OMT: HVLA - Lumbar Spine (Lumbar Roll - Lateral Recumbent; Rotation Emphasis)

  Рет қаралды 118,841

Osteopathic Clinical Skills

Osteopathic Clinical Skills

Күн бұрын

Osteopathic Clinical Skills is a channel dedicated to discussing and exploring Osteopathic Clinical Skills concepts for medical students, residents, and clinicians and presenting them in an easy to understand manner.
This particular video is intended as a demonstration of the principles of High Velocity, Low Amplitude (HVLA) treatment method applied to the lumbar spine, with this specific example utilizing a lateral recumbent position and rotation emphasis.
It is not intended as a complete instructional video and should not be considered a source of complete OMT instruction.
Instead, it should be treated as a supplement to independent learning using primary Osteopathic Manipulation instructional resources. Clinical skills are best learned and developed with support from faculty in the context of a complete Osteopathic Medical School Curriculum.
Attributions:
Many thanks to the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSC - TCOM) for permitting use of the Medical Education Training (MET) facilities and equipment during the production of this video.
Additional thanks to the UNTHSC-TCOM learner and faculty volunteers who participated in this production and provided permission for the use of their image in this video.

Пікірлер: 13
@wooblokegitimveoyunmaterya1444
@wooblokegitimveoyunmaterya1444 2 ай бұрын
Thankyou...
@Meduza3055
@Meduza3055 8 ай бұрын
🙏🙏🙏
@nasrissa123
@nasrissa123 Жыл бұрын
So for upper lx segments you rotate the tx towards you and for lower lx segments you rotate the tx towards their head?
@OsteopathicClinicalSkills
@OsteopathicClinicalSkills Жыл бұрын
In this demo, if you are treating a type 1 (neutral) segment, you pull the bottom arm towards you and up towards the patient’s head. If treating a type 2 (flexed or extended) segment, you pull the bottom arm towards you and down towards the patient’s feet.
@RapinPridana-kp5dx
@RapinPridana-kp5dx Жыл бұрын
​@@OsteopathicClinicalSkills😅😮
@broderickye5554
@broderickye5554 Жыл бұрын
why FRlSl is lie on the right? If that, the rotation is more left.
@OsteopathicClinicalSkills
@OsteopathicClinicalSkills Жыл бұрын
This demonstration uses the pelvis to direct motion through the lumbar segment, while the torso is inducing rotation of all the segments above in the opposite direction. So with the patient lying on their right, and with proper localization of the motions to the correct lumbar segment, the thrust through the pelvis rotates the lumbar vertebrae to the right (through the rotation barrier). There are other versions of the technique that focus on torso rotation or sidebending, but this is the particular version I chose for the video. Make sure to practice with supervision until you fully understand the concepts! Thanks for the question!
@granthaley1108
@granthaley1108 9 ай бұрын
We were taught to have the patient lay lateral recumbent on the same side of the posterior transverse process… is this wrong?
@OsteopathicClinicalSkills
@OsteopathicClinicalSkills 9 ай бұрын
It is not wrong at all. There are several approaches to lumbar HVLA in a lateral recumbent position which are equally effective. This is just one example that utilizes the leg and pelvis to motivate the rotation of the dysfunctional segment during treatment. It can also be performed with the posterior transverse process down similar to how you were likely taught- the difference is which segment you are isolating to in order to induce the expected motion. There are also versions of this treatment that emphasize the sidebending component of the diagnosis. To help sort through the differences to ensure you are performing it as you were taught vs another approach, it can be helpful to review with an instructor who can guide and talk through the specifics of each approach. Hope that helps!
@Bilal-jf3sq
@Bilal-jf3sq 2 ай бұрын
سؤال استاذ كيف تعالج الفقرة السابعة c7 من عنق الرقبة بهذه الطريقة هل هناك فديو بهذا الخصوص شكرا
@tammiemoore6055
@tammiemoore6055 Жыл бұрын
I'd like to see this video with a over weight person.
@OsteopathicClinicalSkills
@OsteopathicClinicalSkills Жыл бұрын
Thanks for the feedback! Having diverse patient body-types is a great idea.
@tammiemoore6055
@tammiemoore6055 Жыл бұрын
Your video could reach more people with health issues if you could have put a over weight person on show.
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