By Alexander S. Nicholas, Evan A. Nicholas
This hugely praised atlas offers suggestions mostly taught and utilized in osteopathic clinical schooling and perform, serving as an authoritative reference for examination practise and scientific rotations. step by step directions, richly illustrated with full-color figures, consultant the learner via greater than 350 manipulative equipment.
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Additional info for Atlas of Osteopathic Techniques (2nd Edition)
5. Knowing the reaction to step 3 or step 4, the physician will not have to do the other, as we can infer from either the appropriate motion component. 29. Step 2, springing ventrally.
Normal flexion for the lumbar spine is 70 to 90 degrees. 5. Motion is then tested for backward bending in the lumbar region. The patient stands in a neutral position with feet a shoulder width apart. 40). 6. The degree of active backward bending (extension) is noted. Normal extension for the lumbar spine is 30 to 45 degrees. 39. Step 3, active forward bending. 40. Step 5, active backward bending. indd 24 2/24/2011 10:42:26 AM CHAPTER 3 | SPINAL REGIONAL RANGE OF MOTION 25 LUMBAR SPINE SP1 Side Bending, Active 1.
To test passive right rotation, the physician’s right hand is placed on the patient’s elbows or opposing left shoulder. The physician rotates the patient toward the right while monitoring motion at T12-L1 (Fig. 36). This is repeated to the opposite side (Fig. 37). 4. The degree of active and passive rotation is noted. Normal rotation for T9-12 is 70 to 90 degrees. 37. Step 3, passive rotation left. indd 23 2/24/2011 10:42:24 AM 24 PART 1 | OSTEOPATHIC PRINCIPLES IN DIAGNOSIS LUMBAR SPINE Forward Bending and Backward Bending (Flexion and Extension), Active 1.