9.1 Thoracic spine T4–9
Extension gliding
Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use an extension gliding thrust, parallel to the apophysial joint plane, to produce joint cavitation at T5–6 (Figs 9.12, 9.13).
2 Applicators
(a) Operator’s sternum, with a cushion or small rolled towel, applied to the T6 spinous process (Fig. 9.14)
(b) Operator’s flexed fingers, hands and wrists applied to the patient’s elbows.
3 Patient positioning
Sitting with arms crossed over the chest and hands passed around the shoulders. The arms should be firmly clasped around the body as far as the patient can comfortably reach.
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