Rib-raising techniques

There are two direct methods used to move the rib articulations rib-raising techniques, which are articulatory, and thrusting techniques, which are generally high-velocity, low-amplitude. Each has its own special applications as described here. 

Rib-raising techniques are techniques designed to articulate the rib heads by lifting and rotating them and, through the fascial attachments, to beneficially affect the sympathetic innervation at the chain ganglia. 

In certain pulmonary diseases it is helpful to loosen tenacious mucus and to articulate the ribs to improve their motion. Rib-raising techniques achieve both these goals as the physician purposefully elevates groups of ribs. 

Various forms of lymphatic pump or thoracic pump will aid in improving venous and lymphatic flow as well as favorably affecting arterial circulation. Rib-raising techniques may be used to free bronchial secretions so they may be more easily expectorated and to normalize sympathetic innervation to the lung. The workload of breathing may be decreased by improving the compliance of the thorax —that is by freeing the ribs, vertebrae, clavicles, and sternum to restore the intrinsic elastic forces in the thorax. 

Most of the same structural findings were present at the second visit and were treated in a similar manner adding some rib raising techniques. 

This technique serves the dual purpose of rib-raising and combining a thoracic pump for treating bedridden patients. 

Osteopathic manipuiation was added to her treatment pian. The muscle hypertonicity was treated with passive myofascial techniques and facilitated positional release. The somatic dysfunctions were treated with muscle energy, facilitated positional release, and balanced ligamentous tension. Rib-raising was used to induce adequate lymphatic drainage and normalize sympathetic tone. 

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