Introduction to the Still Technique
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1 Introduction to the Still Technique London Osteopathic Society 2 nd November 2011
2 Hello! Jonathan Edis, BSc (Hons) Osteopathy Glynn Booker, B.OSt
3 Plan Background to the Still Technique Theory of the Still Technique Practical demonstration
4 (Waterborough, 2006)
5 What is the Still Technique? a a redevelopment of a method of manipulation that was first discovered and used by Andrew Taylor Still, MD (Van Buskirk, 2000, p.7) (Author unknown)
6 The Holy Grail? tube.com/watch?v=qdhsripkh U0 (Author unknown, c.1914, Library of Congress Collection)
7 Q: Is the Still Technique the technique of Still?
8 A: Yes and No Yes: : Based on the written descriptions of Still s techniques No: : Interpreted by Richard Van Buskirk, DO Richard Van Buskirk, DO (not Sven-Göran Eriksson)
9 OMT American So, what is it then? indirect then direct technique Immediate results cf.. HVT
10 Applications Somatic dysfunction of specific soft tissues and joints Situations where HVT does not work or is not applicable Suitable for patients of any age with most conditions* *with modification where necessary
11 Very useful for 1 st rib (superior and inferior lesions ) Lumbar Spine Pelvis: SIJ (anterior and posterior lesions ) Pubic symphysis Ilio-Psoas UEx and LEx
12 C/I s s and S/E s Contra Indications: Lack of consent/patient veto Local tissue trauma (e.g. #) + pain Side Effects: Soreness/aching (common) Serious debilitating outcomes (remote)
13 So, what does it look like? Is it that simple? Not quite!
14 Sensing hand Key Components Monitors tissue response Introduction of a force vector External compression or traction (5lbs/2kg) to the restricted tissue Maintained throughout the technique Operating hand Introduces the force vector Moves the tissue past barrier through its full ROM
15 Step-by by-step guide Find initial position of ease (ease = position/function of the lesion or least TTP) Add force vector Go to and then through the restriction (reverse all applied levers) Hear or feel a release Return to neutral and retest
16 e.g. the radio-humeral joint Levers? Initial position of ease? Add force vector Reverse levers Retest
17 Key points to remember Maintain compression or traction Full ROM Slow and fluent application Reassess Repeat?
18 OMT Re-cap Application = universal C/I and S/E = usual Starts with ease Applies a force vector throughout Applies a Goes up to and through the restriction
19 References Dowling, D (2005) Still Technique,, in DiGiovanna, E, Schiowitz, S and Dowling, D (editors) An Osteopathic Approach to Diagnosis and Treatment (3 rd edition), Lippincott Williams & Wilkins, pp , 92, , 157, , 213, , 261, Dowling, D (2005) Rib Still Technique,, in DiGiovanna, E, Schiowitz, S and Dowling, D (editors) An Osteopathic Approach to Diagnosis and Treatment (3 rd edition), Lippincott Williams & Wilkins, pp Hazzard, C (1905) The Practice and Applied Therapeutics of Osteopathy (Third Revised Edition), Kirksville Journal Printing Co. Hildreth, A (1942) The Lengthening Shadow of Dr Andrew Taylor Still (2 nd edition), Hildreth, AG and van Vleck, AE Still, AT (1910) Osteopathy: Research and Practice,, republished Eastland Press, 1992 Van Buskirk, RL (2011) Still Technique,, in Chila, AG (executive editor), Foundations for Osteopathic Medicine (3 rd edition), Wolters Kluwer/Lippincott Williams & Wilkins, pp Van Buskirk, R (2000) The Still Technique Manual,, American Academy of Osteopathy Van Buskirk, R (1996) A A manipulative technique of Andrew Taylor Still as reported by Charles Hazzard, DO, in 1905, Journal of the American Osteopathic Association (JAOA),, Vol. 96, No. 10, October, pp
20 Contact details & Courses Jonathan: Glynn: Still Technique Part 1 29 th January 2012, BSO Still Technique Part 2 11 th March 2012, BSO Bookings/info: cpd@bso.ac.uk
21 Thank you! Any questions?
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