By Jiri Dvorak, Thomas Tritschler, Werner Schneider
FMH actual medication, Rheumatology, Kreuzlingen, Switzerland. Translation of the 1986 German version. Photographic atlas for orthopedic and actual drugs experts; and chiropractors. DNLM: 1. Manipulation, Orthopedic.
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Example text
The operator places the proximal phalanx of the index finger of the mobilizing hand over the trans verse process of the atlas on the restricted side. His other hand fixates the patient's chin (Fig. b). - The C1-C2 segment is brought to the pathologic motion barrier by introducing passive rotation, side-bending, and inclination. Treatment Procedure A rotatory impulse force is directed toward the trans verse process of the atlas (Fig. b). Remarks The impulse should not contain a reclination component because the vertebral artery may otherwise be adversely affected.
Treatment Procedure - At the end of exhalation, both hands introduce an impulse in the anterior direction (Fig. b). Remarks Please note: - The pisiform bone should not make contact with the ribs, since otherwise it may exacerbate the patient's symptoms. In cases in which the pain becomes worse with the application of anterior pressure on the transverse processes, the treatment proce dure must be discontinued. 55 T3toT10 Mobilization with Impulse (Thrust): Rotation Restriction Indication (Fig. a) Zone of irritation: T3, T4, T5, T6, Tl, T8, T9, T10.
A) Zone of irritation: T3, T4, T5, T6, T7, T8, T9, T10. Motion testing: Segmental or regional restriction with hard endfeel. Pain: Midthoracic spine; the pain may radiate in a beltlike manner. Positioning - Patient is prone. - The spinal segment that is to be mobilized is localized by introducing flexion to the thoracic spine. - The operator stands at the patient's side. The pisiform bone of one hand is placed over the transverse process of the vertebra below the restricted spinal segment while the pisiform bone of the other hand is placed over the transverse process of the vertebra above the restricted spinal segment.
