OMM Review — Still Technique and Integrative OMT
Original OMM review notes for Still technique and integrating OMT into patient care.
Still Technique
Still technique begins by placing the dysfunctional part in a position of ease (indirect). The practitioner then slowly guides the structure through the restrictive barrier toward its normal physiologic position (direct) while waiting for tissue release.
It is named after A.T. Still and is considered one of the classic osteopathic techniques.
Integrative OMT
Effective OMT combines techniques based on the patient's condition, the involved region, and treatment goals. A session might begin with indirect/myofascial work for acute pain, progress to MET for specific muscles, and finish with HVLA or articulatory techniques for restricted joints when appropriate.
Clinical Decision-Making
- Identify the primary somatic dysfunction and any secondary compensations.
- Choose the safest and most efficient technique for the patient.
- Consider age, bone health, comorbidities, and patient comfort.
- Reassess after treatment and adjust the plan.
Q: Is Still technique indirect or direct?
A: It is indirect-to-direct: starting in ease and slowly moving through the barrier.
Q: What is the first step in planning an OMT session?
A: Identify the primary somatic dysfunction and prioritize treatment based on safety and patient goals.