Exhalation dysfunctions , ribs

Ribs in a position of inspiration or expiration [inhalation or exhalation dysfunctions]... 

Still technique for treating rib somatic dysfunctions generally relates to the positional finding, anterior or posterior, of the involved rib. A simple relationship between an anterior rib and an inhalation dysfunction and a posterior rib and an exhalation dysfunction is drawn, which also contributes to the initial placement into the freedom of motion followed by engagement of the barriers. Some modification can also be included for pump or bucket handle components as well. 

For the purposes of counterstraiu treatment, rib somatic dysfunctions are generally classified as either depressed or elevated. Depressed ribs are held in exhalation and restricted in their movement into inhalation. Elevated ribs art held in inhalation and restricted in their movement into exhalation. 

The osteopathic structural examination was remarkable for severe exhalation restrictions of ribs three to ten with rigid intercostal muscles bilaterally. In addition, there was markedly decreased diaphragmatic, thoracic inlet/outlet, sternal, and clavicular motion. Somatic dysfunctions included OAESrRi, C2ESrRr, and T2-T6NSiRr with increased tonicity of the intrascapular paravertebral muscles. 

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