Lumbar spine L1–5: Neutral positioning

10.5 Lumbar spine L1–5


Neutral positioning




Patient sitting


Rotation gliding thrust



Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a rotation gliding thrust to produce cavitation at L3–4 on the left (Figs 10.27, 10.28).



image

Figure 10.27


image

Figure 10.28



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 Patient positioning


Sitting on the treatment couch with the arms folded. The patient should be encouraged to maintain an erect posture.



2 Operator stance


Stand behind and slightly to the right of the patient with your feet spread. Pass your right arm across the front of the patient’s chest to lightly grip the patient’s left thorax (Fig. 10.29).


image

Figure 10.29

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

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Sep 3, 2016 | Posted by in MUSCULOSKELETAL MEDICINE | Comments Off on Lumbar spine L1–5: Neutral positioning

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