Indirect Thoracic OMM

• The physiology of MFR is that it influences the fascia and surrounding structures to relax hypertonic fascia and reduce spasms. It also Provides improvement for lymphatic drainage, circulation, oxygenation, and immune response 
• Trauma causes gamma motor neurons to activate and causes muscle spindles to fire. Stretch receptors become more sensitive to stretch and stimulate alphas motor neurons so muscle becomes hypertonic .
• The physiology of SCS is that shortening the muscle decreases gamma motor neuron gain and decreases alpha firing, thereby reducing hypertonicity.
• The physiology of FPR is to reduce gain (firing) in gamma motor neurons that innervate intrinsic muscles.
• Disengage, exaggerate, balance is the process of BLT.
• Main motion of the thoracic region is rotation.
• Superior thoracic facets orientation are BUL: Backwards, Upwards, and Lateral.
• BUM-BUL-BUM: Backwards Upwards, Later/Medial for Cervical, Thoracic, and Lumbar spines in order.
• T2 landmark is the sternal notch.
• T4 landmark is the sternal angle.
• The nipple is the T4 dermatome.
• umbilicus is t10 dermatome
• xiphisternal joint is anterior to t9
• Regarding diaphragm apertures, the vena cava is at t8.
• Regarding diaphragm apertures, the esophageal hiatus is at t10.
• Regarding diaphragm apertures, the aorta is at t12.
• Anterior thoracics 1-6 tenderpoints: Flex
• Anterior thoracics 7-12 tenderpoints: Flex and StRa
• Posterior tender points that are midline should just be extended.
• Posterior tender points that are posterior and on the inferolateral aspect of deviated spinous process should be ESaRa.
• Posterior tender points that are on the transverse process should be ESaRt.
• SaRt - transverse process
• SaRa - spinous process