Atlas of Osteopathic Techniques by Alexander S. Nicholas, Evan A. Nicholas

By Alexander S. Nicholas, Evan A. Nicholas

Atlas of Osteopathic Techniques is the single complete full-color atlas of osteopathic manipulative ideas at present on hand. Richly illustrated with over 1,300 full-color photos professionally shot for this atlas, this entire, functional reference offers step by step directions for 368 osteopathic manipulative suggestions. basic and secondary symptoms, relative and absolute contraindications, and common concerns also are mentioned in well-organized textual sections previous each one technique.

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3. Fascial evaluation for ease-bind asym­ digits are placed just paraspinally and then in two to metry. three quick strokes drawn down the spine cephalad to CHAPTER 4 caudad. Pallor or reddening is evaluated per spinal seg­ I OSTEOPATHIC LAYER-BY-LAYER PALPATION 33 ties, as the purpose of this test is to identify central ment for vasomotor changes that may be secondary to spinal areas of autonomic change related to segmental dysfunction. 5. A to C. Erythema friction rub. (Fig. 5). 34 PART 1 I OSTEOPATHIC PRINCIPLES IN OIAGNOSIS THORACIC REGION CROSS-SECTION Trapezius m.

Thoracolumbar fascia, posterior layer Latissimus dorsi m. Spinous process of L 1 Serratus posterior inferior m. :;! -:T---Tranverse process of L2 Quadratus lumborum m. _ Psoas major m. - -- External oblique m. ----J'f-/'J H. Internal oblique m. ----fJH\--Ht1l Transverse abdominal m. --++-Io�t-ftI;I'\ Transversalis fascia Skin ligament Iliocostalis m. ;::::::= :: :; L ;;:. _____ L2 vertebra Anterior longitudinal ligament Intersegmental motion testing is classically described as found to be type 1, the examination is complete, as the an evaluation of spinal articulatory (facet) motion.

7. The physician performs these steps at each segment of the lumbar spine and documents the rotational freedom of movement. 6. Step 3, skeleton, rotation right. B. Step 5, rotation right. 7. Step 4, rotation left. 37 38 PART 1 I OSTEO PATH I C P R I N C I P LES IN D IAGNOSIS LUMBAR INTERSEGMENTAL MOTION TESTING L1 to LS-S1 Side Bending, Translational Short-Lever Method, Prone (L4 Example) 1. 9. Step 2, hand position on skeleton. tated to the more comfortable side. 2. The physician's thumbs rest on the posterolateral aspect of the transverse processes (Figs.

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