By Diane Lee
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Mobile thorax During extension of the mobile thorax, backward sagittal rotation of the superior vertebra couples with posterior translation and 'pushes' the superior aspect of the head of the rib backward at the costovertebral joint i nducing a posterior rotation of the rib (Fig. 35). The rib rotates about a paracoronal axis along the line of the neck of the rib such that the anterior aspect travel s superiorly while the posterior aspect travels inferiorly. At those levels where the superior costovertebral joint does not exist (1, 11, 12) or is very sm all (10), the posterior trans lation of the superior vertebra does not force the rib to posteriorly rotate relative to its transverse process .
Posterior t ra n s l a t i o n a l o n g the Z axis in duced rotat i o n b a ckward around the ---- 3------ sagittal X axis and slight compression along the axis . Y Panjabi, Red rawn fro m Bra nd a nd Wh ite 7. From: Panjabi et al 1976 From Lee5•6 with permiss i o n . Extension Figure 35. The o s t e o k i n ema tic and arthro k i n e m a tic motion pro posed to occur in the mob i l e thorax bending duri n g b a ckw ard - v e r t e brostern al regi o n . 6 with per m i ss i o n. Mobile thorax During extension of the mobile thorax, backward sagittal rotation of the superior vertebra couples with posterior translation and 'pushes' the superior aspect of the head of the rib backward at the costovertebral joint i nducing a posterior rotation of the rib (Fig.
There is no abdom inal distension with this breath ing pattern but rather lateral costal expansio n . Manual Therapy For The Thorax - 49 Expiration occurs passively du r in g relaxation of the diaphragm . Forced expiration requi res recruitment from the anterior and pos terior trunk musculature. Regardless of the pattern of respiration, the arthroldnematics of the costo transverse joints remain the same. During inspiration, the tubercles of ribs one to seven glide inferiorly, ribs eight to ten glide anterolateroinferiorly and ribs eleven and twelve remain stationary.