By Alexander S. Nicholas, Evan A. Nicholas
This hugely praised atlas provides suggestions more often than not taught and utilized in osteopathic clinical schooling and perform, serving as an authoritative reference for examination practise and scientific rotations. step by step directions, richly illustrated with full-color figures, consultant the learner via greater than 350 manipulative equipment.
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Extra info for Atlas of Osteopathic Techniques (2nd Edition)
5. Motion is then tested for backward bending in the lumbar region. The patient stands in a neutral position with feet a shoulder width apart. 40). 6. The degree of active backward bending (extension) is noted. Normal extension for the lumbar spine is 30 to 45 degrees. 39. Step 3, active forward bending. 40. Step 5, active backward bending. indd 24 2/24/2011 10:42:26 AM CHAPTER 3 | SPINAL REGIONAL RANGE OF MOTION 25 LUMBAR SPINE SP1 Side Bending, Active 1. The patient stands in a neutral position with feet a shoulder width apart.
4. The physician’s caudad hand controls the patient’s flexed lower extremities, and the physician’s thigh may be placed against the patient’s tibial tuberosities for greater balance and control during positioning (Fig. 21). 20. Step 3, palpation of L5-S1 interspace. 21. Step 4. indd 38 2/24/2011 10:45:23 AM CHAPTER 5 5. The physician slowly flexes and extends the patient’s hips with the caudad hand and thigh while the cephalad hand constantly monitors the spinous processes to determine the relative freedom of lumbar flexion and extension of L5 on S1 (Figs.
The physician assesses the ability of the upper of the two segments (L5) to side bend left and side bend right. In this test, side bending occurs on the side to which the feet and ankles are moved. 7. The physician performs these steps at each segmental level of the lumbar spine. 8. The physician will document the findings in the progress note according to the position or freedom of movement elicited. 26. Step 4, side bending right. 27. Step 5, side bending left. indd 40 2/24/2011 10:45:32 AM CHAPTER 5 | INTERSEGMENTAL MOTION TESTING 41 LUMBAR INTERSEGMENTAL MOTION TESTING L1-5 (Also T1-12)—Prone, Spring Test Type 2, Flexion and Extension 1.
Atlas of Osteopathic Techniques (2nd Edition) by Alexander S. Nicholas, Evan A. Nicholas