Stiles - American Academy of Osteopathy

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Still-Laughlin Integrative treatment Richard L Van Buskirk, DO, PhD, FAAO Lab presented at AAO Convocation, March 2012 1. Method of Still Technique a. Determine exact tissue restriction. b. Determine nature of restriction and position of ease c. Set tissue in ease d. Introduce compression (force vector) from another site toward the tissue e. Using the compression as lever carry tissue from ease thru restriction 2. Basic method of Still-Laughlin taught today: a. Diagnose whole body for medical problems and detailed somatic dysfunction b. Evaluate for the key lesions or areas of greatest restriction c. Evaluate key lesions for exact nature of restrictions and exact positions of ease d. Set body into position of ease for lowest key lesion e. Stack each additional key lesion in its position of ease on top of all lower one(s) f. Introduce compression from site above the top key lesion. Focus the compression on the top key lesion. g. Use this force vector to carry the top key lesion from its ease through its restriction h. Without removing the compressive force shift its focus to the next inferior key lesion i. Carry each successive key lesion from its ease through restriction j. Re-evaluate the whole body for somatic dysfunctions. Typically all will have been successfully treated. 3. Diagnose whole body for medical problems and detailed somatic dysfunction a. Evaluate all primary systems for evidence of dysfunction b. Look for each instance of somatic dysfunction i. In the spine define each segmental restriction as so flexion/extension, sidebending, and rotation ii. For pelvis and sacrum determine restriction iii. For arms and legs determine nature of restriction and ease iv. For muscles and tendons determine ease and restriction v. For each tissue document findings in a detailed fashion. 1. This will demonstrate for medical-legal-insurance purposes all that you have treated 2. It will also allow you to have a clear picture of your success and failures in treating the somatic dysfunction and its concomitant medical problems. 4. Evaluate for the key lesions or areas of greatest restriction a. You can use Dr. Stiles’ methods of determining the AGR’s b. Alternatively you can use the following: i. For spinal segments starting with the cervical spine take each restricted segment in turn
ii. Holding each segment in neutral, introduce flexion and extension from above (passive process on the patient’s part, active on yours). If the palpable tissue texture changes do NOT disappear the segment is a key lesion. If they do disappear in either flexion or extension the segment is NOT a key lesion. iii. For ribs the same principal applies except you use sidebending. Again if the tissue texture changes fail to disappear the rib dysfunction is a key lesion. iv. Pelvic dysfunctions are rarely key lesions but again if the signs of a dysfunction (ASIS or PSIS displacement) disappear with induced sidebending the dysfunction is not a key lesion. v. Key lesions are likewise rare in the extremities but seem to be made visible with axial rotation. 5. Evaluate key lesions for exact nature of restrictions and exact positions of ease a. This is very important. However you should have already determined these factors when you first performed you somatic dysfunction list. 6. Set body into position of ease for lowest key lesion 7. Stack each additional key lesion in its position of ease on top of all lower one(s) 8. Introduce compression from site above the top key lesion. Focus the compression on the top key lesion. 9. Use this force vector to carry the top key lesion from its ease through its restriction 10. Without removing the compressive force shift its focus to the next inferior key lesion a. Carry each successive key lesion from its ease through restriction 11. Re-evaluate the whole body for somatic dysfunctions. Typically all will have been successfully treated. 12. Alternatively you can try Dr. Stiles’ version and use a force vector myofascial release focused on the AGR. Both versions produce comparable results. a. Both treat all somatic dysfunctions and their concomitant neural and vascular restrictions in a single rapid but complex dance. b. Still-Laughlin is very efficient, but treats everything the more fractionated methods like HVLA, Muscle Energy, Counterstrain, and Still Technique do. c. Still-Laughlin is not limited as to the type of tissue treated although its focus is on the musculoskeletal system. d. Accepting that most disease processes are due to body-wide dysfunctions, an integrated whole body treatment such as Still-Laughlin should be incredibly efficient in removing or reducing the musculoskeletal load contributing to disease and prevent the body from efficiently healing.
Page 1 and 2: Richard L. Van Buskirk, DO, PhD, FA
Page 3 and 4: � The redeveloped Still Technique
Page 5 and 6: � By the end of his life Dr. Andr
Page 7 and 8: “The principle used and taught by
Page 9 and 10: � Over the years the idea of a
Page 11 and 12: � Speece and Crow identify four m
Page 13 and 14: � Stiles’ AGR for CERVICAL: �
Page 15 and 16: � Stiles’ AGR for LOWER HALF OF
Page 17 and 18: � Regardless of the method used t
Page 19 and 20: � Treatment involves stacking eac
Page 21 and 22: � Key dysfunctions are found at
Page 23 and 24: � The Still-Laughlin Technique tr
Page 25: � That being said, the Still-Laug

Stiles - American Academy of Osteopathy

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