Manipulations, osteopathic functional techniques

Otitis media responds well to maintaining an open Eustachian tube, which can be facilitated by osteopathic manipulation. The Galbreath technique, or jaw lift, is useful in this regard. Because a portion of the Eustachian tube lies in the temporal bone, this bone must be kept functioning normally, i.e., internal and external rotation in conjunction with the normal cranial rhythmic impulse. The circulation to the ear and the normal flow of the lymphatics to and from the ear must be considered when formulating a treatment plan. 

All functional scolioses are benefited by osteopathic manipulation once the cause has been eliminated or corrected. Myofascial techniques, muscle energy, and exercises are most helpful when working on the muscles. 

The two major goals of osteopathic manipulation of the upper extremity are to restore function and to prevent motion loss. The upper extremity is generally considered one unit when treating with articulatory or thrusting techniques. Each restricted joint must be returned to normal function. 

From the earliest days of osteopathy, direct manipulation of the viscera has been included in the armamentarium of the osteopathic physician. In his last book. Osteopathy, Research and Practice, Andrew T. Still, the founder of osteopathy, discussed the treatment of many disease entities and emphasized the treatment of "lesions" of the vertebrae and ribs as well as describing techniques applied directly to the viscera. His stated goal was always to improve the circulation of arterial and venous blood and lymphatic flow to and from the viscera, as well as assuring proper neural function. His preference in visceral treatment was to have the patient in a knee-chest position, from which he would lift the viscera being treated upward toward the diaphragm. He described using this type of technique in the treatment of dysentery and appendicitis. He used a technique for dyspepsia in which he placed the patient on his right side while he lifted the stomach toward to left. 

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