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PUSH PULL INTRO handouts 6 per page

PUSH PULL INTRO handouts 6 per page - doctor broader stance...

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3/28/2011 1 SIDE POSTURE ADJUSTING PUSH/PULL How to adjust Different adjusting techniques work for different types of patients, doctors, and doctor/patient ratios Take tips from different faculty Remember patient’s comfort, doctor’s comfort, AND results are all important Bench selection Proper working height aids effectiveness of adjustment Protects doctor’s back Usually top of bench should be below doctor’s patella PUSH v. PULL Both utilize flexion of the femur to assist, “lock out,” or isolate articulation adjusting Stabilize either “thigh on thigh” or “shin on thigh” Exact mechanism mostly unknown, however, consider flexion of femur and how it affects the innominate and subluxation PUSH v. PULL PUSH roll patient over Patient more to center of bench Patient is rolled as a unit under doctor’s center of gravity Usually use hamate as CP PUSH v. PULL PULL do not roll the patient over Patient perhaps more to edge of bench;
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Unformatted text preview: doctor broader stance • Doctor steps up to patient • 2 types – Use either 3-finger pull or “reach under” 3/28/2011 2 General Technique Rules • Patient positioning IMPORTANT • Choose the right segment • Isolating the segment • Maintain as much “normal” integrity of the spine before thrusting • MINIMIZE ROTATION Patient Positioning • Side-lying • “Hip on hip” – Inferior hip slightly anterior • Ear-shoulder-hip-ankle • Maintain normal curvatures • Inferior shoulder slightly anterior and inferior, superior elbow behind midline Action Steps — Push • Position patient • Bestride flexed femur • Contact SCP • Traction shoulder • Roll, catch & match • Thrust Action Steps--Pull • Position patient • Bestride flexed femur • Contact SCP • Traction shoulder, maintain femur flexion • “Step up” • Thrust...
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PUSH PULL INTRO handouts 6 per page - doctor broader stance...

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