| Foreword Preface Acknowledgements Part A HVLA thrust techniques - an osteopathic perspective 1 Introduction 2 Osteopathic history, principles and practice 3 Kinematics and coupled motion of the spine 4 Minimal leverage positioning for HVLA thrust techniques 5 Safety and HVLA thrust techniques 6 Evidence informed practice 7 Consent Part B HVLA thrust techniques 8 Cervical and cervicothoracic spine Note: Before reviewing up-slope and down-slope HVLA thrust techniques, the Introduction on the website should be viewed.
8. 1 Atlanto-occipital joint C0-1: Contact point on occiput; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning
8. 2 Atlanto-occipital joint C0-1: Contact point on atlas; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning
8. 3 Atlanto-axial joint C1-2: Chin hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning
8. 4 Atlanto-axial joint C1-2: Cradle hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning
8. 5 Cervical spine C2-7: Up-slope gliding; Chin hold; Patient supine
8. 6 Cervical spine C2-7: Up-slope gliding; Chin hold; Patient supine - variation
8. 7 Cervical spine C2-7: Up-slope gliding; Cradle hold; Patient supine
8. 8 Cervical spine C2-7: Up-slope gliding; Cradle hold; Patient supine; Reversed primary and secondary leverage
8. 9 Cervical spine C2-7: Up-slope gliding; Patient sitting; Operator standing in front
8. 10 Cervical spine C2-7: Up-slope gliding; Patient sitting; Operator standing to the side
8. 11 Cervical spine C2-7: Down-slope gliding; Chin hold; Patient supine
8. 12 Cervical spine C2-7: Down-slope gliding; Cradle hold; Patient supine
8. 13 Cervical spine C2-7: Down-slope gliding; Patient sitting; Operator standing to the side
8. 14 Cervicothoracic spine C7-T3: Rotation gliding; Patient prone; Operator at side of couch
8. 15 Cervicothoracic spine C7-T3: Rotation gliding; Patient prone; Operator at head of couch
8. 16 Cervicothoracic spine C7-T3: Rotation gliding; Patient prone; Operator at head of couch - variation
8. 17 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sitting
8. 18 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sitting; Ligamentous myofascial positioning
8. 19 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sidelying
8. 20 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sidelying; Ligamentous myofascial positioning
8. 21 Cervicothoracic spine C7-T3: Extension gliding; Patient sitting; Ligamentous myofascial positioning 9 Thoracic spine and rib cage Note: Before reviewing thoracic spine and rib cage techniques the Upper limb positioning for sitting and supine thoracic spine techniques on the website should be viewed.
9. 1 Thoracic spine T4-9: Extension gliding; Patient sitting; Ligamentous myofascial positioning
9. 2 Thoracic spine T4-9: Flexion gliding; Patient supine; Ligamentous myofascial positioning
9. 3 Thoracic spine T4-9: Rotation gliding; Patient supine; Ligamentous myofascial positioning
9. 4 Thoracic spine T4-9: Rotation gliding; Patient prone; Short-lever technique
9. 5 Ribs R1-3: Patient prone; Gliding thrust
9. 6 Ribs R4-10: Patient supine; Gliding thrust; Ligamentous myofascial positioning
9. 7 Ribs R4-10: Patient prone; Gliding thrust; Short-lever technique
9. 8 Ribs R4-10: Patient sitting; Gliding thrust; Ligamentous myofascial positioning 10 Lumbar and thoracolumbar spine Note: Before reviewing sidelying HVLA thrust techniques in the lumbar and thoracolumbar spine, the Introduction on the website should be viewed.
10. 1 Thoracolumbar spine T10-L2: Neutral positioning; Patient sidelying; Rotation gliding thrust
10. 2 Thoracolumbar spine T10-L2: Flexion positioning; Patient sidelying; Rotation gliding thrust
10. 3 Lumbar spine L1-5: Neutral positioning; Patient sidelying; Rotation gliding thrust
10. 4 Lumbar spine L1-5: Flexion positioning; Patient sidelying; Rotation gliding thrust
10. 5 Lumbar spine L1-5: Neutral positioning; Patient sitting; Rotation gliding thrust
10. 6 Lumbosacral joint (L5-S1): Neutral positioning; Patient sidelying; Thrust direction is dependent on apophysial joint plane
10. 7 Lumbosacral joint (L5-S1): Flexion positioning; Patient sidelying; Thrust direction is dependent on apophysial joint plane 11 Pelvis
11. 1 Sacroiliac joint: Left innominate posterior; Patient prone; Ligamentous myofascial positioning
11. 2 Sacroiliac joint: Right innominate posterior; Patient sidelying
11. 3 Sacroiliac joint: Left innominate anterior; Patient supine
11. 4 Sacroiliac joint: Sacral base anterior; Patient sidelying
11. 5 Sacrococcygeal joint: Coccyx anterior; Patient sidelying Part C Technique failure and analysis |
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