By Alexander S. Nicholas, Evan A. Nicholas
This hugely praised atlas provides options generally taught and utilized in osteopathic clinical schooling and perform, serving as an authoritative reference for examination guidance and scientific rotations. step by step directions, richly illustrated with full-color figures, advisor the learner via greater than 350 manipulative equipment.
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Extra info for Atlas of Osteopathic Techniques (2nd Edition)
7A and B). If the tissue’s texture is difficult to distinguish, or if the physician prefers, listening to the pitch of the sound the percussive tap elicits can easily distinguish between an area of hypertonicity (like a drum which is taut—higher pitched) compared to an area of normal tonicity or flaccidity (like a drum which is loose—lower pitched). This is similar to percussion over the chest wall to determine air, mass, or fluid presence by the acoustic tone of the percussion. 7. tension. indd 31 A.
Step 3. 4. The patient is instructed to bend the head and neck forward to the functional and pain-free limitation of motion (Fig. 4). 5. The degree of forward bending (flexion) is noted. Normal forward bending of the cervical spine is 45 to 90 degrees. 6. The patient is instructed to bend the head and neck backward as far as possible within the physiologic and pain-free range of motion (Fig. 5). 7. The degree of backward bending (extension) is noted. Normal backward bending of the cervical spine is 45 to 90 degrees.
When the physician is touching the patient, it is important to explain the nature of the examination and receive the patient’s acceptance before continuing. Therefore, it is important to be prepared mentally to apply the hand as confidently and professionally as possible. 2. FASCIA The physician adds enough pressure to move the skin with the hand to evaluate the fascia. This pressure will cause slight reddening of the nail bed. The physician moves the hand very gently in cephalad, caudad, left, right, clockwise, and counterclockwise directions to elicit motion and tension quality barriers of ease and bind (Fig.