Ribs R1–3: Patient prone

9.5 Ribs R1–3


Patient prone




Gliding thrust



Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to produce cavitation at the costotransverse joint of the second rib on the right (Figs 9.36, 9.37).



image

Figure 9.36


image

Figure 9.37



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


Angle of the second rib on the right.



2 Applicator


Hypothenar eminence of the right 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. Introduce a small amount of sidebending to the left by gently lifting and moving the chin to the patient’s left (Fig. 9.38). Do not introduce too much sidebending.


image

Figure 9.38



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 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 Ribs R1–3: Patient prone

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