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OPP Screening & Techniques
OPP Structural Screening & Techiniques
4
Medical
Professional
10/04/2011

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Term
Thoracic Flexion
Definition
Regional or Segmental Technique
For: Thoracic articular flexion restriction: Ex: T7 ERrSr; T7 flexion restriction
Pt: seated, passive
Physician: stand/sit next to pt
Action: Hand1: on contralateral shoulder; Hand2: stabilize T8 - grasp T8 spinous process w/ thumb/index/long fingers (Stabilize BELOW "T#" that is restricted
Fulcrum: sternum
Induce flexion at Inferior articular facet joint
"Engage Restrictive Barrier", Rhythmic Fashion,
Until: increased ROM toward barrier
*if multiple vertebra are restricted: start at top & work inferior
Retest
Term
Thoracic Extension
Definition
Regional or Segmenal Technique
Articular Extension Restriction
Ex: T7 FRrSr; T7 extension restriction
Pt: Seated, passive
Physician: On side of pt, Hand1 on contralateral shoulder; Hand2 stabilizing on inferior Vertebra in regard to restricted vertebra; Stabilize w/: thumb, index, long fingers OR *Press anteriorly with Thenar Eminence
Action: Translates stabilized vertebra Anteriorly & Extends segments above to induce segmental extension at T7 restricted Inferior Articular Facet Jt,
"Engage Restrictive Barrier- Rhythmic Fashion until increased ROM toward physiological barrier - return ToWard* neutral
Regional Restrictions: move from superior to inferior completing technique
Retest*
Term
Thoracic Rotation
Definition
Regional/Segmental Technique
Thoracic articular rotation restriction
EX: T7 NRrSL; T7 left rotation restriction
Pt: seated, passive
Physician: sit/stand side of pt, Hand1: contralateral shoulder of pt, Hand2: stabilize vertebra
Term
Thoracic Sidebending
Definition
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