Thoracic Spine - Manual Therapy Flashcards

1
Q

Describe the supine flexion restriction T-spine HVLA thrust.

A
  • Pt supine with arms crossed across chest with the targeted facet’s arm on top
  • Use a palm grip with both palmar eminences in contact with the transverse processes or use a trigger grip
  • Lock the skin in place with a slight twisting motion of the hand
  • Localize motion using the patient’s arms, flex from above, and contralaterally sidebend and rotate down to the targeted segment
  • Provide HVLA from your chest through the patient’s arms in an anterior to posterior direction
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2
Q

Describe a prone extension restriction HVLA of the T-spine.

A
  • Pt prone
  • PT using arm on the caudal side of the patient reaches across and places the hypothenar eminence on the transverse process of the targeted vertebra with fingers pointed superiorly
  • PT using arm on cranial side of the patient places the hypothenar eminence of their hand on the ipsilateral transverse process facing with fingers pointed inferiorly
  • Twist hands into skin lock so that the contralateral hand is oriented perpendicular to the spine, and the ipsilateral hand is still fairly parallel
  • Provide an anteriorly directed force with the contralateral hand and an inferiorly directed force with the ipsilateral hand to engage the movement barrier
  • Perform quick HVLA in a P–>A direction
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3
Q

Describe a sitting extension restriction HVLA of the T-spine.

A
  • Pt sitting back far enough to be against the practioner’s thigh
  • Firm towel roll placed over transverse process of vertebra inferior to the targeted segment
  • Pt crosses arms completely, but comfortably
  • Grip patient’s elbows with contralateral arms
  • Pt relaxes and flexes their neck and upper T-spine down to the targeted segment
  • ## Rock forward and take up the slack form the segments below the targeted segment
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