Rib Treatment LAB

Question 1

rib 1 exhaled

Answer 1

use anterior and middle scalenes

Question 2

rib 2 exhaled

Answer 2

use posterior scalene

Question 3

MET exhaled rib 1

Answer 3

arm on forehead
deep inhalation
flex neck against force

Question 4

MET exhaled rib 2

Answer 4

rotate head
arm on forehead
deep inhalation
flex neck against force

Question 5

rib 3-5 exhaled

Answer 5

use pectoralis minor

Question 6

MET exhaled ribs 3-5

Answer 6

abduct arm
deep inhalation
bring arm to hip against force

Question 7

rib 6-10 exhaled

Answer 7

use serratus anterior

Question 8

MET for exhaled ribs 6-10

Answer 8

abduct arm
deep inhalation
adduct against force

Question 9

ribs 11-12

Answer 9

quadratus lumborum

Question 10

MET for exhaled rib 11-12

Answer 10

prone
arm above
sidebend away from affected rib
posterior pressure ASIS and anterior to rib
deep inhalation
bring hip to table against force

Question 11

MET inhaled ribs 1-5

Answer 11

flex/sidebend neck to barrier
deep exhalation
extend neck against force

Question 12

MET for inhaled ribs 6-10

Answer 12

sidebend neck and shoulders to barrier
flex to barrier
deep exhalation
extend/sidebend (away from rib) against force

Question 13

MET for inhaled ribs 11-12

Answer 13

prone
arm above
sidebend toward affected rib
posterior pressure to ASIS
anterolateral pressure to rib
deep exhalation
bring hip to table against force

Question 14

anterior tenderpoint

Answer 14

foot opposite

flex/sidebend/rotate towards rib

Question 15

posterior tenderpoint

Answer 15

foot same side

flex/sidebend/rotate away from rib

Question 16

diaphragm MFR?

Answer 16

osteopathic hug

Question 17

diaphragm MET?

Answer 17

find barrier
have patient inhale (isometric counterforce)
reposition with exhalation

Question 18

rib raising

Answer 18

anterolateral pressure to ribs posteriorly

can be done with patient supine or seated