Sacro Occipital Technique
What is Sacro Occipital Technique?
SOT and SOT Cranial is a method of chiropractic care that identifies the cause of your symptoms. SOT practitioners understand the mechanics and neurology of the body in an organized and practical way.
An SOT doctor knowledgeably analyses your body to determine underlying
- Spinal
- Cranial, and
- Organ-related problems.
The Sot practitioner determines the cause of our problems and corrects it using very specific and effective methods. SOT doctors integrate large amounts of information, using several different techniques and approaches simultaneously, as SOT integrates easily and seamlessly with other chiropractic systems.
SOT patients are also routinely given guidance regarding home care, diet, and nutrition.
Patients seeing SOT practitioners can relax and know that they are in the best hands in chiropractic. SOT doctors understand your problems and utilize a systematic and comprehensive approach to chiropractic care.
In a nutshell, SOT practitioners are thinking chiropractors willing and able to deliver quality care.
Improve Results
The Category System of Patient Analysis refers to the primary system dysfunctions recognized by M.B. DeJarnette as most common all-inclusive on patients seen in the chiropractor's office.
The category system of patient analysis offers the practitioner a logical, balanced approach to patient care, leading you to the proper treatment approach. The SOT indicators enable you to monitor your effectiveness and tell you when to change your approach.
- Category I
- Category II
- Category III
- Cranial Sacral Respiratory Mechanism
- Chiropractic Manipulation Reflex Technique
The Three Categories
Your body will adapt to misalignments. This adaptation or failure to adapt produces different "categories".
These categories may be progressive.

Category I
Fixation of the synovial sacro iliac boot, with associated meningeal system disruption. The spinal and intracranial dura is involved, along with the neurology, physiology and reflexes of the central nervous system.
Category II
Dysfunctions of the weight-bearing parts of the sacro iliac joints. This usually involves a tear, sprain or strain of the hyaline part of the sacro iliac joint, and can have far-reaching consequences due to the effect that this problem has on proprioception, the muscular system, and the temporomandibular mechanism and cranial sutures.
Category III
The discs and their blood supply. This is the category of most acute low back pain patients. SOT has special procedures for the care of these patients that is both effective and safe.
Cranial Sacral Respiratory Mechanism
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.
Chiropractic Manipulation Reflex Technique
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.
SOT visceral techniques allow you to understand and treat your patient for a full-body point of view, leaving no stone unturned. Chiropractic Manipulative Reflex Technique (CMRT) is an organized and effective approach to dealing with the viscero-somatic reflexes that are present in so many patients and that are a common cause of chronic subluxation.
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