The Journal of the American Osteopathic Association, 2020/01, 120(1):e1-e2. doi: 10.7556/jaoa.2020.013, type of study: ,art,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

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Keywords:

rib mechanics [1]
scapulothoracic mechanics [1]
shoulder posture [1]
venous [20]
lymphatic return [1]
rib somatic dysfunction [3]
article [2635]

Abstract:

Optimal rib mechanics are of vital importance in maintaining scapulothoracic mechanics, shoulder posture, balance in the sympathetic nervous system, venous and lymphatic return, and overall health. Diagnosis and management of rib somatic dysfunction is useful for a multitude of acute and chronic conditions in both hospital and ambulatory settings. For patients who are in the hospital, management of rib somatic dysfunction is important to optimize respiratory and circulatory function and prevent hospital-acquired comorbidities. In the ambulatory setting, management of rib somatic dysfunction addresses many common pain presentations, including interscapular and mid- to upper back pain, as well as head, neck, and upper and lower limb complaints.