Still Techniques

Question 1

Still technique method

Answer 1

1. place affected tissue in its position of ease
2. introduce force vector
3. use force vector to move affected tissue in a smooth arc from ease to barrier
4. passively move to neutral and reassess

Question 2

characteristic of Fryette’s Type I

Answer 2

group or single segment, neutral, SB toward and R away, single segment may have traumatic origin

Question 3

characteristic of Fryette’s type II

Answer 3

single segment, flexed or extended, SB toward, R toward (same side), may be primary or compensatory, more common

Question 4

what problem is usually seen with neutral thoracic dysfunction?

Answer 4

well localized pain in back that doesn’t improve with flexion or extension, single spinal segments

Question 5

what to look for spinal compression fracture

Answer 5

well localized pain but will not improve with sidebending or rotation in any direction

Question 6

how to position patient for neutral

Answer 6

SB to one side, rotate opposite

Question 7

how to diagnose rib dysfunction

Answer 7

based on position of the rib head, one will be relatively superior, and the anterior attachment to the manubrium and clavicle will be relatively inferior. basically caught in exhalation and won’t move well during inhalation

Question 8

how to treat superior first rib

Answer 8

sensing finger on rib. other hand on top of head. flex and sidebend away from affected rib, exaggerating the dysfunction (into the ease). vector from head to rib head. maintain force vector to move pt head and neck into extension and SB to the side of the affected rib. release and neutral.

Question 9

4 rib dysfunctions

Answer 9

anterior rib, posterior rib, AP compressed, lateral compressed

Question 10

how to treat posterior rib

Answer 10

rotate pt spine and ribs posterior to relax. compression through shoulders toward costovertebral junction. rotate spine toward barrier.

Question 11

how to treat anterior rib

Answer 11

rotate pt spine and ribs anterior to relax. compression through shoulders toward costovertebral junction. rotate spine toward barrier.

Question 12

how to treat laterally compressed rib

Answer 12

pt seated. sidebend toward dysfunctional ribs until ease. compression toward RIB HEAD. sidebend opposite until release.

Question 13

how to treat AP compressed rib

Answer 13

pt seated. sidebend away from dysfunctional rib until ease. compression toward rib head. sidebend opposite until release.

Question 14

order of treatment for lumbar/innominates/sacrum?

Answer 14

if treat lumbar spine and innominates first, there are markedly reduced dysfunctions found on the sacrum