By Alexander S. Nicholas, Evan A. Nicholas
This hugely praised atlas offers concepts more often than not taught and utilized in osteopathic scientific schooling and perform, serving as an authoritative reference for examination coaching and medical rotations. step by step directions, richly illustrated with full-color figures, advisor the learner via greater than 350 manipulative equipment.
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Additional info for Atlas of Osteopathic Techniques (2nd Edition)
2. Type 2 spinal coupled pattern. Type 1 spinal coupled pattern. indd 33 2/24/2011 10:45:01 AM 34 PART 1 | OSTEOPATHIC PRINCIPLES IN DIAGNOSIS Some physicians prefer to start with the flexion and extension portion of the examination and then follow with rotation and/or side bending to determine the coupling components for determination of a type 1 or type 2 dysfunction. Because of the biomechanical patterns inherent to specific regions, the motion most easily tested may vary. For example, in the C2-7 region, it may be best to test side bending first.
This is repeated to the opposite side (Fig. 43). 41. Step 2. 4. The degree of active side bending is noted. Normal side bending in the lumbar spine is 25 to 30 degrees. 42. Step 3, active side bending right. 43. Step 3, active side bending left. indd 25 2/24/2011 10:42:28 AM 26 PART 1 | OSTEOPATHIC PRINCIPLES IN DIAGNOSIS LUMBAR SPINE Side Bending, Passive, with Active Hip Drop Test 1. The patient stands in a neutral position with feet a shoulder width apart. 2. The physician stands behind the patient so as to view the patient in a coronal plane.
4. The degree of active side bending is noted. Normal side bending in the lumbar spine is 25 to 30 degrees. 42. Step 3, active side bending right. 43. Step 3, active side bending left. indd 25 2/24/2011 10:42:28 AM 26 PART 1 | OSTEOPATHIC PRINCIPLES IN DIAGNOSIS LUMBAR SPINE Side Bending, Passive, with Active Hip Drop Test 1. The patient stands in a neutral position with feet a shoulder width apart. 2. The physician stands behind the patient so as to view the patient in a coronal plane. The physician’s eyes should be level with the lumbar spine (Fig.