9.3 Thoracic spine T4–9
Rotation gliding
Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to use a rotation gliding thrust, parallel to the apophysial joint plane, to produce joint cavitation at T5–6 (Figs 9.23, 9.24).
3 Patient positioning
Supine with the arms crossed over the chest and the hands passed around the shoulders. The left arm is placed over the right arm (Fig. 9.25). The arms should be firmly clasped around the body as far as the patient can comfortably reach.
5 Positioning for thrust
Reach over the patient with your left hand to take hold of the left shoulder and gently pull the patient’s shoulder towards you (Fig. 9.26). With your right hand, locate the transverse processes of T6. Now place the thenar eminence of your right hand against the left transverse process of T6 (Fig. 9.27).
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