MOD 4 Flashcards
7 Factors of stupidity
Being outside your normal environment or changing your routines
Presence of a group
Being in the presence of an expert or if you, yourself are an expert
Doing any task that requires intense focus
Information Overload
Physical and emotional stress, fatigue
Rushing or a sense of urgency
Anatomically the sacrum is part of the pelvis but physiologically it is part of the lumbar spine
Fryette
Principles of Osteopathic Technic 1954
Fryette’s Type 1
Neutral Mechanics
Sidebending & rotation occur to OPPOSITE sides
In a group curve of 3 or more segments
Fryette Type 2
Rotation and sidebending to the SAME side in a NON-NEUTRAL position
Segment rotates into the concavity
Single segments
Curves and motions in spinal segments
Cervical: Lordotic - F/E/SB/R
Thoracic: Kyphotic - SB/R
Lumbar: Lordotic - F/E/SB
Sacrum: Kyphotic
Sacrum & lumbar neutral mechanics
Sacrum participates in lumbar neutral mechanics as the lowest segment of the lumbar group
NOT in Type I - due to auricular surface angulation
L5 can also move on the sacrum in compliance with Type 2 mechanics
Under these circumstances the sacrum behaves physiologically as part of the lumbar spine
“The foundation for the spine as a whole is the pelvis. The sacrum is suspended between the innominate and becomes the direct foundation for the vertebral column”
George Webster (1928)
Teddy Hall
A British osteopath thought of by his contemporaries as the most brilliant technician of his time
An associate of JM Littlejohn & Harrison Fryette
Was first a cruise ship musician and became interested in Osteopathy after receiving treatment by an elderly American Osteopath on a board ship
“In practice, Littlejohn always emphasized that it was impossible to expect a patient to control a corrected posture if there was any weakness in the floor of the perineum and used a number of techniques for the treatment of this condition” - According to Teddy Hall
Still’s Advocate
Ernest Tucker
The research
Agreed that sacral extension/flexion occurs
Mention of definite axes and sacral motion are descriptions of convenience and entirely hypothetical
“The type of motion to the sacrum assumes in its effort to do rotation and lateral flexion”
Fred Mitchell Sr. said in regard to a sacral torsion on an oblique axis
Torsional Flexion & NN, Torsional Extension
The anterior or so called “physiological” motion of superior sacral pole of induced by the opposite SB of L4-5 NSLRR
What is rotation?
Rotation is motion above an axes
What is torsion?
Torsion - rotation from multiple ends
When you get into practice and run up against something that stumps you, you won’t have the chance to run to “Pap” and ask him what to do. Now we’ll go see this patient and I want you to show me how she should be treated. Now, you perhaps think I have not said much, but I have told you enough to keep you busy the rest of your life. Don’t forget how much is before you. Don’t hesitate to trust your own judgement and reason, and remember you are just as apt to make valuable discoveries as anyone else. I could not wish you any better luck than when you start practicing you may come up against hard problems that you have to solve. Go to a small town, live on cornbread and sow-belly if you have to, sleep with your anatomy under your pillow, and don’t forget you are supposed to have a brain inside your skull.
A.T Still to Hugh Graves
