The OMT Techniques provides High Yield information that is needed for the COMLEX Level 1, 2, and 3, Medical School, Residency, and as a practicing Physician.
Direct Techniques
| Active / Passive | Principles Used | Placement | |
| Muscle Energy Technique | Active | Isometric resistance and Golgi Tendon Reflex | Active direct use of golgi tendon reflex. 1. Pt’s dysfunction guided to all barriers. 2. Pt tries to move toward freedom against isometric resistance for 3-5 seconds. 3. Repeat 2 more times then passive stretch into resistance. 4. Reassess |
| HVILA | Passive | Extensibility of connective tissue (massage) | Passive Direct 1. First prepare the joint with soft tissue / indirect techniques. 2. Joint placed into barrier, “LOCKING OUT” 3. Apply a specific, rapid, controlled, low amplitude thrust through the barrier. (NEVER EXCESSIVE) 4. Reassess |
Indirect Techniques
| Active / Passive | Placement | |
| BLT/LAS | Passive | (DEB) 1. disengage (compress or retract) 2. exaggerate (into ease) 3. balance (find middle point –> feel the release) |
| Counterstrain | Passive | Passive indirect resetting of the muscle spindles. 1. Pt placed into freedom and held for 90 SECONDS. 2. Slowly returned to neutral position. (Dont excite spindles!) 3. Reassess |
| Facilitated Positional Release | Passive | Passive Indirect resetting of muscle spindles. 1. Pt placed in neutral position. (Straight head) 2. A compressive force is applied to the treatment point. (Down on the tighthead) 3. Pt placed into freedom and held for 3-5 seconds. 4. Reassess NEUTRALIZE – COMPRESS – FREEDOM |
Direct/Indirect Techniques
| Active / Passive | Placement | |
| Still technique | Passive | 1. place into ease 2. activating force 3. move towards bind 4. release force and then return |
- Direct – Engaging the barrier
- Indirect – Engaging the freeedom
- Active – Patient performs the movement
- Passive – Physician performs the movement
Cranial Treatments
| CV4 | – increases the CRI – CRI increased w/ infection and post-OMT – CRI decreased w/ depression |
| Venous sinus technique | – assists in draining the cranium, useful w/ headaches and infection |
| V-spread | – spreads restricted sutures |
