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Passive physiological introvert or emotion testing can be performed inside lying now we can use the lower limbs to generate the passive movement in the lumbar spine, so you need to support the weight of the lower limbs using your hand under the shins like this and toucan place their knees against your thighs then it will be quite easy to generate that movement flexion in this case in the spine so once you're happy with the setup you then identify the segment which you need to palpate so in this case we#39’ll start off at l5 s1 handwork our way up the spine so it×39;important to feel motion segment movement to palpate to adjacent spinousprocesses and the intervening intospinous space so in this case IN×39;palpating with my left hand the spinousprocess of s1 and l5 and dr2 spine of space, so then I'll generate the passive movement and once I appreciate movement of s1 under my Figment fingers that signifies the commencement of segmentalmovement in flexion once I feel movement of l5 that signifies the end of midsegmental movement in flexion so palpated few times, so you can determine whether the segmental movement is normal hypo mobile or hypermobile and once you'rehappy with that you can move up to the next level, so you're palpating l4 5 and then up to the next level on tel 3 4 and so on up the spine, and you'll appreciate that the further up the spine you go the greater you have to take the hips into flexion a similar procedure can be used for extension except this time we'redoing to extend the lower limbs so once again support the weight of the lower limbs likes to identify and palpate the level you'retesting and then bring the lower limbs into extension to generate the passive movement so once again once I feel s1move under my fingers that×39’s the start of the extension movement for this Cleveland once I feel L v move under my fingers that#39’s the end movement for thislevelso again palpate a few times to determine whether it's normal hypo mobile or hypermobile and then move unto the next level L four five and then up 1234l 2 3 and so on up to T 11 or T 12, and you appreciate once again that the further you go up the spine degree is where you've got to take the lower limbs into extension the next one we can testa side flexion class of physiologicalintervertebral motion testing of side flexion with the others you're palpating adjacent spinous processes and intervening spinous space but for example in this position we#39’re creating left side flexion movement so you#39’ll appreciate that with the left side flexion we get an opening or stretching on the right side and closing and a compression on the left side, so I can palpate on the lower aspect here of the spinous processes Tory and pick up on that opening move mentor I may prefer to palpate above to pickup on that closing type of movement we can then test rotation physiological movement will tend to do this from the top down so once you've found t12 l1 pal pays both spinous processes and...
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