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 apophysial joint plane, to produce cavitation at the T2–3 apophysial joint (Figs 8.90, 8.91).

Figure 8.90

Figure 8.91

Key

Stabilization

Applicator

Plane of thrust (operator)

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. 8.92). 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.

Figure 8.92

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

Validation of clinical practice by research Cervicothoracic spine C7–T3: rotation gliding Cervical spine C2–7: Up-slope gliding Cervical spine C2–7: Up-slope gliding Thoracic spine T4–9: Rotation gliding Lumbosacral joint (L5–S1): Neutral positioning

Stay updated, free articles. Join our Telegram channel

Join

Full access? Get Clinical Tree