Evolve Resources for Manipulation of the Spine, Thorax and Pelvis, 5th Edition

The website https://evolve.elsevier.com – accompanying this text includes video sequences of all the techniques described in Part B (with the exception of the last technique described in Chapter 12.) These are indicated in the text by the following symbol.

Part A HVLA thrust techniques – an osteopathic perspective
1. Introduction
2. Osteopathic history, principles and practice
3. Kinematics and coupled motion of the spine
4. Minimal leverage positioning for HVLA thrust techniques
5. Cavitation
6. Mechanisms of Effectiveness
7. Safety
8. Evidence-informed practice
9. Consent

Part B HVLA thrust techniques
10 Cervical and cervicothoracic spine
Note: Before reviewing up-slope and down-slope HVLA thrust techniques, the Introduction on the website should be viewed.
10.1 Atlanto-occipital joint C0–1: Contact point on occiput; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning
10.2 Atlanto-occipital joint C0–1: Contact point on atlas; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning
10.3 Atlanto-axial joint C1–2: Chin hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning
10.4 Atlanto-axial joint C1–2: Cradle hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning
10.5 Cervical spine C2–7: Up-slope; Chin hold; Patient supine
10.6 Cervical spine C2–7: Up-slope; Chin hold; Patient supine – variation
10.7 Cervical spine C2–7: Up-slope; Cradle hold; Patient supine
10.8 Cervical spine C2–7: Up-slope; Cradle hold; Patient supine; Reversed primary and secondary leverage
10.9 Cervical spine C2–7: Up-slope; Patient sitting; Operator standing in front
10.10 Cervical spine C2–7: Up-slope; Patient sitting; Operator standing to the side
10.11 Cervical spine C2–7: Down-slope; Chin hold; Patient supine
10.12 Cervical spine C2–7: Down-slope; Cradle hold; Patient supine
10.13 Cervical spine C2–7: Down-slope; Patient sitting; Operator standing to the side
10.14 Cervicothoracic spine C7–T3: Rotation; Patient prone; Operator at side of couch
10.15 Cervicothoracic spine C7–T3: Rotation; Patient prone; Operator at head of couch
10.16 Cervicothoracic spine C7–T3: Rotation; Patient prone; Operator at head of couch – variation
10.17 Cervicothoracic spine C7–T3: Sidebending; Patient sitting
10.18 Cervicothoracic spine C7–T3: Sidebending; Patient sitting; Ligamentous myofascial positioning
10.19 Cervicothoracic spine C7–T3: Sidebending; Patient sidelying
10.20 Cervicothoracic spine C7–T3: Sidebending; Patient sidelying; Ligamentous myofascial positioning
10.21 Cervicothoracic spine C7–T3: Extension; Patient sitting; Ligamentous myofascial positioning

11 Thoracic Spine
Note: Before reviewing thoracic spine techniques the Upper limb positioning for sitting and supine thoracic spine techniques on the website should be viewed.
11.1 Thoracic spine T4–9: Extension; Patient sitting; Ligamentous myofascial positioning
11.2 Thoracic spine T4–9: Flexion; Patient supine; Ligamentous myofascial positioning
11.3 Thoracic spine T4-9: Patient supine; Ligamentous myofascial positioning
11.4 Thoracic spine T4–9: Rotation; Patient supine; Ligamentous myofascial positioning
11.5 Thoracic spine T4–9: Rotation; Patient prone; Short-lever technique

12 Rib Cage
12.1 Ribs R1: Patient prone
12.2 Ribs R2–3: Patient prone
12.3 Ribs R4–10: Patient supine; Ligamentous myofascial positioning
12.4 Ribs R4–10: Patient prone; Short-lever technique
12.5 Ribs R4–10: Patient sitting; Ligamentous myofascial positioning

13 Lumbar and thoracolumbar spine
Note: Before reviewing sidelying HVLA thrust techniques in the lumbar and thoracolumbar spine, the Introduction the website should be viewed.
13.1 Thoracolumbar spine T10–L2: Neutral positioning; Patient sidelying; Rotation thrust
13.2 Thoracolumbar spine T10–L2: Flexion positioning; Patient sidelying; Rotation thrust
13.3 Lumbar spine L1–5: Neutral positioning; Patient sidelying; Rotation thrust
13.4 Lumbar spine L1–5: Flexion positioning; Patient sidelying; Rotation thrust
13.5 Lumbar spine L1–5: Neutral positioning; Patient sitting; Rotation thrust
13.6 Lumbosacral joint (L5–S1): Neutral positioning; Patient sidelying; Thrust direction is dependent on zygapophysial joint plane
13.7 Lumbosacral joint (L5–S1): Flexion positioning; Patient sidelying; Thrust direction is dependent on zygapophysial joint plane

14 Pelvis
14.1 Sacroiliac joint: Left innominate posterior; Patient prone; Ligamentous myofascial positioning
14.2 Sacroiliac joint: Right innominate posterior; Patient sidelying
14.3 Sacroiliac joint: Left innominate anterior; Patient supine
14.4 Sacroiliac joint: Sacral base anterior; Patient sidelying
14.5 Sacrococcygeal joint: Coccyx anterior; Patient sidelying

Part C Technique failure and analysis

Peter Gibbons, MB, BS, DO, DM-Smed, MHSc, Associate Professor Osteopathic Medicine, Head of the School of Health Sciences, Victoria University, Melbourne, Australia and Philip Tehan, DO, DipPhysio, MHSc, Senior Lecturer, Osteopathic Medicine, School of Health Sciences, Victoria University, Melbourne, Australia