The Tibia and Fibula
The tibia and fibula are approximately equal in length but are different in structure and function. The tibia is large, transmits most of the stress of walking, and has a…
Approaches for External Fixation
Although a wide variety of external fixators can be constructed, they all consist of only two elements. Pins are inserted into the bone to anchor the external fixator to the…
Safety and HVLA thrust techniques
5 Safety and HVLA thrust techniques Introduction There are risks and benefits associated with any therapeutic intervention. High-velocity low-amplitude (HVLA) thrust techniques are distinguished from other osteopathic techniques because the…
Thoracic spine T4–9: Rotation gliding
9.3 Thoracic spine T4–9 Rotation gliding Patient supine Ligamentous myofascial tension locking Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a rotation gliding thrust, parallel to the…
Thoracic spine T4–9: Flexion gliding
9.2 Thoracic spine T4–9 Flexion gliding Patient supine Ligamentous myofascial tension locking Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a flexion gliding thrust, parallel to the apophysial…
Lumbar and thoracolumbar spine
10 Lumbar and thoracolumbar spine Upper Body Holds For Sidelying Techniques All techniques in this manual are described with the operator taking up the axillary hold (Fig. 10.1). The hold…
Cervicothoracic spine C7–T3: sidebending gliding
8.18 Cervicothoracic spine C7–T3 Sidebending gliding Patient sitting Ligamentous myofascial tension locking Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a sidebending gliding thrust, parallel to the…
Lumbosacral joint (L5–S1): Neutral positioning
10.6 Lumbosacral joint (L5–S1) Neutral positioning Patient sidelying Thrust direction is dependent upon apophysial joint plane† Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a gliding thrust…
Ribs R4–10: Patient sitting
9.8 Ribs R4–10 Patient sitting Gliding thrust Ligamentous myofascial tension locking Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to produce cavitation at the costotransverse joint of the right…
