Upper Thoracic Distraction Thrust Manipulation

[jeffs0617]

Poor pretension. And that move is an easy way to wreck a patient's shoulders

[MarathonVeteran]

Cmon bro! Put a rolled up towel or pillow case between your sternum and target segment(s)!!!

[ReligiosoPT]

@MarathonVeteran This is not a technique for specificity. Laurie Hartman, who was considered one of the best, specific manipulators in the world before his accident only used his sternum. The towel never made a difference as it's for distraction in the upper segments, not a P/A pressure as a fulcrum. The sternum suffices, and also most research shows specificity is not needed to affect outcome. I only use specificity in the thoracic spine mid-lower (mainly because it's larger)

[ReligiosoPT]

@MarathonVeteran and also cervical spine b/c it's safer. But I'm sure research would also show that is not needed.

[MarathonVeteran]

@ReligiosoPT A towel will help protect your costochondral junction (which doesn't heal well). If that gets injured, you're going to be out of work for a while. Also I definitely agree with you manipulations aren't specific.

[23bkew]

It's great to see how this video can generate chatter from viewers. Instead of posting negative comments however, maybe you could post your own videos which clearly illustrate your views/techniques and provide the useful resource that Dr E is providing. It's much easier to criticise others than to contribute to the community.

[ReligiosoPT]

@drsinclair1, it may not be taught in any school according to your knowledge, but it is taught in all the PT schools I teach for, which are 3 DPT programs in Buffalo, NY. It is also taught in several AAOMPT programs. I've performed it on a few chiros as well, who liked the technique and found it more comfortable, but it's not my preferred technique for upper thoracic. The supine technique is. It causes no more damage than any distraction technique.

[drsinclair1]

you'd be better off adjusting upper T spine with a specific anterior adjustment and using a low/medium/high tech traction device. This maneuver causes more damage to the C/T junction than any possible benefit the mobilization could to the upper T spine. To my knowledge this technique isn't taught in any school and if it is, the school should lose its accreditation.

[0146705035]

this is just wrong.

1. cervical natural position is broken

2. snap the spine (snap ur life)

3. all

[MartiniBabeOx]

two things:

it would be better if the table was higher. and it'd be more effective if you placed a rolled up towel between you and the vertebrae that your treating. cuz, the way you're doing it, you're not being precise, at all

[nastymonsters2]

Party trick

[niteholler]

nothing!

[niteholler]

nothing!