Course series

SAT: Specific Adjusting Technique

The Specific Adjusting Technique is presented over 3 courses of 4 days

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This series presents the concepts and practise of the Specific Adjusting Technique (SAT), as exemplified in the work of Tom Dummer D.O. and Gerald Lamb D.O.

During these courses, you will be guided towards finer palpation, a broadening of your sensitivity at several levels and a wider mode of observation. Furthermore, several workshops will aim at developing your manual abilities according to a particular progression as you refine an approach that is structural as well as functional. You will develop efficient tools in assessing lesions more easily and underlining treatment priorities.

The philosophy of specific adjusting takes into account the quality of all tissue, of the biodynamic force, of the postural balances and of the person as a physical, emotional and spiritual entity.

Course descriptions

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  • To present the concepts, ideals and practise of Specific Adjusting Technique (SAT) as exemplified in the work of Mr Tom Dummer D.O. and Mr Gez Lamb D.O.
  • To introduce the involuntary mechanism approach within the SAT concept and philosophy.

Objectives :

At the end of the course the student will have learned and practised:
  • A practical application of the Littlejohn mechanics for an appreciation of the relationships between pivots and curves
  • The specific and minimal treatment approach
  • How to experiment with different modes of observation and perception to obtain an overall assessment
  • To develop a procedure of observation and analysis of the hip drop test
  • The triunity diagnostic routine for selection of the primary or priority lesion
  • To develop a short form assessment from the triunity diagnostic routine
  • The sacral toggle technique for the resolution of primary pelvic lesions
  • To explore the concepts of positional lesions, choosing the segment and performing the adjustment
  • The ‘floating-field’ concept to correct traumatically induced positional lesions
  • X-Ray diagnosis of positional lesions
  • The motility assessment of osteopathic lesion components and as an indicator of the body’s preference for change
  • The SAT principles of treatment of each area of the spine, pelvis and pivots to ensure an accurate resolution of the vectors contained in the lesion
  • To experiment with Body Articulating Technique (BAT) or General Osteopathic Technique (GOT) with specific reference to the primary lesion
  • An introduction to the ‘tissue field’ diagnosis with a view to making treatment more field specific
  • A consideration of the treatment and resolution of shock as a necessary adjunct for successful treatment.
The course will have a high practical element to enable the participants to gain as much supervised practise as possible. Participants will be guided through a series of palpatory skills and the exploration of centring exercises. They will be asked to work with colleagues on problem-solving solutions. They will be guided on experiencing the skills with a free mind. The involvement of participants in their own evolution will be fundamental to the success of the seminar.
Gerald (Gez) Lamb D.O.
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Aims :

  • To Implement a large range of skills with the intention of improving the fluidity of diagnosis and execution of SAT practice.
  • To include a blend of field and level work to integrate with the practice of SAT.


At the end of the course the participants will have learned and practised:
  • Adapting and refining the Tri-unity routine assessments U 1,U2,U3
  • Modes of observation for finding the primary for a more specific approach within the minimal treatment model
  • Adapting and refining specific boney adjustments using the line of least resistance with care and refinement (prone adjustment and sacral toggle)
  • Adjustments in the specific mode
  • C1 adjustment
  • Upper cervicals with variation in positioning
  • Exploration of tissue fields diagnosis and interpretation Introduction and exploration of LEVELS of action in the PRM Exploration of fields and levels – procedures for treatment and integration Release of shock Release of neurological patterns and old traumas
  • Resolution of extremity muscular tensions and extremities joints to leave the spine available for adjustment without trauma
  • Using X-Rays with more details on upper cervical diagnosis and palpation
The emphasis will be on student participation in small group decision making and comparing findings. The experience of tissue fields and levels should deepen the efficacy of specific adjustments and deepen the relationship between practitioner and patient.
Gerald (Gez) Lamb D.O.
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  • To integrate philosophy, concepts and technique to a full appreciation of the inner game of SAT
  • To refine the process of specific adjusting to understand the essence of SAT, its intention, application and execution.


At the end of the course the student will be able to:
  • Diagnose the patterns relevant to an SAT approach
  • Discern primaries and secondaries and when to treat them
  • Integrate bony adjustments with the functional processes of the body as expressed through tissue fields and levels, and through the PRM in the tissues
  • Identify fulcra and know how to use them to facilitate treatment
  • Perceive the signs of the response to treatment and know when a treatment has completed
  • Get the best from X-Ray diagnosis
  • Focus the PRM at the point of adjustment
  • Achieve a harmonious balance in the body-mind-spirit continuum
The emphasis in SAT 3 should be more on the student in problem solving from an application of principles, with much cross-referencing with the group to devise treatment plans for each pair of students. So that at the end of the seminar everybody is sure that they have the principle in their hearts and enough structure to fall back on to carry treatment forward no matter what they meet in practice. So a lot of time will be given to students problem solving in front of the group and explaining their strategies for treatment over 4-6 sessions.
Gerald (Gez) Lamb D.O.
Enseignant(s) / Presenter(s)
Lieux / Location
Prérequis / Prerequisites
Langues / Languages
Prix / Price
Take note that a $50 fee will be charged for any cancellation.
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2015 Drummond Street, 5th floor
Montreal, Quebec H3G 1W7
Tel.: (514) 342-2816 / Fax: (514) 731-7214