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

[@billymeeks845]

best OMT vids ive seen and will be coming here for boards, thank you!

[@kiwi_kirsch]

OH GOD I LOVE THIS 0_0 i have been learning sooo much about physio from being friends with a sports physio for 18ys, whenever i crashed on my bike or whatever. i was born with rather loose ligaments, partially rupture them and dislocate a few joints on a regular basis, like jaw, shoulders, fingers, etc and also my L4 and T7 - i rmemeber those two were annoying even decades before i knew anything about them :D i always knew my vertebrae obviously do different things whenever they're blocked, but i am soooo in awe about learning their wrongdoings have names!! like rotate left bent right and so on!! awesome :D

[@navidparsa2865]

Thanks for the great video you've made. If you want to manip L2 extended RlSl, the correct position would be lying on the right side with dragging the right arm caudally?

[@dg9015]

Nice explanation and rationale

[@dg9015]

Amazing information

[@dg-wb4xg]

Love this

[@nasrissa123]

So for upper lx segments you rotate the tx towards you and for lower lx segments you rotate the tx towards their head?

[@OsteopathicClinicalSkills]

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]

​@@OsteopathicClinicalSkills😅😮

[@granthaley1108]

We were taught to have the patient lay lateral recumbent on the same side of the posterior transverse process… is this wrong?

[@OsteopathicClinicalSkills]

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]

سؤال استاذ كيف تعالج الفقرة السابعة c7 من عنق الرقبة بهذه الطريقة هل هناك فديو بهذا الخصوص شكرا

[@broderickye5554]

why FRlSl is lie on the right? If that, the rotation is more left.

[@OsteopathicClinicalSkills]

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!

[@wooblokegitimveoyunmaterya1444]

Thankyou...

[@Medusa3055]

🙏🙏🙏

[@tammiemoore6055]

I'd like to see this video with a over weight person.

[@OsteopathicClinicalSkills]

Thanks for the feedback! Having diverse patient body-types is a great idea.

[@tammiemoore6055]

Your video could reach more people with health issues if you could have put a over weight person on show.