2.3.4 Manipulation of the 11th - 12th Ribs Sitting

This video demonstrates a sitting technique that is used often as a mobilising to the Thoracic spine and ribs and it can be applied in a Muscle Energy fashion. In order for it to be applied as a manipulation rotation is introduced as the primary lever and secondary components are introduced to build the barrier. The impulse is in rotation and care should be taken to ensure the barrier is firm in order to keep the impulse amplitude small. For the lower ribs this technique is different in that the patient is allowed to sit back, producing some small spinal extension and the rotation impulse is applied with a slight extension movement due to the lower ribs being short, unattached anteriorly and they are deeper in to the body.

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