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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-1. Chest mobilization (inspiration). Bend away from right side during inspiration.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-2. Chest mobilization (expiration). Bend toward right side during expiration. Push fisted hand into the lateral aspect of chest as you bend toward the right side.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-3. Belt exercises for lateral costal expansion. Reinforce lateral costal expansion during inspiration. Assist with pressure along the rib cage during expiration. (Reprinted from the Saunders Group, Inc. 1996.)

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-4. Deep breathing with an incentive inspirometer. For inspiration, use right side up and breathe in. For expiration, use upside down and breathe out.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-5. Pectoral stretching (shoulder blade pinch ). Stand or sit straight and tall. Pull your shoulders back, squeezing your shoulder blades together.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-6. Pectoral stretching (hands behind head). Stand or sit. Place your hands behind your head with elbows in front. Move your elbows back as far as possible.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-7. Pectoral stretching (standing). Stand facing a corner. Put the palms of your hands on the wall. Slowly lean your chest into the corner. (Reprinted from the Saunders Group, Inc. 1996.)

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Manual of Rheumatology and Outpatient Orthopedic Disorders

FIG. 56-8. Jaw excursion. Hold an apple in front of your mouth. Gradually open your mouth, sliding your top and bottom teeth on the apple and increasing the jaws range of motion.

Books@Ovid
Copyright 2000 by Lippincott Williams & Wilkins
Stephen A. Paget, M.D., Allan Gibofsky, M.D., J.D. and John F. Beary, III, M.D.
Manual of Rheumatology and Outpatient Orthopedic Disorders

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Paget S. A., Beary J. F., Pellicci P. M.

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