pressure,supine,99

definition of, 395

right-sided,hypertonicity of, 337

gallbladder, 410

spasm of, 184

gastric release,408

Trigeminal stimulation technique,

422-423

W
Wobble point, 368
Wrist
balanced ligamentous
tension/ligamentous articular

general considerations and rules,

strain technique for, 384

396-397

high-velocity, low-amplitude

hepatic release,409

techniques for, 312

indications for,396

Upper extremity counterstrain

techniques,177-179

V
Vagus nerve, 403

kidney release,411
left second rib,alternating pressure
for, 400-401
occipitomastoid Suture pressure,
398-399

X
Xiphoid process.,

Venous sinus drainage,490-491

principles of,395

Zygomaticofacial nerve, 423

Vertebrochondral rib, 51

rib raising,404

Zygomaticus minor, 423