Manual Therapy 4 Thoracic Cage: Improve Mobility & Improve Lung Capacity
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- Опубліковано 5 жов 2024
- #capri4physio #covid #covid19
Note: This webinar is for education purposes only and does not authorise anyone to teach or practice manaul therapy.
This webinar is organised by Capri4Physio in order to educate the physiotherapists and physiotherapy students the importance of mobilisation and manual therapy of the costochondral or costovertebral or the intercostal joint in the improvement of the lung function.
The bigger question that can come in the minds of a manual therapist is that how can manual therapy be beneficial during covid-19.
What can we as manual therapists can do?
The main focus that we have is breathing exercises and strategies on how to increase the SpO2 of a person, indeed that is the major concern, but in order for the lungs to expand we need a good mobility of the thoracic spine, intercostals, costo-vertebral and costo-chondral joints, that can be achieved with great ease with manual therapy!
Why do we need to do it?
Now these are the things that can’t be ignored since in order to increase the SpO2 you need the lungs to expand and sometimes due to lack of mobility there is no proper pump handle or bucket handle movement that may take place and hence wouldn’t allow the maximum lung function and vital capacity to be achieved by the patient. This isn’t a new fact rather a well-established one, it has been seen that the vital capacity is reduced in scoliotic patients and other patients with reduced thoracic mobility.
How to do it?
The major question arrives at is how to do it? These techniques are easy to administer and can be done by a physiotherapist.
The thoracic cage as the following joints: thoracic intervertebral joints, costochondral joints, costovertebral joints and the intercostal joints
Thoracic Spine
This forms the posterior aspect of the thoracic cage where the lungs are situated, in order to mobilize this, the therapist can make the patient lie down in prone lying and with the use of the heal of the hand they can hook the spinous process and push the vertebrae towards the eyeball of the patient
The same glide can be given on the transverse process of the thoracic spine
Costochondral and Costovertebral Joints
These are the joints that can be mobilized individually or can be mobilized together, it totally depends on the therapist, the key is palpation of the joints
The costochondral joint will be 1 or 2 fingers away from the sternum and the costovertebral joint can be found just adjacent to the transverse process of the thoracic vertebrae
Once the palpation is done, the manual therapist needs to put their pisiform lateral to the joint line and then mobilize the joint by pushing them in the desired direction, the optimal direction would be cranially
The best thing to do along with the mobilisation is to make the patient do active breathing that would allow you to do move the joint along with the mobilisation and would help you get better results
Intercostal Joints
They play an important role in the bucket handle movement of the rib cage, the bucket handle movement is more important in diaphragmatic breathing and the expansion of the lower lobes.
Mobilising it also becomes important since the covid infection is majorly affecting the lower lobes of the patients
It can be achieved by standing behind the patient and making the patient sit on a plinth, once that is done the manual therapist takes their ulnar border of the hand and hooks it on both sides of the same level of the intercostal joints, i.e if on the right side we hook the intercostal joint between the rib 6 and 7, we need to do the same on the left side as well
Make sure the wrist are extended and the elbow flexed which allows us to be close to the patient, the palm needs to be in an inclined manner, in order to properly hook the rib
Once you do hook the rib on both the side you need to push the rib in a superior direction and ask the patient to do active breathing
So this was the basic mobilisation techniques that can be performed during this day and age and can be done in order to help the patients and remember a strong lung and a good vital capacity is very important in order to fight the virus.
Keep your patients motivated and happy, they need to have faith that they will be fine and once they have the motivation there is no one that can stop them from recovering.
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I am fill it Google forms but don't receive it certificate
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Thank you so much sir for refreshing session. It just reminded me workshop of 2010 at Ahmedabad !
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Thank you so much Sir....such a informative and knowledgeable webinar
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Thank you sir ... session was much knowledgeable and interesting.. waiting for more sessions to attend..
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Informative and knowledgeable webinar
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@@DEEPAKCAPRI of course sir
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Hello sir! Hope you are doing well! Manual Therapy course from Capri Institute organized in holi family hospital Mumbai in 2018 changed my clinical perspective of Physiotherapy... Thanku for making thousands of hand best tool of tools...salute to Dr Deepak for his vision and mission for the physiotherapy profession...I joined late... Certificate link is not working 😢😔
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Amazing webinar as always n looking fwd for more such study tools
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thank you sir very good knowledgle,sorry..i could not see live due to network problem..thanks
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@@DEEPAKCAPRI Thanks sir
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Thank you for the session sir. I am eagerly waiting for you to come to kolkata and really looking foreward to attend the COMT course
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We do not conduct workshop in Kolkata on regular basis. People from Kolkata usually attend workshop in Delhi.
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Sir.. please conduct workshop in Hyderabad
@@DEEPAKCAPRI sir.. I will try to come to delhi after my internship gets over
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Very informative
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Sir if we not qualify in quize.we can't get certificate?
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Hi sir good morning i hope u r good sir can i know when will u conduct dry needling work shop in Bangalore with certificate
Presently we are only teaching Manual Therapy.
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Description box kahan pe h sir
Link for the certificate : forms.gle/ijuPBsqZCDxGj2UJ7
Agar sarir me sujan ho to kiya karna chahiye
Agar sach mai sujan hai toh apne physician ko dikahey immediately. Sach mai Ees liye bola ki feel hoti hai yaa dusro ko bhi sujan nazar aati hai ?
Where is link for quiz??
Link for the certificate : forms.gle/ijuPBsqZCDxGj2UJ7
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Good evening dear!
संसार के सबसे अच्छे डाक्टर साहब म भी आगया आपका सबसे अच्छा बेटा म आपकी सेवा करूँगा में आपके पेर दबाऊगा क्योंकि म भी आपका बेटा हू आप बहुत अच्छे हैं
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Dr. sb. Namaskar mai ne MRI karaya tha mere rite kandhe aur gardan me dard hath me jhunjhunahat rahti hai gardan me thodi si problem hai disc ki physical therapy se faida nahi huwa kandhe me dard aur hath me jhunjhuni permanently rahne lagi kabhi kam ho jati hai please koi upchar batayen dhannevad
Dear Zubair Ahmad
I need to have more details about your health condition. So please send photo of your MRI films and x rays to 9063121212/8130319333 by WhatsApp. Also fill the following form (link below) to know your health condition. In end of the form select any of the three options as per your choice.
www.caprispine.com/online-physiotherapy-consultation
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Sir I didn’t get certificate yet instead of clearing the quiz..
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Please check your email id you have mentioned in your Google form. Must be some error in writing. And also check your spambox. You would definitely get it if you've clearly the quiz successfully and email id you've entered is correct.
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Yes sir received..Thank u so much
Sir form fill up ni ho pa rha
Link for the certificate : forms.gle/ijuPBsqZCDxGj2UJ7
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नमस्ते सर
Link for quiz sir?
Link for the certificate : forms.gle/ijuPBsqZCDxGj2UJ7
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