<unk> " is an Osteopathic Manipulative Medicine technique used to treat dysfunctional<unk> . When treating each rib with<unk><unk> , assistance with local<unk> s is elicited as follows: Rib<unk>  Visual reference Method of activation 1 Anterior and middle scalenes 100x100px Look straight ahead and lift head anterior 2 Posterior scalenes Turn head 30 degrees away and lift anterior 3-5 Pectoralis minor 100x100px Push ipsilateral elbow towards opposite ASIS. 6-9 Serratus Anterior 100x100px Push arm anteriorly 10-11 Latissimus dorsi 100x100px Patient pushes the ipsilateral arm into adduction against resistance. 12 Quadratus Lumborum 100x100px Patient pushes the ipsilateral arm into adduction against resistance.
Muscle Energy of the Ribs
Skeletal-muscle pump
Gas exchange
Bone conduction
Myocardial contractility
Lipid metabolism
Parafunctional activity
Cardiac cycle