Quote Originally Posted by alophysio View Post
hi neuromuscular - my point is that serr post inf is not that big a muscle compared to serr ant. It most likely plays a synergistic role.

Also, to palpate to the layer of serr post is very difficult because of the many layers of muscles going over it.

I guess what i was asking was did you use RTUS to image it and therefore determine that the muscle in question was actually serr post inf or are you guessing/deducing it to be be ...

Having said that, Serr post inf has a definite line of pull so i am guessing that only lats would have a similar line of pull and so you might be able to feel the difference...

Just a thought...
The correction of the rib to spine distance and the return to postural anatomical neutral or normal was the criteria. The lats produce a more right lower shoulder than affect the breathing. Often the lats are a synergyst to the serr pos inf that is in distress.

I guess that I am more result driven in clinic than the more use of the radiographic or technical driven results. A, patient of mine had been given every radiographic examination and was slated for a Harrington Rod Implant operation. However, in the rush, no one had considered the effect of or even the possibility of leg length difference. I suggested it and the specialist did not even know where to have it done. This patient has had no symptoms after treeatment and has not had it reoccur after shoe hieght adjustment. Further, through the work I have been doing on him, the Wikipedia reference-linkscoliosis is reducing. Return to anatomical neutral to me is the prime factor.

The patients treated did not have a reoccurance unless the APAS reoccured or the rib position or misalignment reoccured.

I think that radiographic examination or electronic assesment has its place, but it does have a 15 to 20% failure rate as the trial at the Winnipeg Hospital has shown.

In clinic results impress me more as this is my field of practice and endeavor.

I use postural assessment as my guage of success. if the patient returns to postural neutral throughout the range with hip abduction, I know that the results are evident. Further, pain levels are reduced and do not reoccur.

Thanks for your continued interest.

Best regards,

Neuromuscular.