Extended somatic dysfunction

C3 Create flexion with rotation away and side-bending toward the tender point (STAR). Occasionally C 3 will require extension. This tender point may be present with either a flexed or an extended somatic dysfunction. Flexion is used most commonly. 

FIG. 49-3A Muscle energy treatment for an extended somatic dysfunction. Physician standing. 

LUMBAR TYPE II EXTENDED SOMATIC DYSFUNCTION (L3 E S, R,)—PATIENT SUPINE... 

FIG. 52-lB Lumbar type II extended somatic dysfunction (L3 E S, R,), patient supine. (Modification of physician hand/arm position.)... 

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