Rib Mobilizations

Question 1

Inhalation restriction

Answer 1

rib normally elevates in inhalation

• rib is stuck elevated - does not come down during exhalation
• have pt breathe, hold above the rib and push it down during exhalation
• during inhalation, KEEP RIB DOWN don’t let it come up
• hold for 2 cycles

Question 2

Exhalation restriction

Answer 2

rib normally comes down in exhalation

• rib is stuck depressed - does not elevate during inhalation
• have pt breathe, come under rib and push it up during inhalation
• during exhalation, KEEP RIB UP don’t let it come down
• hold for 2 cycles

Question 3

Rib Springing

Answer 3

have pt breathe into hand

• on exhalation, spring
• spring for 3 cycles

Question 4

Diaphragm Stretching

Answer 4

Pt seated with their feet on the floor, PT stands behind them

• pt leans forward
• PT gets under ribs and pulls forward
• pt sits up

if pt is v reactive, do only one side at a time