By Alexander S. Nicholas, Evan A. Nicholas
This hugely praised atlas offers strategies normally taught and utilized in osteopathic scientific 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 equipment.
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Additional info for Atlas of Osteopathic Techniques (2nd Edition)
Step 4, side bending left on patient. 14. indd 36 Step 5, side bending right on patient. 13. Step 5, side bending right on skeleton. 2/24/2011 10:45:11 AM CHAPTER 5 | 37 INTERSEGMENTAL MOTION TESTING LUMBAR INTERSEGMENTAL MOTION TESTING L1 to L5-S1 Type 2, Extension (Sphinx Position) and Flexion 1. After determining that the rotational and sidebending components are coupled in a type 2 pattern (same-side pattern of ease), the physician’s thumbs are placed on the posterolateral aspect of the transverse processes (Fig.
Colorado Springs, CO: American Academy of Osteopathy, 1974:72. 3. Nicholas A. Osteopathic Manipulative Medicine Manual. Philadelphia, PA: Philadelphia College of Osteopathic Medicine, 2006. indd 27 2/24/2011 10:42:33 AM 4 Osteopathic Layer-by-Layer Palpation EXAMINATION SEQUENCE 1. 2. 3. 4. 5. 6. 7. 8. Observation Temperature Skin topography and texture Fascia Muscle Tendon Ligament Erythema friction rub OBSERVATION Prior to touching the patient, the physician should visualize the area to be examined for evidence of trauma, infection, anomalies, gross asymmetries, skin lesions, and/or anatomic variations.
2) Revised PCOM (3) NORMAL DEGREES OF MOTION—CERVICAL SPINE FLEXION 50 90 45–90 EXTENSION 60 45 45–90 SIDE BENDING R/L 45 30–40 30–45 ROTATION R/L 80 90 70–90 NORMAL DEGREES OF MOTION—THORACIC SPINE T1-3 T4-8 35 45 T8-L1 T1-4 T5-8 T9-12 5–25 10–30 20–40 70–90 FLEXION EXTENSION SIDE BENDING R/L ROTATION R/L 45 0 45 30 FLEXION 60+ 70–90 EXTENSION 25 30–45 SIDE BENDING R/L 25 90 NORMAL DEGREES OF MOTION—LUMBAR SPINE 25 25–30 ROTATION R/L Flexion = forward bending; Extension = backward bending; R/L = right and left.