Stills

Question 1

Still technique definition

Answer 1

• characterized as a specific, non-repetitive articulatory method that is indirect, then direct
• attributed to A.T. Still

Question 2

Steps of Still Technique

Answer 2

• evaluate the affected structure
• place structure in position of ease
• add localizing force that is less than or equal to 5 lbs of compression or traction
• move through the restrictive barrier while maintaining localizing force
• final treatment position is at attained anatomic barrier
• return the patient to neutral and reassess

Question 3

Still Technique indications

Answer 3

• somatic dysfunction in virtually all tissues of the body
• efficacy is only laminated by practitioner’s knowledge of functional anatomy
• safe to use for patients of all ages

Question 4

Still Technique contraindications

Answer 4

-not advisable across recent wounds or fractures less than 6 weeks old

Question 5

Still Technique for OA SD

Answer 5

• patient supine
• use one hand to monitor and other to move head
• rotate head into position of ease and add compression
• move AA through restrictive barrier while maintaining compression

Question 6

Still Technique Typical Cervical SD

Answer 6

• patient supine
• palpate articular pillar of effected segment with one hand
• move into the ease of motion and add compression
• move through restrictive barrier while maintaining compression

Question 7

Still Technique for Posterior Rib SD

Answer 7

• patient seated
• abduct the ipsilateral arm until you feel motion localized to the rib; monitor at affected rib costotransverse joint
• compress to the rib through the elbow
• adduct the arm across the chest while maintaining compression and localization toward the rib head

Question 8

Still Technique for exhalation, anterior TP rib SD

Answer 8

• patient supine
• grasp ipsilateral forearm proximal to the wrist; monitor at affected rib anterior TP
• introduce traction by pulling arm inferiorly until you feel motion localized to the rib and ask patient to exhale
• ask the patient to inhale and at the same time flex the patient’s arm while maintaining traction and localization

Question 9

Still Technique for inhalation, posterior TP rib somatic dysfunction

Answer 9

• patient supine
• grasp ipsilateral forearm proximal to wrist and flex the patient’s arm; monitor affected rib laterally
• introduce traction by pulling arm anteriorly/superiorly until you feel motion localized to rib and ask patient to inhale maximally
• ask patient to exhale and at the same time extend the patient’s arm while maintaining traction and localization
• final treatment position is arm near neutral

Question 10

Still technique for type II SD upper thoracic (T1-T4) SD

Answer 10

• patient seated
• palpate affected segment with index finger of one hand while controlling patient’s head with other hand
• move the head and neck into the ease of motion and add compression to segment
• move through restrictive barrier through cranial hand contact while maintaining compression

Question 11

Still technique for type II Lower Thoracic (T5-T12) SD

Answer 11

• patient seated and stand opposite side of rotation
• palpate affected segment with index finger of one hand and control patient’s shoulder with other hand
• move torso into ease of motion then add compression through shoulders to the segment
• move through restrictive barrier through shoulder contact while maintaining compression

Question 12

Still technique for type I neutral thoracic SD

Answer 12

• patient seated; stand on opposite side of rotation behind the patient
• have patient place hand on side of rotation behind their head and other hand onto their opposite shoulder
• physician places arm beneath patients arm and place hand on patient’s shoulder
• move into position of ease and add compression through shoulders
• move through restrictive barrier

Question 13

Still Technique for lumbar SD

Answer 13

• patient supine
• stand on same side as rotation
• caudad hand controls patient leg while cephalad hand monitors the affected segment
• flex to localize ot LE than add rotation (adduction) and side bending (internal rotation) into position of ease
• (for extension, abduct and externally rotate)
• compress through knee/femur/hip to segment
• maintain compression while moving through the restrictive barrier and end in extension (for flexion dysfunction

Question 14

Still Technique for superior innominate shear SD

Answer 14

• patient supine
• initial treatment position is external rotation of LE and abduction to gap the SI joint
• add compression through the sole of the foot to elevate the hip
• maintain compression through sole while internally rotating the hip
• apply mild traction trough ankle and restrictive barrier

Question 15

Still technique for posterior innominate rotation SD

Answer 15

• patient supine
• flex hip and knee; adduct hip while monitoring at superior SI pole
• compress through knee to monitoring fingers
• maintain compression while abducting LE, extending the knee
• final position is mild traction through ankle with knee extended

Question 16

Still Technique for anterior innominate rotation SD

Answer 16

• patient supine
• flex hip to about 45 degrees and comfortable knee flexion, hip abduction while monitoring at inferior SI pole
• compress through knee
• maintain compression while adducting LE and flexing hip to monitoring finger, add traction through ankle and extend knee back down