Stills Flashcards
1
Q
Still technique definition
A
- characterized as a specific, non-repetitive articulatory method that is indirect, then direct
- attributed to A.T. Still
2
Q
Steps of Still Technique
A
- 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
3
Q
Still Technique indications
A
- 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
4
Q
Still Technique contraindications
A
-not advisable across recent wounds or fractures less than 6 weeks old
5
Q
Still Technique for OA SD
A
- 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
6
Q
Still Technique Typical Cervical SD
A
- 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
7
Q
Still Technique for Posterior Rib SD
A
- 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
8
Q
Still Technique for exhalation, anterior TP rib SD
A
- 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
9
Q
Still Technique for inhalation, posterior TP rib somatic dysfunction
A
- 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
10
Q
Still technique for type II SD upper thoracic (T1-T4) SD
A
- 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
11
Q
Still technique for type II Lower Thoracic (T5-T12) SD
A
- 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
12
Q
Still technique for type I neutral thoracic SD
A
- 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
13
Q
Still Technique for lumbar SD
A
- 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
14
Q
Still Technique for superior innominate shear SD
A
- 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
15
Q
Still technique for posterior innominate rotation SD
A
- 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
