Muscle Energy of the Ribs

"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.