• Look for symmetry and asymmetry of movement as well as rhythmicity of movement.
  • Look for, and memorize potential areas of abnormal temperature or sudo-motor response, when sliding the diagnostic hand down the spine
  • The operators body provides the momentum not his arms
  • Ask the patient for feedback, during examination, to determine what can and cannot be done in treatment as well as to avoid pain.
  • Line the patient up correctly to avoid false feedback from the body’s asymmetry
  • Compare and contrast the two sides of the body
  • In osteopathy every movement is done in relation to a point of fixation
  • Never continue treatment when there has been a tissue response (find it, fix it, leave it alone)
  • The spine is the centre for the expression of disease
  • The spine is a coordinating centre not a corrective one
  • Mechanical movement based on precise adjustment of the various parts of the body is a major contributor to the health of the individual
  • An osteopathic lesion is not a bony mal-position nor even a mal-adjustment and should not be regarded as anatomical but physiological
  • In correction it is not acceptable to attempt to thrust or force a vertebra into line, as if it were one of a pile of bricks !
  • It is essential to remember that we must rectify the whole gravity line before we can adjust the local lesion or keep it adjusted.  The lesion is a disturbance which plays against the force and line of gravity and the gravitational points in the spine and body
  • Correction (adjustment) is the process by which an articulation and its field of attachments is restored to as near its normal range of motion as the age, health and co-morbities suffered by the patient will permit

Sentences by Wernham and Littlejohn

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