Atlas of Osteopathic Techniques (2nd Edition) by Alexander S. Nicholas, Evan A. Nicholas

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By Alexander S. Nicholas, Evan A. Nicholas

This hugely praised atlas provides recommendations regularly taught and utilized in osteopathic clinical schooling and perform, serving as an authoritative reference for examination coaching and scientific rotations. step by step directions, richly illustrated with full-color figures, consultant the learner via greater than 350 manipulative tools.

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Additional resources for Atlas of Osteopathic Techniques (2nd Edition)

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41. Step 2. 4. The degree of active side bending is noted. Normal side bending in the lumbar spine is 25 to 30 degrees. 42. Step 3, active side bending right. 43. Step 3, active side bending left. indd 25 2/24/2011 10:42:28 AM 26 PART 1 | OSTEOPATHIC PRINCIPLES IN DIAGNOSIS LUMBAR SPINE Side Bending, Passive, with Active Hip Drop Test 1. The patient stands in a neutral position with feet a shoulder width apart. 2. The physician stands behind the patient so as to view the patient in a coronal plane.

The physician’s left hand palpates the transverse processes of T8 and T9 or the interspace between them to monitor motion. The webbing between the physician’s index finger and thumb is placed on the patient’s right shoulder halfway between the base of the patient’s neck and the acromion process (Fig. 25). 25. Step 3. 4. A gentle springing force is directed toward the vertebral body of T8 until the physician feels motion of T8 on T9. This is done by creating a vector with the forearm that is directly in line with the vertebral body of T8 (Fig.

15. Step 1. 16. Step 2, lumbar sphinx position. 17. Step 3, extension improves asymmetry. 5. The physician must perform only one of these as long as there is a known type 2 coupling pattern; perform the most comfortable test. 6. The physician will document the findings in the progress note according to the position or freedom of movement elicited. 18. Step 4, flexion. indd 37 2/24/2011 10:45:19 AM 38 PART 1 | OSTEOPATHIC PRINCIPLES IN DIAGNOSIS LUMBAR INTERSEGMENTAL MOTION TESTING L1 to L5-S1 Passive Flexion and Extension, Lateral Recumbent Position 1.

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