In T3-T8 Crossed pisiform without torque adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Prone
Dr’s stance: Stand on opposite side of spinous rotation. IF its RP listing, stand on right, spinous is left. Fencer stance.
Segmental contact: TVP of affected vertebra opposite the side of spinous rotation.
Tissue pull: From SP to TP using stabilising hand.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: Opposite TVP with psisform.
Rotate shoulders so that they are square and sternal notch is above contact. Get patient to take deep breath in and out.
LOD: P-A, I-S and M-L
In T4 – T12 Crossed Pisiform with Torque RP / LP (lateral flexion involvment) adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Prone
Dr’s stance: Stand on opposite side of spinous rotation. IF its RP listing, stand on right, spinous is left. Direct stance.
Segmental contact: TVP of affected vertebra opposite the side of spinous rotation.
Tissue pull: From SP to TP using stabilising hand.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: Opposite TVP with pisiform with superior hand.
Position feet to provide torque up the spine. Straight arm. Get patient to take deep breath in and out.
LOD: P-A, I-S and M-L
In T3 – T12 Double Thenar RP / LP
adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Prone
Dr’s stance: Stand on same side of spinous rotation. Fencer stance.
Segmental contact: TVP of affected vertebra opposite the side of spinous rotation.
Tissue pull: From SP to TP using stabilising hand.
Dr’s point of contact: Thenar onto the TVP.
Stabilisation: Opposite TVP with Thenar of other hand.
Square shoulders and sternal notch is just behind contact. Get patient to breath in and out.
LOD: P-A, I-S and M-L
In T3 – T12 Carver Bridge RP / LP
adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Prone
Dr’s stance: Stand on same side of spinous rotation. Fencer stance.
Segmental contact: TVP of affected vertebra opposite the side of spinous rotation.
Tissue pull: From SP to TP using stabilising hand.
Dr’s point of contact: Lateral fleshy pisiform of the inferior hand.
Stabilisation: Lateral fleshy pisiform of the superior hand on opposite TVP.
Square shoulders and sternal notch is just behind contact. Get patient to breath in and out.
LOD: P-A, I-S and M-L
In T1 – 4 Single Hand Pisiform RP / LP adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Prone
Dr’s stance: Wide fencer stance on the side opposite spinous rotation.
Segmental contact: TVP of affected vertebra opposite the side of spinous rotation.
Tissue pull: From SP to TP using stabilising hand.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: Clasping wrist of contact hand.
Square shoulders. Arms are to be almost fully extended when adjusting. Get patient to breath in and out.
LOD: P-A, I-S and M-L
In C7 – T2 Spinous Thumb Push RP / LP / SpR / SpL adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Prone
Dr’s stance: Wide fencer stance on side of spinous rotation.
Segmental contact: Lateral aspect of the spinous process on side of spinous rotation.
Tissue pull: L-M on lateral aspect of SP.
Dr’s point of contact: Thumb pad of superior hand.
Stabilisation: Stabilise on cervical spine on opposite side, straddle ear, fingers on cheek, thumb covers cervical spine.
Rotate/lat flex head to same side so eye socket is on head rest and adding L-M pressure at same time
LOD: L - M, slight P-A.
