First Rib: Inhalation Somatic Dysfunction Muscle Energy

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First Rib: Inhalation Somatic Dysfunction Muscle Energy

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Steps for Treatment:

  1. Patient supine w/physician behind patient’s head
    • Use MCP joint to contact the first rib (not the thumb which is used for diagnosis)
    • Put the head into flexion 
    • Side-bend the head towards the dysfunction side and rotate the head opposite to loosen up the musculature
  1. Patient instructed to take a deep breath in and during inhalation resist movement and as he/she exhales physician presses down on the rib following it into exhalation
    • Resist the upward movement during inhalation and follow the downward movement during exhalation
  2. Continue to hold the rib down as the patient breathes in again.
  3. Repeat 2-3 times
  4. Passive stretch
  5. Reassess

Video Tutorial:

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