Manipulation to increase thoracic spinal rotation requires clear communication in the medical record describing the treatment outcome for the segment.When using the V-spread contact, one finger is placed on the superior transverse process and the second finger is placed on the contralateral inferior transverse process.The rule of the lower finger describes the direction of rotation as:
A) Rotation of the segment occurs in the direction of the finger on the side of the inferior transverse process.
B) Rotation of the segment occurs in the direction of the finger on the side of the superior transverse process.
C) There is no rotation with the V-spread because the lower finger equally counteracts the force through the superior finger, creating an anterior glide.
D) A distraction occurs with the V-spread as the lower finger creates movement inferiorly through the lever arm of the transverse process as the force is applied.
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