Thoracic/Rib HVLA

Question 1

Kirksville Crunch

Answer 1

Opposite PTP, w thenar eminence on PTP

Use cephalad hand to engage RB

• Type 1=SB away
• Type 2=SB toward

Apply anterior thrust at end of exhale

Question 2

Texas Twist Type 1

Answer 2

Stand same side

Caudal Hypothenar eminence on PTP, Cephalad Thenar on opposite PTP

Apply anterior thrust at end of exhale

Question 3

Texas Twist Type 2

Answer 3

Stand opposite

Caudal thenar eminence on PTP, cephalad hypothenar on opposite PTP

Apply anterior thrust at end of exhale

Question 4

Seated Lower T-Spine HVLA

Answer 4

PTP hand behind head, other grasping elbow
-doc goes over one, or both

Engage restrictive barrier

Apply anterior thrust at end of exhale w ipsi hand

Question 5

Seated 1st rib HVLA

Answer 5

Opposite foot next to pt, have pt drape arm over knee

Engage barrier by SB toward, Rotate A
-loading rib

On end of exhale, apply thrust inferior, medial and slight anterior through first rib

Question 6

Rib 3-10 Inhalation

Answer 6

Physician opposite

Caudal hand thenar eminence superior to dysfunctional rib

At end of exhale, apply posterior thrust directed superior

Question 7

Rib 3-10 Exhale

Answer 7

Pt supine, cross arms PTP side over top

Caudal hand thenar eminence on inferior boarder of rib

Apply thrust at end of exhale, directed posterior and slightly caudal