Here we take a look at what seem to be theoretical biases and blindness with respect to the sacrum and the thorax. The sacrum is an odd fetish in osteopathy and does not truly deserve the deep love affair it is afforded by practitioners. The thoracic vertebral column is claimed to follow the motion coupling theory proposed by Fryette in most osteopathic institutions…but it does not, it does not follow a clear pattern generally. Take a few moments to take in the information in the videos below.
One of the early concepts I chose to commit to video was that contact is control. Here I will put two videos that demonstrate this concept in different ways in the hopes that further visual representation of the concept help make it more usable in practice. I will continue to demonstrate this and other concepts as time goes on.
After a general introduction to cognitive biases we are able to begin looking at situations where they might be at play. Below are two situations where cognitive biases MIGHT be issues. As a general statement I will point to a concept that leads to trouble in conversation: I don’t have to prove myself right if you are unable to prove me wrong. I have experienced many situations where the previous statement is invoked and, as such, leads to roadblocks in conversation. It may be useful if each one of us was able to prove ourselves correct where possible and admit when there are shortcomings in our knowledge where it exists (which is almost everywhere).
We have previously introduced the concept of relational motion. Now we will take some time to provide a few demonstrations of the concept that one thing stays still and one thing moves in relation to it. This concept applies when moving soft tissue in relation to a bone, a bone in relation to a soft tissue, or a bone in relation to a bone.
We have already seen an overview of the concept of multisensory integration so we shall move on to speak a bit more about the realities of utilizing the concept in clinical practice. Just as a primer, you will not be able to directly view a structure that is covered by your hand and that is totally fine…that is why you will utilize a mix of palpation/haptic feedback and vision. Also, you may be looking at other things in order to make sure you are doing what you think you are doing (aka you are not moving beyond your target).
One of the most basic concepts in any manual therapeutic modality is that one thing stays still and another thing moves in relation to it. What follows will be the first video in a small series about the concept of relational motion which will provide an explanation of the concept as well as a demonstration. Subsequent videos will provide further demonstrations of the concept.
We have already looked at the overarching concepts of assessment so now we will take a look at what we are ACTUALLY testing in Osteopathic Manual Therapy as well as discussing the utilization of broad contact in order to engage multipoint discrimination for better identification of motion dysfunction. Please enjoy the videos below.