1. AAOM Cervical & Thoracic Lab
for MD’s
Joel Berenbeim, DO
CSPOMM

6. I. When the thoracic and lumbar spine are in a
neutral position, the coupled motions of
sidebending and rotation for a group of
vertebrae are such that sidebending and
rotation occur in opposite directions

7. Type I Somatic Dysfunction
• Group Mechanics of Three or More Vertebral
Segments, When Neutral Sidebending is
Introduced, Rotation Occurs To The Opposite
Side
• Maintained By Long Postural Muscles
• Treat in Neutral

9. II. When the thoracic and lumbar spine are
sufficiently flexed or extended (non-neutral), the
coupled motions of sidebending and rotation in a
single vertebral unit are such that sidebending and
rotation occur in the same direction.

10. Type II Somatic Dysfunction
• Maintained By Short Muscles
• With Hyper Flexion or Extension, Rotation and
Sidebending Occur To The Same Side
• Rotation Occurs Around The “Locked” Facet
• The Facet, “Opened or Closed”, Describes the
Motion and Is Not The Lesion
• FRS/ERS

13. III. 1. Initiating motion of a vertebral segment in
any plane of motion will modify the movement
of that segment in other planes of motion.
.

15. Thank You
• Michael Kuchera, DO
• Phillip Greenman, DO