C-spine MET

Question 1

OA Muscle Energy

Dx: Flexed sidebend left, rotate right

Answer 1

V-hold

sidebend to the right and rotate to the flet

have pt move head against resistance or look to the right (3-5 sec 3x)

Question 2

AA Muscle Energy

Dx: rotated left

Answer 2

place palms on the side of patients head and contact the lateral masses of atlas with the lateral margin of index or middle fingers

extend the had over fingers and rotate AA to the right

ask pt to turn their head to the left against resistance (3-5 sec 3x)

Question 3

Finger translation (pull) method for C2 or C3

C3 Rotated left sidebent left

Answer 3

Sidebend dysfunctional segment by contacting right articular pillar with the pad of your index finger and translate it to the left to induce right sidebending

Flex/extend to localize dysfunctional segment

using other hand apply a counterforce and as the patient to push their head to the left

Relax and localize to a new barrier

3-5x

Question 4

Thumb translation (push) method for C2 or C3

Dx: C3 rotated left sidbent left

Answer 4

Sidebend the dysfunctional segment by contacting its right articular pillar with the pad of your thumb and translating it left toinduce right sidebending

flex/extend to localize dysfunctional segment

use other hand as a counter force and as patient to turn head to the left
relax and localize new barrier

3-5x

Question 5

MET for C4-C7

Dx: rotated left sidebent left

Answer 5

Sidebend the dysfunctional segment by contacting its right articular pillar with the pad of your thumb and translating it left toinduce right sidebending

flex/extend to localize dysfunctional segment

use other hand as a counter force and as patient to turn head to the left
relax and localize new barrier

3-5x