This video demonstrates a prone technique which uses rotation from the pelvis applied through the Lumbar spine and the therapist must ensure that the applicator hand is applied deep and inferior to the lower ribs to maintain good positive contact. Appropriate timing breathing and occasionally 'coughing' of the patient can be used to enhance the barrier and to play a part of the impulse itself.
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Tags: 11th & 12th ribs 4th to 12th ribs 5th to 10th ribs articulation bucket handle costa direct impulse dog technique manipulation mobilising modified positive fixing of rib positive small stretch primary lever superior prone pump handle lower ribs rib angle rib movement superior or cranial ribs rotation primary lever side lying sitting sitting manipulation technique slight extension slight rotation stretch supine thoracic manipulation technique upper ribs upwards
Category: Thoracic Spine