Thoracic Lumbar MET and ARt Flashcards
Seated ART,
Upper Thoracic (T-6)
Type 2
Dx: T2 E SLRL
Tx: Opposite;
- Doc stands behind and puts hand on specific TP that we are looking at with claw (put thumb and index finger T2 TP; put middle finger on the TP below)
- Doc flexes patient head, SB R and R right
- Rhythmically rotate L for 1-2 seconds. while spriinging the TP of interest
- Relax for a couple of seconds
- Go through the restrictive barrier shortly
MET Upper Thoracic
Type 2, Seated
Same as before
- press form3-5 seconds
- relax for 1-2
then go to next RB
-reated 3-5 times
MET Upper Thoracic
Type 1, Seated
–Dx: T1-T3 NRLSR
Where is PTP?
PTP is on R!
For grouped, TREAT THE ONE IN THE MIDDLE!
-Tx: L TP of T2, rotate to the R, SB to the L
HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS
HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS
HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS
HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS
HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS
HAND PLACEMENTS ARE ONLY FOR LOWER THORACICS
Type 1- 1 hand under 1 bicep and over other
Type 2- 1 hand over both biceps
MET, seated
Lower Thoracic SD ( Type 1)
Dx: T8-T10 NRrSL
Tx: right TP of T9, rotate left and SB R
Pt puts same arm on the side of their tx TP, Left hand on that elbow,
- Doc will put arm under ONE bicep, grapping the one touching neck,
- Doc SB them to the R and rotates them to the L
- tell pt to apply an oppsing force
- 3-5 seconds,
break
continue 3-5 times
ART, seated
Lower Thoracic SD ( Type 1)
Dx: T8-T10 NRrSL
same thing, except move rhythically for 1-2 seconds
- Rhythmically rotate L for 1-2 seconds. while spriinging the TP of interest
- Relax for a couple of seconds
- Go through the restrictive barrier shortly
MET, seated
Lower Thoracic SD (type 2)
Dx: T7 ERRSR
LOWER THORACIC CROSS ARMS
Tx- Right TP of T7, patient puts their R hand behind their neck, have the patient flex, rotate left and sidebend left
-monitor the TP
—-fix same way
ART Lower thoracic
Sidebending SD, LR
SB R
-place L hand on opposite side of spine with fingers facing head
add compression
sidebend for 1-2 seconds,
break, 1-2 seconds
ART
Lower Thoracic Type 2 Extended SD
Seated
MET and ART
- tell pt to cross arms
- doc sits by patient with hand over opposite shoulder
- grab vertebrae with finger and thumb
- flex the thorax with your hand
- hold in RB for 1-2
-put fingers on segment,
tell pt to cross arms
–> put them into flexion, rhymically push down
ART
- Lower Thoracic Type 2 Flexion SD*
- Seated*
Same thing, but with patient extended
-put fingers on segment,
tell pt to cross arms
–> put them into flexion, rhymically push down
ART Lower Thoracic Sidebending SD,
Seated
SB R
- patient has arms folded across chest
- Doc sits by pt and and puts thumb on the TP
ART Lumbar Sidebending SD
Seated
-
ART lumbar sidbend SD,
lateral recumbant
SR
- Lay on the side with the dysynction
FACE PATIENT
ART lumbar type 2 flexion SD,
seated
ART lumbar type 2
extension Sd, seated
UTILL I FEEL MOVEMENT IN THE SEGMENT
MET/ART
Lumbar seated Tx
Type 1 SD
Dx: L1-L3 NRRSL
Tx: L2, neutral, rotate left, SB R
MET/ART
Lumbar seated Tx
Type 2 SD
Dx: L2 ERRSR
TX: L2, flex, R left, SB L
Put thumb and index on L2, middle on L3
MET Lumbar Type 1 (Neutral) SD
Lateral Recumbant
Long Lever Technique
-Dx: L3-5 N RRSL
Neutral= NUDR
NUDR
- Neutral*
- PTP is UP*
- Pt force down*
- Lateral recumbant*
- Lay down lateral recumbant on left side, with the right side up.
- put claw on L4, with another finger below
- Lift patients legs up, while thell resist down.
[Long Lever Technique] MET Lumbar
Type 2 Extended SD
Lateral Recumbant
Dx: L4 ERrSR
Extension= SUUE
SUUE
Modified SIMS
PTP UP
Pt force up
Extension dysfn
- Patient lays lateral recumbant with in a modified SIMS position (, They lay on whatever side that allows their feet to face up.
R PTP is up,
Modified SIMS; lateral rucumbant with their chest down, but hip up; drop feet off of the table–> have pt push up while you resist. Conduct MET
[Long Lever Technique] MET Lumbar
Type 2 Flexion SD
Lateral Recumbant
Dx: L4 FRLSL
Flexed= FDDR
Flexed; PTP down; Pt force down; lateral recumant
L PTP will be down; lateral recumbant with chest up; with legs extended; lift up patients legs; have them push down will you
do MET
MET Lumbar Type 1 Neutral SD
Lateral Recumbant
Long Restricctor Technical
Dx: L3-5 NRrSL
PTP ALWAYS DOWN FOR LONG RESTRICTOR!
- Lay lateral recumbant with the PTP down
- Flex the hip up, while monitoring segment, until the segment is in neutral (around 90).
- Drop the top leg down.
- Swtich hands
- Push the shoulder back, while monitoring, until you can feel movement at the fingers (segment)
- Push down on the top shoulder and have pt push against (MET)
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MET Lumbar Type 2 Extended SD
Lateral Recumbant
Long Restricctor Technical
Dx: L4 E RrSR
PTP ALWAYS DOWN FOR LONG RESTRICTOR!
- Lay lateral recumbant with the PTP down
- Flex the hip up, while monitoring segment, until you can feel movement at the segment
- straighten the bottom leg; then hook the top on the popliteal fossa
- Swtich hands
- Push the shoulder back, while monitoring, until you can feel movement at the fingers (segment)
- Push down on the top shoulder and have pt push against (MET)
Lay lateral recumbant with PTP down (chest up)
- Rotate the pt L
- Sidebend the pt L
- drop top hip off of the bed AND HOOK THE FOOT, while monitoring the segment with two fingers
- Push shoulder back until motion is felt
MET Lumbar Type 2 flexed SD
Lateral Recumbant
Long Restricctor Technical
Dx: L4 F RrSR
PTP ALWAYS DOWN FOR LONG RESTRICTOR!
Same as last, except we put the fingeron L5 and flex the leg to L5, not L4