The Muscle Energy Manual Volume Two: Evaluation and treatment of the thoracic spine, lumbar spine, and rib cage

Front Cover......Page 1
Back Cover
......Page 2
Cover Page
......Page 3
Dedication
......Page 6
Preface to the First Edition
......Page 7
Preface to the Second Edition
......Page 8
Brief Contents
......Page 9
Table of Contents
......Page 10
List of Illustrations
......Page 16
List of Tables
......Page 17
List of Procedures
......Page 18
Historical Chronology of Muscle Energy Technique
......Page 19
PART I ANATOMY & BIOMECHANICS
......Page 21
1. RELEVANT GROSS ANATOMY OF THE TRUNK
......Page 23
Anatomic Features of the Anterior Trunk
......Page 24
Posterior Landmarks and Regions
......Page 26
Elements of Costal Cage Anatomy
......Page 30
Abnormal Anteroposterior Spinal Curvatures
......Page 34
Anatomy of the Sympathetic Nervous System
......Page 36
2. NORMAL SPINAL MOTION
......Page 37
Kinesiologic Relationship of Cervicals to Thorax
......Page 40
Kinesiology of Flexion and Extension Movements
......Page 41
Arthrokinematics of the Intervertebral Disc
......Page 42
Sacroiliac Flexion/Extension
......Page 43
Axial Rotation of Vertebrosternal Segments: T2-T7
......Page 44
Lee Hypothesis
......Page 45
Axial Rotation of Vertebroabdominal Segments: T10-L1
......Page 46
Biomechanics of Segmental Spinal Sidebending (z-axis motion)
......Page 47
Introduction to Neutral Spinal Motion
......Page 49
Sidebending Adaptation in Rotoscoliosis
......Page 50
Coupling of Rotation and Sidebending
......Page 51
Causes of Joint Movement Restriction
......Page 53
Role of Facets in Types I and II Segmental Dysfunctions
......Page 55
Clinical Characteristics of Type I and Type II Segmental Dysfunctions
......Page 56
Neutral Sidebending of Segments
......Page 60
Historical Notes and Comments on Fryette's Laws
......Page 62
PART II RIBS AND RESPIRATION
......Page 63
4. THE MOVEMENTS OF NORMAL RESPIRATION
......Page 65
The Diaphragm and Associated Muscles of Respiration
......Page 66
Breathing Movements of the Pelvic Diaphragms
......Page 68
Respiratory Movements of the Axial Skeleton
......Page 69
Chest Movements
......Page 71
Respiratory Movements of the Paired Muscles
......Page 74
5. RESPIRATORY RESTRICTIONS OF THE RIBS
......Page 77
Diagnosing Respiratory Rib Dysfunction: Overview
......Page 78
Rib Cage Screening Procedures
......Page 79
Screening for Exhalation or Inhalation Restriction of the Ribs (Step Breathing Method)
......Page 80
Locating the Key Rib
......Page 81
Counting the Monitoring Individual Ribs
......Page 83
Scanning for the Key Rib (Ribs i Through xii)
......Page 84
Sequence of Treatment
......Page 88
Treatment of the Inhalation Restrictions
......Page 89
Procedure for Treating Restricted Inhalation (ribs i and ii - ix)
......Page 90
Procedure for Treating Restricted Inhalation (ribs x through xii)
......Page 92
Treatment of Exhalation Restrictions
......Page 93
Procedure for Treating Restricted Exhalation (ribs x - vii)
......Page 94
Procedure for Treating Restricted Exhalation (ribs vi - iii)
......Page 95
Procedure for Treating Restricted Exhalation (ribs ii and i)
......Page 96
Relationship of Respiratory Restriction of the Ribs to Spinal Evaluation
......Page 97
PART III EVALUATION AND TREATMENT OF THE THORACIC AND LUMBAR SPINE
......Page 99
6. THE THORACIC INLET
......Page 101
Consequences of Altered Shape of the Inlet
......Page 102
Structural Lesions of the First Rib
......Page 103
Seated Screening and Scannin of the First Ribs
......Page 106
Interpretation of Results
......Page 107
Interpretation of Results
......Page 108
First Rib Superior Subluxation
......Page 109
Interpretation of Results
......Page 110
Anterior or Posterior Subluxations of Rib i
......Page 111
Practice Exercises for the Evaluation of the First Ribs and First Thoracic Segment
......Page 112
Comments on Treating Rib Subluxations
......Page 113
The Procedure for Reducing First Rib Superior Subluxation
......Page 114
The Procedure for Reducing First Rib Posterior Subluxation
......Page 115
A Brief Theoretical Explanation of the Isolytic Technique Mechanisms
......Page 116
The Procedure
......Page 117
7. ERS AND FRS SEGMENTAL DYSFUNCTION: T1 - T6 
......Page 119
Integrated Vertebral Segment and Rib Motion
......Page 122
Procedures for Evaluating Segmental Dysfunction in the Thoracics
......Page 123
Method 1: Seated Anterior Screening Procedure
......Page 124
Method 2: Seated Posterior Screening Procedure
......Page 126
Method 3: Supine Screening Procedure
......Page 127
Method 4: Prone Posterior Screening Procedure
......Page 128
"Key Rib" Test Protocols to Assess Vertebral Mechanics or Structural Rib Lesions
......Page 129
Scanning Procedures: Key Rib Test Protocols
......Page 130
I. The First Prodecure: Superior View
......Page 134
II. The Second Procedure: Posterior View
......Page 136
III. The Third Procedure: The Prone Focused Extension Test for FRS Dysfunction
......Page 138
Relationship of Rib Evaluation to Spinal Evaluation
......Page 139
Localization Sequences in Treatment
......Page 140
Use of Breathing in Articular Mobilization
......Page 141
Turban Technique
......Page 142
The Longus Colli Technique Protocol for Treating FRS
......Page 144
The Modified Longus Colli Technique
......Page 146
Procedure Protocol for Modified Longus Colli Technique
......Page 147
Salad Bowl Technique Protocol
......Page 148
Supine Technique Procedure Protocol
......Page 149
Seated Axial Rotation Procedure Protocol
......Page 150
A Clinical Example of Vertebral Diagnosis Using the Ribs
......Page 151
Acquired Intraosseous Deformities
......Page 155
Rib Dislocations (Costovertebral Subluxations)
......Page 158
Differential Diagnosis of Structural Rib Lesions
......Page 159
Testing for Anterior or Posterior Costovertebral Subluxations
......Page 160
Palpating Rib Angle for Position and Breathing Motion
......Page 162
Reducing Anterior Rib Subluxation- "Hara Kiri" Technique
......Page 164
Reducing Posterior Rib Subluxation- The  "Push Me Pull You" Procedure
......Page 166
Management of Recurrent Rib Subluxation
......Page 167
Protocol for Diagnosing "Bucket Bail" Lesions
......Page 168
Bucket Bail Treatment Protocol
......Page 169
Differentiating Rib Torsion and Compression
......Page 170
Diagnosing Single Rib Torsion by Stereognostic Palpation
......Page 171
Treatment Procedure Protocol
......Page 172
Treatment Procedures for Intraosseous Deformities of the Ribs
......Page 173
Symptom and Sign Indicators of Lower Thoracic and Lumbar Segmental Dysfunction
......Page 175
Lower Thoracic and Lumbar Diagnostic Landmarks
......Page 176
Costovertebral Relationships
......Page 177
Normal Segmental Motion for the Lower Thoracic and Lumbar Spine
......Page 178
Normal Mechanics of the Lumbosacral Joint
......Page 179
Posture from Behind
......Page 180
Posture from the Side
......Page 182
Seated Iliac Crest Heights Test
......Page 183
Observing Paravertebral Fullness
......Page 184
Testing the Muscles of the Abdominal Wall
......Page 186
Locating the PSIS for Execution of the Flexion Tests
......Page 187
Standing Flexion Test
......Page 188
The Standing Flexion Test Protocol
......Page 189
The Seated Flexion Test Protocol
......Page 190
Inferior Lateral Angle of the Sacrum (ILAs)
......Page 192
Seated Trunk Sidebending Tests
......Page 193
Rib Screen for the Lower Thoracic Spine
......Page 194
Detailed Examination of the Lower Thoracic and Lumbar Spine
......Page 195
The Posterior Seated Test
......Page 197
Protocol for Locating Lumbar Transverse Processes - Patient Prone
......Page 198
The Procedure for Locating the Lower Thoracic Transverse Processes - Patient Prone
......Page 200
The Sphinx Test Procedure Protocol
......Page 202
The Seated Hyperflexion Test
......Page 204
The Seated Hyperflexion Test Procedure Protocol
......Page 205
Alternate Test: The "Slump-Sit Tall" Transverse Process Test Protocol
......Page 206
The Hip Drop Test as a Lumbosacral Test
......Page 207
The 50-Step Procedure
......Page 208
The 50-Step ERS Treatment Protocol
......Page 210
The Procedure Protocol
......Page 214
Protocol for Releasing Tension in Oblique Muscles
......Page 215
Stages of the 500-Step Treatment Procedure
......Page 216
Stage I -  Neutral Rotation
......Page 218
Stage II - Extended Rotation
......Page 220
Stage III - Pure Extension Stage
......Page 221
The Procedure Protocol
......Page 222
Lateral Recumbent Treatment Procedures
......Page 223
The Lateral Recumbent Treatment Procedure Protocol for ERS
......Page 224
The FRS Treatment Protocol
......Page 226
"Stacked" Segmental Dysfunctions
......Page 228
Diagnosis and Treatment of Type I Neutral Dysfunction
......Page 229
Group Curve Tests and Results
......Page 230
The Focused Sidebending Test for Thoracic NSR Dysfunction
......Page 232
Lateral Recumbent Position
......Page 233
The Lateral Recumbent "Universal" Technique
......Page 234
Procedure Protocol
......Page 236
Procedure Protocol
......Page 237
Sidebending Stretch Treatment for Lumbar NSR Dysfunction
......Page 238
Lateral Recumbent Sidebending Stretch Isometric Procedure for Lumbar NSR
......Page 239
APPENDIX
......Page 241
BIBLIOGRAPHY AND RECOMMENED READING
......Page 245
INDEX
......Page 253