By Alan Stoddard
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Extra resources for Manual of Osteopathic Technique
Example text
54 D I A G NO S I S OF S P I N A L L E S ION FIG. 1 0 M O B I L I T Y TESTS In this area mobility tests are best carried Ollt in the sitting position. Every range can be tested, whereas when lying supine only forward- and sidebending can be tested easily. Forward Bending. FIG. 10 The patient i s seated at a convenient height. The operator stands facing the patient's back and slightly to the right, supporting her torso against his own, to give her an added sense of security. This affords the patient the maximum opportunity for relaxation which is so essential for testing mobility and passive movements.
The tbird lesion is a slipping of the carliiagillOlIs ends of the lower ribs as they join each other to form the costal angle. Sometimes these cartilages become detached, and each time they slip over each other they can cause pain. - TESTS fOR A C T I V E R I B M O B I L I T Y General mobility in ribs can b e observed by watching the respiratory range anteriorly and posteriorly. As one would expect, inspection of the thoracic cage anteriorly gives more information than when viewed pos� teriorly, though the lower ribs of the thorax can best be observed pos teriorly.
11 is politic to have a look at the big toe first and then, if you like, start at the head and work down through your own scheme of examination. Further, it is important that the examinations carried out are purpose· ful; that is to say, a certain test is designed to give certain information, the test should be such as to clarify the diagnosis and not to confuse it. A physical sign elicited should have some meaning to the examiner. The examiner should know exactly what he is testing for and how to interpret the abnormal physical signs he elicits.