Aaom cervical thoracic lab for m ds berenbeimPresentation Transcript
AAOM Cervical & Thoracic Lab for MD’s Joel Berenbeim, DO CSPOMM
I. When the thoracic and lumbar spine are in a neutral position, the coupled motions of sidebending and rotation for a group of vertebrae are such that sidebending and rotation occur in opposite directions
Type I Somatic Dysfunction• Group Mechanics of Three or More Vertebral Segments, When Neutral Sidebending is Introduced, Rotation Occurs To The Opposite Side• Maintained By Long Postural Muscles• Treat in Neutral
II. When the thoracic and lumbar spine are sufficiently flexed or extended (non-neutral), the coupled motions of sidebending and rotation in a single vertebral unit are such that sidebending and rotation occur in the same direction.
Type II Somatic Dysfunction• Maintained By Short Muscles• With Hyper Flexion or Extension, Rotation and Sidebending Occur To The Same Side• Rotation Occurs Around The “Locked” Facet• The Facet, “Opened or Closed”, Describes the Motion and Is Not The Lesion• FRS/ERS
III. 1. Initiating motion of a vertebral segment in any plane of motion will modify the movement of that segment in other planes of motion..
Thank You• Michael Kuchera, DO• Phillip Greenman, DO