National Board of Chiropractic Examiners (NBCE) Practice Test

What segmental contact point is typically used for adjustments of posterior ribs?

1. Anteroposterior contact

2. Posterior-inferior contact

3. Posterior-superior contact

4. Lateral posterior contact

The correct answer is: Posterior-superior contact

When adjusting the posterior ribs, the typically used segmental contact point is the posterior-superior contact. This approach focuses on the upper aspects of the posterior ribs, allowing the chiropractor to apply force effectively in a direction that facilitates the desired motion or alignment of the rib cage. The posterior-superior contact takes advantage of the anatomical structure of the ribs, enabling improved access to adjust and mobilize the ribs distinctly and efficiently. In contrast, other types of contact points, such as posterior-inferior or lateral posterior contacts, do not align as effectively with the rib's biomechanics for typical adjustment procedures. The functionality of the posterior-superior contact is particularly critical when addressing issues related to rib dysfunction, such as those caused by subluxations, as it provides a direct and controlled method to restore optimal movement and alleviate discomfort.