Cervicothoracic spine C7–T3: sidebending gliding

8.17 Cervicothoracic spine C7–T3


Sidebending gliding




Patient sitting



Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a sidebending gliding thrust, parallel to the apophysial joint plane, to produce cavitation at the T2–3 apophysial joint (Figs 8.84, 8.85).



image

Figure 8.84


image

Figure 8.85



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


Left side of the spinous process of T2.



2 Applicator


Thumb of left hand.



3 Patient positioning


Patient sitting with back towards the operator.



4 Operator stance


Stand behind the patient.



5 Palpation of contact point


Locate the spinous process of T2. Place the thumb of your left hand gently but firmly against the left side of this spinous process. Spread the fingers of your left hand to rest over the patient’s left trapezius muscle with your fingertips resting on the patient’s left clavicle (Fig. 8.86). Ensure that you have good contact and will not slip off the spinous process of T2 when you apply a force against it. Maintain this contact point.


image

Figure 8.86

Related posts:

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

Stay updated, free articles. Join our Telegram channel
Tags:
Sep 3, 2016 | Posted by in MUSCULOSKELETAL MEDICINE | Comments Off on Cervicothoracic spine C7–T3: sidebending gliding

Full access? Get Clinical Tree
Get Clinical Tree app for offline access