Webster`s Technique
Download
Report
Transcript Webster`s Technique
Webster‘s Technique
Dr. Larry Webster
Webster’s Technique
Also known as
–
–
Webster's “In-Utero Constraint Technique”
“Webster's Breech Turning Technique”
Developed in 1978
Chiropractic technique ~> Intrauterine constraint
Intrauterine Constraint
“any forces external to the developing fetus
that obstructs the normal movement of the
fetus”
Ohm (2000), ICPA
Intrauterine Constraint
May prevent the baby from
moving into a vertex position…
Breech = C-section
Webster‘s Technique
Classically, used when the baby has not
moved into a vertex position by 34 weeks
–
–
increased baby size
decreased fluid
Why wait until something has gone wrong?
Clinically...
Doctors report that patients monitored
throughout their pregnancy don‘t have as many
breech presentations
Research...
If you wait until 34 weeks, not 100% successful
–
–
82%-92%
re-call bias, retrospective studies
Many DC‘s have begun to start monitoring
Webster‘s in the 7th month
Webster‘s Technique
Patient lies prone (neutral posture)
Flex both heals to buttocks feeling for side of
higher resistance
–
–
stand square to the patient
can close eyes
Clinical Note: may not be accurate if the patient
has had knee surgery
Webster‘s Technique
According to Dr. Webster‘s work...
The side of increased resistance is the side of
posterior sacral rotation
–
so, increased resistance on the right indicates a P-R
sacrum
Webster‘s Technique
Correct the posterior sacral subluxation
–
tension of the drop should be set at it‘s lightest
*Dr. Webster did not recommend side posture
Chiropractors have reported success using
–
–
–
–
–
prone Diversified
Gonstead side-posture
Thompson drop adjusting
Activator
SOT
It seems that the important thing is to correct
the side of posterior sacral rotation...
Webster‘s Technique
Recheck legs for equalization of resistance
Once the legs are balanced...
Patient lies supine
Palpate to find the trigger point on the side
opposite the sacral posteriority
–
if adjusted P-R, soft tissue work on the left
Webster‘s Technique
From the ASIS, draw a line 45 degrees inferiormedially and from the umbilicus, draw a line 45
degrees inferior-laterally
Where the two lines bisect should be the
trigger point of the rectus abdominus
–
overlying the broad ligament of the uterus
Webster‘s Technique
Using light pressure (3-6 oz.) hold an I-S
contact over the trigger point
–
this is usually tender for the patient
Rotate your thumb 5 degrees in either direction
(challenge the tissue) and feel which direction
the tension is felt
Webster‘s Technique
Hold that contact for
1-2 minutes
Feel for the hypertonicity to relax
–
“melt“ under your contact
STOP!
Do NOT adjust any additional segments that
day
Perform Webster‘s every 2-3 days
–
other segments can be adjusted on days in between
It may take multiple visits before the baby shifts
positions
Conditions that might prevent the
fetus from turning:
Oligohydramnios
Placenta previa
Short umbilical cord
Twins
Uterine anomolies
–
bicornate uterus
References
Anrig & Plaugher. Pediatric Chiropractic. Baltimore, MD: Lippincott Williams &
Wilkins, 1998.
Anrig-Howe C. Scientific Ramifications for Providing Pre-natal and Neonate
Chiropractic Care. The American Chiropractor, 1993; May/June: 20-26.
Fallon. Textbook on Chiropractic and Pregnancy. Arlington, VA: International
Chiropractors Association, 1994.
Forrester J. Chiropractic Management of Third Trimester In-utero Constraint.
Canadian Chiropractor, 1997; 2(3): 8-13.
Fysh. Chiropractic Care for the Pediatric Patient. Arlington VA: ICACCP, 2002.
Kunau P. Application of the Webster In-utero Constraint Technique: A Case
Series. Journal of Clinical Chiropractic Pediatrics, 1998; 3(1): 211-6.
McMullen M. Assessing upper Cervical Subluxations in Infants Under Six
Months. ICA International Review of Chiropractic, 1990; March/April: 39-41
Pistoles R. The Webster Technique: A Chiropractic Technique with Obstetric
Implications. JMPT, 2002; 25(6).
Webster L. Chiropractic Care During Pregnancy. Today’s Chiropractic, 1982;
Sept/Oct: 20-22.