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2. Stand at side of table. Reach across patient's body, grasp the spinal edge of the scapula, and while bringing the arm of the patient across the chest, pull the scapula outwardly. 3. Same position. Reach over and grasp the arm of the patient on the other side. Take hold of the rib at or near the angle with the free hand, and while pushing it into place, life up the outstretched arm and rotate it backward. Advise the patient to inspire deeply when the ribs are lifted. 4. Flex the knees on the thighs, and the thighs forcibly on the abdomen. This movement is used to relax the ligaments and muscles of the lumbar and sacroiliac regions. 5. Patient sitting. Stand behind the patient and place the right hand on top of his head. Rotate the head so as to bring the neck against the thumb of the left hand. Move the left thumb successively along the arches of the vertebrae, while rotating the head. 6. Patient and operator in same positions. Bend the neck of the patient as far forward as possible on the chest. This stretches the neck muscles. 7. Have patient lie on back, and stand at his side. Place one hand on the forehead and the other beyond to the other side of the neck. Rotate the head from side to side with the hand that rests on the forehead, alternately relaxing and stretching the muscles at the side and back of neck, while the hand placed on the neck pulls and stretches the muscles outward with each movement of the neck. Move the hand on the neck from one position to another as the tissues relax beneath it. The hand may be brought down as far as the shoulder. Apply the same treatment to all tissues in front of the neck down to the clavicles. 8. Loosen the muscular tissues in the upper part of the back by placing the tips of the fingers on the shoulder and manipulating with the thumbs. Relax all the tissues on the shoulders from the neck over the top of the shoulders. 9. Place one hand on top of the head and make fixed points along the spine with the thumb of the other hand, at the same time using the head and neck as a lever. Treat the other side of the spine in the same manner. 10. Have patient sit on a stool with his hands placed behind his neck. Place your hands under the patient's arms and take hold of his wrists. Place one side of the knee at the patient's spine and lift him upward and backward against the knee. This movement stretches the spinal, scapular and neck muscles and raises the lower ribs. 11. Patient in sitting position. Stand in front of the patient and place a pillow between. Clasp the spine of the patient with both hands and make deep pressure, pushing the vertebrae well in, then by rotating the body, pressure may be made to the side wished. This is a good movement to use in correcting lateral curvature. 12. Same position as No. 11. Grasp the spine firmly on each side, lift the patient and stretch the spine. |