By Alexander S. Nicholas, Evan A. Nicholas
Atlas of Osteopathic Techniques is the single accomplished full-color atlas of osteopathic manipulative suggestions presently to be had. Richly illustrated with over 1,300 full-color photos professionally shot for this atlas, this complete, sensible reference offers step by step directions for 368 osteopathic manipulative ideas. fundamental and secondary symptoms, relative and absolute contraindications, and basic concerns also are mentioned in well-organized textual sections previous every one technique.
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Additional info for Atlas of Osteopathic Techniques
The degree of both active and passive side bending is noted. Normal side bending in the cervical spine is 30 to 45 degrees. 12. Step 3, active side bending right. 13. Step 4, active side bending left. 15. Step 5, passive side bending left. 14. Step 5, passive side bending right. L CHAPTER 3 I SPINAL REGIONAL RANGE OF MOTION CERVICAL SPINE Rotation, Active and Passive 1. The patient is seated. 2. The physician stands at the side of the patient. 3. The physician palpates the transverse processes of C7 and T l (Fig.
7. The physician performs these steps at each segment of the lumbar spine and documents the rotational freedom of movement. 6. Step 3, skeleton, rotation right. B. Step 5, rotation right. 7. Step 4, rotation left. 37 38 PART 1 I OSTEO PATH I C P R I N C I P LES IN D IAGNOSIS LUMBAR INTERSEGMENTAL MOTION TESTING L1 to LS-S1 Side Bending, Translational Short-Lever Method, Prone (L4 Example) 1. 9. Step 2, hand position on skeleton. tated to the more comfortable side. 2. The physician's thumbs rest on the posterolateral aspect of the transverse processes (Figs.
2) Revised PCOM (3) NORMAL DEGREES OF MOTION-CERVICAL SPINE FLEXION 50 90 45-90 EXTENSION 60 45 45-90 SIDEBENDING R/L 45 30-40 30-45 ROTATION R/L 80 90 70-90 NORMAL DEGREES OF MOTION-THORACIC SPINE FLEXION 45 EXTENSION 0 SIDEBENDING R/L 45 ROTATION R/L 30 Tl-3 T4-8 35 45 T8-Ll Tl-4 T5-8 T9-12 5-25 10-30 20-40 70-90 90 NORMAL DEGREES OF MOTION-LUMBAR SPINE FLEXION 60+ 70-90 EXTENSION 25 30-45 SIDEBENDING R/L 25 25 25-30 ROTATION R/L Flexion = forward bending; Extension = backward bending; R/L, right and left.