Stiles - American Academy of Osteopathy

� Speece and Crow identify four more methods for
identifying the Key Lesion which may have origin in
Sutherland’s work. These include:
� Systematically working one’s way through the myriad of
somatic dysfunctions until one releases whatever remains.
Obviously this would not work in the case of the Still-Laughlin
Technique.
� Observing the patient walking and visually identifying
immobile axes around which the rest of the body moves.
� Introducing traction through the leg of a supine patient and
palpably identifying the anchoring point(s) in the fascia.
� Observing the patient changing position, such as getting on or
off of a table. Areas of obvious restriction, such as a tight psoas,
would show themselves in an abnormal transfer.