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HANDBOOK OF OSTEOPATHIC TECHNIQUE Third edition Laurie Hartman oo MRo Associate Professor of Osteopathic Technique, British School of Osteopathy m I SPRINGER-SCIENCE+BUSINESS MEDIA, B. 1 v. First edition 1983 published by NMK Publishers Second edition 1985 published by Hutchinson Published in paperback 1990 Reprinted 1992, 1994 Third edition 1997 © 1983, 1985, 1990, 1997 Laurie 5. Hartman Originally published by Chapman & Hall in 1997 Typeset in 10/12 Palatino by Photoprint, Torquay, Devon ISBN 978-0-412-62310-3 ISBN 978-1-4899-6868-5 (eBook) DOI 10.1007/978-1-4899-6868-5 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the UK Copyright Designs and Patents Act, 1988, this publication may not be reproduced, stored, or transmitted, in any form or by any means, without the prior permission in writing of the publishers, or in the case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright Licensing Agency in the UK, or in accordance with the terms of licences issued by the appropriate Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publishers at the London address printed on this page. The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made. A catalogue record for this book is available from the British Library Library of Congress Catalog Card Number: 96--83432 i§ Printed on acid-free text paper, manufactured in accordance with ANSIINISO Z39.48-1992 (Permanence of Paper). CONTENTS Foreword v Acknowledgements vi Preface to the third edition vii 1 How to use this book 1 2 Somatic dysfunction 4 3 Diagnosis 7 4 Classification of osteopathic techniques 13 5 Contra-indications and precautions 23 6 Indirect technique 31 7 Modifying factors in technique 39 8 Handling 49 9 Operator posture and stance 51 10 Applied technique 56 11 Principles of locking 62 12 Exercises for developing technical skill 66 13 Techniques for the lumbar area 69 14 Techniques for the sacro-iliac area 94 15 Techniques for the gluteal region and coccyx 108 16 Techniques for the thoraco-lumbar junction area 113 17 Techniques for the thoracic spine 116 18 Techniques for the thoracic cage and ribs 131 19 Techniques for the scapula-thoracic area 143 20 Techniques for the cervico-thoracic junction area 147 21 Techniques for the cervical area 159 22 Techniques for the occipital area 179 iv Contents 23 Techniq ues for the sinuses and tempor o-mand ibular joints 24 Techniq ues for the clavicle area 193 25 Techniq ues for the shoulde r area 198 26 Techniq ues for the elbow area 209 27 Techniq ues for the forearm area 218 28 Techniq ues for the wrist and hand 219 29 Techniq ues for the hip area 227 30 Techniq ues for the thigh area 233 31 Techniq ues for the knee area 239 32 Techniq ues for the calf area 250 33 Techniq ues for the foot 253 Recom mended reading 275