"Muscle Energy of the Ribs" is an Osteopathic Manipulative Medicine technique used to treat dysfunctional ribs.
When treating each rib with muscle energy, assistance with local muscles is elicited as follows:
| Rib | Muscle | Visual reference | Method of activation |
|---|---|---|---|
| 1 | Anterior and middle scalenes |  |
Look straight ahead and lift head anterior |
| 2 | Posterior scalenes | Turn head 30 degrees away and lift anterior | |
| 3-5 | Pectoralis minor |  |
Push ipsilateral elbow towards opposite ASIS. |
| 6-8 | Serratus Anterior |  |
Push arm anteriorly |
| 9-11 | Latissimus dorsi |  |
Patient pushes the ipsilateral arm into adduction against resistance. |
| 12 | Quadratus Lumborum |  |
Patient pushes the ipsilateral arm into adduction against resistance. |