Rib Treatment

Question 1

What test do you perform in the presence of 1st rib hypomobility?

Answer 1

Cerical Rotation Lateral Flexion (CRLF) Test

Performing the test with the head facing RIGHT tests the LEFT 1st rib

Question 2

What muscle energy technique can be performed if the patient has a 1st rib hypomobility?

Answer 2

1st Rib Muscle Energy Technique with the unaffected side’s arm propped up on the leg.

Sidebend the patients head toward the affected side, and rotate away

Question 3

Why would one perform the 1st rib supine manipulation?

Answer 3

If the muscle energy technique didn’t work, or if they feel like it.

Sidebend the head toward the affected side

Question 4

Rib Palpation

Answer 4

Ribs, rib spaces, breathing (seated, supine, prone), rib angle springing,

Question 5

What is the supine thoracic manipulation good for?

Answer 5

EVERYTHING!!!

Question 6

When doing the seated anterior rib dysfunction hold-relax technique, which direction is the rib subluxed? Which muscle is primarily firing?

Answer 6

Anterior rib subluxation

Serratus anterior

Question 7

Which direction do you push the ribs when doing an exhalation hold-relax technique?
Inhalation hold-relax technique?

Answer 7

Exhalation: Compress the rib cage
Inhalation: Push the ribcage superiorly