Science In The Art Of Osteopathy: Osteopathic Principles And Practice

Science in the Art of Osteopathy Science in the Art of Osteopathy Osteopathic principles and practice Caroline Stone Stanley Thornes (Publishers) Ltd © 1999 Caroline Stone The right of Caroline Stone to be identified as author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system, without permission in writing from the publisher or under licence from the Copyright Licensing Agency Limited. Further details of such licences (for reprographic reproduction) may be obtained from the Copyright Licensing Agency Limited of 90 Tottenham Court Road, London W1P 0LP. First published in 1999 by: Stanley Thornes (Publishers) Ltd Ellenborough House Wellington Street Cheltenham GL50 1YW United Kingdon 99 00 01 02 03 / 10 9 8 7 6 5 4 3 2 1 A catalogue record for this book is available from the British Library ISBN 0 7487 3328 0 Every effort has been made to contact copyright holders of any material reproduced in this book and we apologise if any have been overlooked. Original illustrations by Oxford Designers and Illustrators. Typeset by Columns Design Ltd, Reading, Berkshire Printed and bound in Great Britain by Redwood Books, Trowbridge, Wiltshire CONTENTS Preface vii Acknowledgements ix 1 Placing osteopathy in relation to healthcare philosophies and systems 1 2 Perspectives on health, disease and intervention 15 3 Communication in the human form 28 4 Communication and tissue change: the nervous system 57 5 Body structure, motion and function 6 Ideas within osteopathy: the spine 122 7 Comparisons and contrasts in biomechanical models: the pelvis and lower limb Comparisons and contrasts in biomechanical 166 8 95 models: the upper limb and thorax 202 Fluid dynamics and body movement 235 10 Evaluation: analysis; reflection; critical being 280 11 Full case studies 322 Index 367 9 V PREFACE Then Prometheus Gathered that fiery dust and slaked it With the pure spring water, And rolled it under his hands, Pounded it, thumbed it, moulded it Into a body shaped like that of a god. Though all the beasts Hang their heads from horizontal backbones And study the earth beneath their feet, Prometheus Upended man into the vertical So to comprehend balance. Then tipped up his chin So to widen his outlook on heaven. Ted Hughes: Tales from Ovid (Reproduced with permission from Faber and Faber.) T h e Art of Osteopathy is the appreciation of motion; the Science is the acknowledgement of the effects of any aberration of movement within body structures and soft tissues. Osteopathy offers a unique contribution to healthcare - not only has it encompassed and encapsulated so many of the threads of hands-on healing and manipulative practices that have been on earth as long as man, but it has additionally introduced a fuller understanding of the