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Leslie Holcombe, DC

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Sacro-Occipital Technique (SOT)

SOT is a method of chiropractic based primarily on the identification and
treatment of three bodily systems (called Categories): the cranial sacral
respiratory system, the weight-bearing system and the function of the
lumbar spine. The cranial sacral mechanism is a combination of integrated
functions that support, nourish and enhance the performance of the nervous
system as it controls bodily functions.

The components of the cranial sacral respiratory mechanism are:
  • Respiratory motion of the sutural system of the cranium along with cranial
    bone flexibility.
  • Respiratory motion of the sacrum between the two ileum.
  • Tension of the dural membranes from its contact with the sutural system,
    the cranium, the upper cervical spine and the sacral base.
  • The inherent quality of the cerebral spinal fluid to pulsate and flow
    through the dural membrane system.

The growth and inherent respiration of the brain and ventricular system.

All other systems of the body have both a direct and indirect relationship
to the cranial sacral respiratory mechanism (endocrine, cardiovascular,
respiratory, etc.).

In SOT, structural analysis is based on objective clinical findings
(indicators). These methods are based on normal physiology and how the
physiology should react under certain conditions, i.e., Arm Fossae test is
a challenge of multiple stimuli calling on the upper motor neurons system
to coordinate function with the lower motor neuron system. Once these
indicators are collected, the SOT Chiropractor makes judgments as to the
best treatment approach. One of three categories are chosen, based on the
needs of either the cranial sacral mechanism, the weight-bearing
properties of the sacroiliac joint or the lumbar spine.

The three category system of classification is defined as follows:

Category I
A disturbance in the cranial sacral mechanism in its distribution of
the cerebral spinal fluid, the tension of it's dural membranes and the
function of the cranial/sacral structures to promote these qualities.

Category II
A disturbance of the body's weight-bearing system, primarily the
weight-bearing sacroiliac interosseous ligaments, with a loss of the
body's ability to maintain itself posturally against gravity. The cranial
sutural system is considered as part of the body's weight bearing system.

Category III
A lumbar joint failure possibly resulting in discogenic involvement and
nerve root compression or stretching. A failure of the piriformis muscle
is also considered in Category III as is distortion of the pelvic ilio
femoral complex.

Indicators for further treatment procedures are monitored as the treatment
protocol continues. By monitoring the indicators, you also will know when
and if the adjustment has been successful. All three of the category
systems utilize specific pelvic blocking procedures to initiate alignment
and respiration along with spinal adjustment. Cranial techniques are
primarily indicated by the category system being treated. This flow from
full body adjusting to specific cranial adjusting was developed over many
years by Dr. DeJarnette.

Included in SOT is Chiropractic Manipulation Reflex Technique (CMRT). CMRT
is a system of organ function analysis and treatment as it relates to the
spine and the occipital tendon insertions. This method not only allows you
to find the major vertebral subluxation but also the degree of
involvement, (cerebrospinal-meningeal, vertebral visceral or
structural-vertebral). CMRT teaches a method of adjusting the vertebrae
subluxation along with soft tissue reflexes to nourish the organ. The
occipital fibers are based on the ability of the proprioceptive system
(Golgi Tendons) to respond to muscles influenced by spinal subluxations
and visceral and meningeal disturbances. CMRT allows the SOT Chiropractor
to take a whole person approach to health. SOT also employs Trapezius
fiber analysis with spinal palpation to define spinal subluxation and
cervical indicators to define lumbar subluxation. Extremity techniques are
taught in SOT as part of its core curriculum since they are part of the
weight-bearing system and can influence cranial sacral respiration.



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DISCLAIMER: No individuals, including those under our active care, should use the information, resources or tools contained within to self-diagnose or self-treat any health-related condition. Diagnosis and treatment of all health conditions should only be performed by your doctor of chiropractic or other licensed health care professional.