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The technique has many variants. The general prescription is to disengage and exaggerate the diagnosed somatic dysfunction. This is the indirect component. The practitioner then waits for a change in the palpatory quality of the structure being treated, i.e., a change in skin tension, temperature,
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According to
Sutherland's model, all the joints in the body are balanced ligamentous articular mechanisms. The ligaments provide proprioceptive information that guides the muscle response for positioning the joint, and the ligaments themselves guide the motion of the articular components.
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or muscle tension. This is followed by a balancing stage in which the practitioner slowly brings the joint into the diagnosed restriction (the direct component).
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164:. American Association of Colleges of Osteopathic Medicine. April 2009. p. 29. Archived from
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DEileen L DiGiovanna, Stanley
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An
Osteopathic Approach to Diagnosis and Treatment, 2nd Ed.
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and explaining the responses to the fringe theories.
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