Cervicothoracic spine C7–T3: rotation gliding

8.15 Cervicothoracic spine C7–T3


Rotation gliding




Patient prone


Operator at head of couch



Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a rotation gliding thrust, parallel to the apophysial joint plane, to produce cavitation at the T2–3 apophysial joint (Figs 8.74, 8.75).



image

Figure 8.74


image

Figure 8.75



Key




image Stabilization


image Applicator


image Plane of thrust (operator)


image Direction of body movement (patient)


Note: The dimensions for the arrows are not a pictorial representation of the amplitude or force of the thrust.






1 Contact point


Transverse process of T3 on the left.



2 Applicator


Hypothenar eminence of left hand.



3 Patient positioning


Patient prone with the point of the chin resting on the couch and the arms hanging over the edge of the couch or against the patient’s sides. Introduce a small amount of sidebending to the right by gently lifting and moving the patient’s chin to the right (Fig. 8.76). Do not introduce too much sidebending.


image

Figure 8.76



4 Operator stance


Head of the couch, feet spread slightly. Stand as erect as possible and avoid crouching over the patient as this will limit the technique and restrict delivery of the thrust.

Related posts:

Validation of clinical practice by research Cervical spine C2–7: Down-slope gliding Cervicothoracic spine C7–T3: sidebending gliding Cervicothoracic spine C7–T3: extension gliding Ribs R4–10: Patient prone Lumbosacral joint (L5–S1): Neutral positioning

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Sep 3, 2016 | Posted by in MUSCULOSKELETAL MEDICINE | Comments Off on Cervicothoracic spine C7–T3: rotation gliding

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