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Rib 1 Exhalation Dysfunctions
Patient raises head directly towards ceiling
Anterior and Middle Scalenes
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Rib 2 exhalation dysfunction
Patient turns head 30 degrees away from dysfunctional side and lifts head toward ceiling
Posterior Scalene
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Ribs 3-5 exhalation dysfunction
Pectoralis minor
Patients pushes elbow of affected side toward the opposite ASIS
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Ribs 6-9 exhalation dysfunction
Push arm anterior
Serratus anterior
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Ribs 10-12 exhalation dysfunction
Patient adducts arm
quadratus lumborum
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Right superior pubic shear
- 1. drop the patient's right leg off the table and abduct until resistance is felt
- 2. instruct patient to bring his right knee to his left ASIS (flexion and adduction), against counterforce
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Right inferior pubic shear
- 1. Flex and abduct patient's right hip and knee and until resistance is felt
- 2. Instruct patient to push his right knee to his left (extension and adduction) against counterforce
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Right arm restriction in supination
radial head posterior
- 1. place your right hand at the distal end of the patient's right forearm and supinate it to initial resistance as you monitor with the other thumb at the radial head
- 2. direct the patient to pronate the right forearm against equal resistance supplied through your right hand
- 3. maintain force until contractile force at the localized segment is sensed
- 4. patient and physician relax and the physician takes up the slack to the new barrier
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Right forearm has restriction of pronation
radial head anterior
- 1 support the patient's right elbow with your left hand
- 2. Place your right hand at the distal end of the patient's right forearm and pronate it to inital resistance
- 3 direct the patient to supinate the right forearm against an equal conterforce supplied through your right hand
- 4. maintain force until contractile force at the localized segment is sensed then patient and physician relax and the physician takes up the slack to the new barrier
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right fibular head anterior
- 1. patient prone with knee, place your right hand on the lateral side of the patient's foot, cupping the ankle
- 2. plantar-flex and invert the patient's foot to initial resistance
- 3. Externally rotate the tibia
- 4 Direct the patient to dosiflex against your isometric counterforce
- 5 Relax forces, than plantar-flex, invert and externally rotate the tibia to the new barrier
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Right fibular head posterior
- 1. With the patient prone and knee flexed, place your right hand on the lateral side of the patient's foot cupping the ankle
- 2. plantar flex and invert the patient's foot to intial resistance
- 3. internally rotate the tibia
- Direct the patient to dosiflex against your isometric counterforce5 Relax forces, than plantar-flex, invert and internally rotate the tibia to the new barrier
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