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Rib grab with thoracic rotation and double reach

26/6/2017

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Purpose:
The purpose is to improve thoracic rotation via self-directed accessory rib cage mobilization, in a non weight-bearing position.

Description:
Start with hips flexed to at least 90 degrees, preferably as high as possible to create lumbar tension to limit lumbar rotation.
Grab the underside of the rib cage. As you lay back, thus rotating and extending the thorax, pull upwards on the ribs. After 3 breaths, perform a double reach - one hand reaches back along the floor whilst the other reaches to the sky. 

Implications:
Thoracic rotation/extension is not a pure intervertebral motion. It involves costo-transverse and costo-vertebral mobilization also. The accessory rib cage mobilization provides distraction to the costo-transverse and costo-vertebral joints. The pulling action, coupled with scapulothoracic retraction, inhibits anterior torso activity, thus freeing up rotation mobility.The double reach creates an extension force on one side of the spine with a flexion force on the other side - creating rotation. 

Common errors and corrections: 
A loss of scapulothoracic stability on the “pulling arm”. If this occurs, cue shoulder packing. Another error is a loss of hip flexion, leading the lumbar spine to mobilise, reducing the targeted thorax mobilization. If this occurs, cue more hip flexion.
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  • Home
  • Shop
  • Masterclasses
    • Masterclass Summit 2020
    • Masterclass Bundle 1
    • The 3 Unstoppable Ways to Get Your Ideal Career In Sport
    • Scott Hopson: Stress & Expression
    • How to implement a movement philosophy approach in a first division professional soccer team. A real case scenario with 3 years follow up
    • Max Velocity Training For Physios
    • Re-Designing Your Warm-Up To Increase Effectiveness Through Co-Operative Strength And Physical Therapy
    • Neuromobilisation for recovery
    • How Strong Is Strong Enough?
    • Clinical reasoning stems disruptive innovation - “Change or be changed"
    • Alternative Physiotherapy Strategies For Calf Injuries
    • Advanced Palpation Masterclass
  • Book
  • Sports Physiotherapy
    • Telehealth Sports & Spinal Physiotherapy Consultations
    • Fees and Conditions
    • Pre-Physio Questionnaire
    • Covid19 Checklist
  • Articles
  • About
  • Contact
  • Video Drills
  • Appearing on these podcasts
  • Exercise Tubing Program