Muscle Energy of the Ribs

"Muscle Energy of the Ribs" is an Osteopathic Manipulative Medicine technique used to treat dysfunctional ribs.[1][2]

When treating each rib with muscle energy, assistance with local muscles is elicited as follows:

RibMuscle[3]Visual referenceMethod of activation
1Anterior and middle scalenesLook straight ahead and lift head anterior
2Posterior scalenesTurn head 30 degrees away and lift anterior
3-5Pectoralis minorPush ipsilateral elbow towards opposite ASIS.
6-8Serratus AnteriorPush arm anteriorly
9-11Latissimus dorsiPatient pushes the ipsilateral arm into adduction against resistance.
12Quadratus LumborumPatient pushes the ipsilateral arm into adduction against resistance.

References

  1. ↑ The 5-minute Osteopathic Manipulative Medicine Consult, Millicent King Channell, David C. Mason
  2. ↑ Chaitow, Leon, Helge Franke, and Leon Chaitow. "MET for Rib Dysfunction (p. 192)." Muscle Energy Techniques. Edinburgh: Churchill Livingstone/Elsevier, 2013. N. pag. Print.
  3. ↑ Osteopathic Medicine Recall, Andrew D. Mosier, Dai Kohara.