Sacro Occipital Technique and Koch Protocols

Sacro Occipital Technique or SOT is a highly evolved and precise system of chiropractic analysis and correction.  It is the product of research and development by Dr. Major DeJarnette and his many talented associates spanning a period of 73 years. In SOT analysis, a series of signs and indicators are interpreted to decide into which of three possible diagnostic categories a patient fits. The objective of all SOT corrections is to normalize the relationship between the skull and pelvis.

The integrity of the spine and the function of the nervous system begins with the pelvis.  This foundation is constantly subjected to the pull of gravity.  When pelvic stability is lost it produces effects throughout the body. Proper control of every cell and tissue of the body is affected by the bones of the skull and tension of the spinal cord.  Is it flexible and healthy? Or is it stretched and excessively tight?  The objective of SOT correction is to normalize that tension.

The SOT corrections are unique among chiropractic techniques. Wedge shaped devices known as “blocks” are precisely placed under the pelvis in positions indicated by the SOT category I, II or III as established by the doctor’s analysis of the patient.  The patient’s own weight on the blocks provides the power to initiate the correction.

SOT provides us with the most precise and non-invasive approach to chiropractic correction. It is the cornerstone of the advanced techniques I integrate with instrument assisted adjustments in The Koch Protocols. Through this precise technique approach we are able to achieve comprehensive neuro-musculoskeletal equilibrium comfortably, safely and efficiently for the patient.

SOT Categories

Category 1:  Excess dural membrane tension


  1. Unilateral heel tension
  2. A to P sway standing
  3. Bilateral 1st rib movement on cervical flexion

Category 2:  Sacroiliac slippage and separation. Sprain/strain injury of sacroiliac ligament. This is a unilateral weight bearing fault.


  1. Inability or weakness of supine leg raise
  2. Lateral sway standing
  3. Only one 1st rib head moves on cervical flexion standing
  4. Weak arm fossa test
  5. Positive Lyman Chair test

Category 3:  Disc bulge or herniation.


  1. Lateral spinal incline
  2. No sway
  3. No rib head movement on cervical flexion standing
  4. Sciatic pain

Please join me in Florida August 2 – 4, 2019 for a Koch Protocols Seminar and learn how to very simply categorize your patients and use basic SOT blocking procedures. Learn how I use SOT with instrument adjusting in my unique protocols for fantastic and fast results for your patients.

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