Thorasic Spine Adjustment Set-Ups: Single Hand

Unilateral Hypothenar Spinous Push - Doctor Stance

fencer stance on the same side of the adjustment

Unilateral Hypothenar Spinous Push - Patient Position

patient lies prone with arms hanging off table or on the arm rest

Unilateral Hypothenar Spinous Push - Doctor Contact

Hypothenar of caudal hand has fingers arched and angled slightly across the spine. Cephalad hand supports contact hand in anatomical snuffbox and fingers curl up around the wrist

Unilateral Hypothenar Spinous Push - Patient Contact

Spinous Process on the same side

Unilateral Hypothenar Spinous Push - Line of Drive

P-A, I-S, R-L

Unilateral Hypothenar Spinous Push - Hand Angle

Hand should be angled 30 degrees from spine of patient

Unilateral Hypothenar Spinous Push Image of Set-up

Unilateral Hypothenar Transverse Push - Doctor Stance

fencer stance on the same side as the adjustment

Unilateral Hypothenar Transverse Push - Patient Position

patinet lies prone with arms hanging off table or on the arm rest

Unilateral Hypothenar Transverse Push - Doctor Contact

Hypothenar of caudal hand has fingers arched and positioned upward, in line with the spine. Cephalad hand supports contact hand in anatomical snuffbox and fingers curl up around the wrist

Unilateral Hypothenar Transverse Push - Patient Contact

same side transverse process

Unilateral Hypothenar Transverse Push - Line of drive

P-A, I-S, R-L

Unilateral Hypothenar Transverse Push - Hand Position

hand should not cross the spine. Adjustment should not be done above T4

Unilateral Hypothenar Transverse Push Image of Set-up

Single Hand Reinforced Pisiform Spinous Push - Doctor Stance

square stance on the same side of the adjustment

Single Hand Reinforced Pisiform Spinous Push - Patient Position

patient lies prone with arms hanging off table or on the arm rest

Single Hand Reinforced Pisiform Spinous Push - Doctor Contact

Pisiform of cephalad hand, middle phalanx of caudal hand contacts dorsal surface of wrist ot pisiform while thumb rest on wrist.

Single Hand Reinforced Pisiform Spinous Push - Patient Contact

same side transverse process

Single Hand Reinforced Pisiform Spinous Push - Line of Drive

P-A, I-S, R-L

Single Hand Reinforced Pisiform Spinous Push - Hand Position

stabilize pisiform on pisiform or utilizing knuckle or index finger. Cephalad hand is used up to T4

Single Hand Reinforced Pisiform Spinous Push Image of Set-up

Single Hand Reinforced Pisiform Transverse Process Push - Doctor Stance

square stance on the same side as adjustment

Single Hand Reinforced Pisiform Transverse Process Push - Patient Position

patient lies prone with arms hanging off the table or on the arm rest

Single Hand Reinforced Pisiform Transverse Process Push - Doctor Contact

Pisiform of caudal hand, middle phalanx of cephalad hand contacts dorsal surface of wrist posterior to pisiform, wile thumb rest on wrist

Single Hand Reinforced Pisiform Transverse Process Push - Patient Contact

same side transverse process

Single Hand Reinforced Pisiform Transverse Process Push - Line of Drive

P-A, I-S, R-L

Single Hand Reinforced Pisiform Transverse Process Push - Hand Position

make sure to be 2 interspinous spaces above for correct contact. Single hand. Unilateral moves are done up to T4

Single Hand Reinforced Pisiform Transverse Process Push Image of Set-up