Thoracic Adjustment List Flashcards
Listing: Right rotation / Right lateral flexion restriction
Setup: Prone Bilateral Thenar Transverse Push
Patient position (PP): prone & right lateral flexion
Doctor position (DP): for assisted — left side of patient in
Contact points: Right thenar-transverse is supporting and NOT thrusting OR resisted and/or thrusting.
Tissue Pull: I-S
Vector: I-S, P-A
Listing: Right Rotation restriction T5/T6
Setup: Prone, bilateral hypothenar transverse (knife edge)
PP: prone
DP: L side (though it’s bilateral, so it doesn’t matter as much)
Contact: L hand hypothenar-TP of T5, R hand resisted hypothenar-TP of T6
Tissue pull: I-S
Vector: P-A
Listing: Extension restriction
Setup: prone, crossed bilateral hypothenar transverse or hypothenar/thenar transverse
PP: prone
DP: either side of patient, square stance
Contact: either knife edge (caudal arm’s digits facing cephalad) for both hands or thenar for the rostral arm’s hand
Tissue pull: I-S, S-I for individual hands
Vector: P-A
Listing: L Lateral flexion restriction of T4/T5
Setup: prone, unilateral hypothenar transverse — assisted
PP: prone, in left lateral flexion (R cheek down, R arm over head)
DP: R side of patient
Contact: L hand, upper TP (T4)
Tissue pull: I-S, screw tissue
Vector: P-A with a little I-S
Listing: L Lateral flexion restriction of T4/T5
Setup: prone, unilateral hypothenar transverse — resisted
PP: prone, in left lateral flexion (R cheek down, R arm over head)
DP: R side of patient at shoulder
Contact: R hand on lower TP (T5)
Tissue pull: S-I, screw tissue
Vector: P-A with a little S-I
Listing: PRS T3/T4
Setup: prone, unilateral hypothenar spinous (lateral)
Translation: PRS = Right rotation and Right lateral flexion restriction
PP: prone and in R lateral flexion (L cheek down, L arm overhead)
DP: stand at right shoulder
Contact: R hypothenar, R lateral surface of T3 SP
Tissue pull: S-I, L-M
Vector: I-S, L-M and P-A
Listing: PRI T7/T8
Setup: prone, unilateral hypothenar spinous (lateral)
Translation: PRI = Right rotation and Left lateral flexion restriction
PP: Prone and L lateral flexion (R cheek down, R arm overhead)
DP: standing at Right ilium
Contact: L hypothenar, R lateral SP of T7
Tissue pull: I-S, L-M
Vector: I-S, L-M, and P-A
Listing: Flexion restriction at T5
Setup: prone unilateral hypothenar spinous (midline)
PP: pillow under patient to pre-position into flexion
DP: fencer stance
Contact: hypothenar to SP (SOFT hypothenar)
Tissue pull: I-S
Vector: 45˚ I-S, P-A
Listing: R Rotation, L Lateral flexion T5/T6
Setup: prone, hypothenar spinous, thenar transverse — assisted
PP: pre-positioned into L lateral flexion (right cheek down, right arm overhead)
DP: stand on patient R side (the side that patient needs rotate toward in the case of a SP contact)
Contact: RIGHT hypothenar on lateral surface SP of T5 (so fingertips of the hand closest to Doc faces toward Pt feet). LEFT thenar on TP of T5
Tissue pull: Right — I-S, L-M. Left — S-I
Vector: Right — I-S, L-M and P-A. Left — S-I and P-A
Listing: flexion restriction
A) assisted
B) resisted
Setup: supine, opposite side crossed arm
PP: supine
DP: on either side of patient
Contact: thenar-digit
A) cradle patient (because flexion)
B) don’t cradle (because resisted)
Tissue pull: I-S
Vector: A) assisted—impulse below contact
B) resisted—impulse above contact and 45˚ vector
Listing: L Rotation restriction
A) assisted
B) resisted
Setup: supine, same side crossed arm
PP: supine, crossed arms
DP:
A) Assisted: R side, L rotation
B) Resisted: L side, L rotation
Contact: open palm, thenar—TP and upper abdomen to elbows then roll patient slightly onto contact hand
Tissue pull: S-I or I-S
Vector: P-A
Listing: L Rotation restriction
Setup: supine, opposite side pump handle
PP: supine, pump handle arms
DP: assisted — left side; resisted — right side
Contact: open palm, thenar—TP and pin pump handle elbows with upper abdomen or hand and roll patient
Tissue pull: I-S
Vector: P-A
Supine, L rotation opposite side — which side of the patient do you stand on for assisted, resisted?
Assisted: left side
Resisted: right side
Supine, L rotation same side — which side of the patient do you stand on for assisted, resisted?
Assisted: right side
Resisted: left side
Listing: flexion restriction right rib 6
Setup: prone unilateral hypothenar costal
PP: prone, neutral
DP: stand on R
CP: hypothenar, rib junction with TP
Tissue pull: candy cane
Vector: I-S and P-A
