C-spine HVLA

Question 1

OA HVLA

Dx: Flexed Sidebent left rotated right

Answer 1

Contact right posterior occiput posterior to the mastoid process

Cradle head and side bend OA to the right and rotate to the left

HVLA thrust medially (left) anteriorly and superiorly

Question 2

AA HVLA

Dx: AA rotated left

Answer 2

Cradle head in hands and contact left lateral mass with lateral margin of left index finger

Rotate the head to the right to restrictive barrier (slight extension/flexion as needed)

HVLA rotationally thrust through lateral mass

Question 3

Typical Cervical Rotational thrust HVLA

DX: C2-C3 rotated left, sidebent left

Answer 3

spinous process between finger tips

flex head and let it fall over the bridge

Rotate to the right and sidebend left (toward ceiling)

Thrust with finger lifting on the left to make a rotational motion

Question 4

Typical Cervical Sidebending thrust HVLA

Dx: C4-7 Rotated left and sidebent left

Answer 4

Flex the head and stay there

Sidebend opposite dx ( sidebend right)
Rotate towards the dx (rotate left)

Thrust towards the opposite shoulder