Text-Book of Osteopathy
American College of Mechano-Therapy
TREATMENT OF THE BACK AND SPINE
1. Patient should lie on the back.
Raise the ribs. Grasp the elbow with one hand. Reach across
the patient's body with the other hand and take hold of the muscles
of the back. Stretch the arm at the same time. Manipulate
the whole length of the spine with the free hand.
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
12. Same position as No. 11. Grasp
the spine firmly on each side, lift the patient and stretch the spine.