OMT Rib Somatic Dysfunction


The OMT Rib Somatic Dysfunction provides High Yield information that is needed for the COMLEX Level 1, 2, and 3, Medical School, Residency, and as practicing Physician.



Rib Type


Rib TypeRib #
True Ribs1-7
False Ribs8-12
Floating Ribs11-12
Typical Ribs3-9

Features:
– Rib head has 2 facets at the neck and tubercle.
– Body arcs at the rib angle
– Body is thin and flat with a costal groove inferiorly
Atypical Ribs1, 2, 10, 11, 12

– all have a 1 or 2 in the name

Rib Motion


RibsMotion
Ribs 1-5Pump handle
Ribs 5-10Bucket handle
Ribs 11-12Caliper

Inhalation/Exhalation Somatic Dysfunction


Inhalation SDRIb Stuck Up in front, down in back
Exhalation SDRib Stuck Down in front, up in back
BITETx Bottom in Inhalation
Tx Top in Exhalation

Techniques


Muscle Energy (Ribs) Inhalation Dysfunctions
Ribs #OMT
Ribs 1 Head RaSt, Push down on first rib
Ribs 2-6 SB toward and knee under shoulder
Push down
Ribs 7-10SB toward and push down on ribs
Ribs 11-12SB toward, Pull up on ASIS
Push up on Inhaled rib with exhalation

Muscle Energy (Ribs) Exhalation Dysfunctions

RibsPlacementMusclesSummary
Rib 1- 2Place your hand at the superior rib angle
Have patient put hand on their forehead; you put your hand on their hand and ask them to flex their head
Rib 1 = Anterior + Middle Scalene
Rib 2 =Posterior scalene
Pt Hand on Head
Rib 3-5Place your hand at the superior rib angle

Have patient put their hand under their neck and try to ADduct their elbow (move toward opposite peck); you will be resisting the Adduction
Rib 3-5 = Pec minorPt Hand Above Head
Rib 6-8Place your hand at the superior rib angle
Have patient put arm over neck touch their other shoulder (pointy elbow); have the patient push the elbow into your hand
Rib 6-8 = Serratus anteriorElbow pointed Up
Rib 9-10Have the patient stick their arm out to their side; and have them push it against your legRib 9-10 =Latissimus DorsiArm out to side 90 degrees
Rib 11-12Rib 11-12 = Quadratus LumboriumPt Pulls Hip Cephalad

FPR (Ribs)

Rib Location/TypePlacement
Anterior Rib FPR (Costochondral)Sit up straight
Compress through spine
Rotate Toward rib side.
Posterior Rib FPRStraight, Compress spine
Flex, Rt, SBt.
Inhalation/Exhalation FPRSide of pt.
Head Ra, Body leaning toward.

HVLA (Ribs)

RibPlacement
Ribs 1-4 Chin Pivot HVLADoc Contralateral, Pt Prone.
Cups chin with arm of effected side.
Anterolateral thrust with exhalation.

Kirksville Crunch

Inhalation SDRibs 3-10 Bucket Handle HVLA
Thenar at Posterior/Superior angle
Apply posterior thrust
Exhalation SDRibs 3-10 Bucket Handle HVLA
Thenar Posterior/Inferior angle
Slightly Caudal Posterior thrust.

Stills (Ribs)

Rib locationPlacement
Stills, Posterior RibElbow lifted and compressed to localize.
Arm Adducted across front of patient.
Stills Exh/Ant. Tender point RibSupine, Arm starts next to patient with exhalation. Upon Inhalation, Arm is fully flexed.
Stills Inh/Post. Tender Point RibSupine. Arm is flexed with traction. upon exhalation, arm is brought to extension.

Counterstrain (Ribs)

Rib Tender Points
AR 11st Costochondral Articulation
Treatment: F STRT
AR 2Midclavicular line, Rib 2
Treatment: F STRT
AR 3-6Midaxillary line of corresponding rib
Treatment: F STRT
PC Inion2 cm inferior from the Inion
Treatment: F
PR1Cervicothoracic angle just anterior to trapezius
Treatment: E SART
PR2-PR10Superior surface of respective rib angles
Treatment: F SARA

OMT Rib SD Quiz Leaderboard


  • Pos.
    Name
    Score
    Duration
  • 1
    100 %
    77 s

OMT Rib Somatic Dysfunction Quiz 1


/6
0 votes, 0 avg
30

Match Ribs to Muscle

1 / 6

Match the following rib with the muscle treated in the treatment technique:

Rib 9-10?

2 / 6

Match the following rib with the muscle treated in the treatment technique:

Rib 1?

3 / 6

Match the following rib with the muscle treated in the treatment technique:

Rib 3-5?

4 / 6

Match the following rib with the muscle treated in the treatment technique:

Rib 2?

5 / 6

Match the following rib with the muscle treated in the treatment technique:

Rib 11-12?

6 / 6

Match the following rib with the muscle treated in the treatment technique:

Rib 6-8?

Your score is

The average score is 74%

0%