Cervical BLT/FPR/Still's

Question 1

Cervical Stroking

Answer 1

pt supine, doc at head of table
place hands along cervical paravertebral ms
slowly stroke in a cephalad to caudal direction

Question 2

OA BLT

Dx: OA E SlRr

Answer 2

Pt supine
use one hand in a “pincher” grasp of the laminae on either side of the midline for C1 to stabilize and monitor the OA
put other hand on pt’s head –> induce pos of greatest BLT
test respiratory phases and have pt hold breath as long as possible
repeat 1-3 times

Question 3

C2-7 BLT

Dx: C2 FSlRl

Answer 3

Pt supine and doc at head of table
contact bilateral articular pillars w/ index fingers
put in FSlRl
Test respiratory phases and do best phase
repeat 1-3 times

Question 4

Supine FPR: cervical superficial ms SD

Dx: Right suboccipital hypertonicity or C2 FrSr

Answer 4

monitor segment and flex spine to straighten lordotic curve at that level
add light compression localized to segment
put in position of ease: FRrSr
hold for 3-5 sec

Question 5

AA Rl Still’s Technique

Answer 5

Pt supine, doc at head of table (can also be performed seated
doc places hands over parietotemporal regions and left index finger palpates left TP of C1
rotate head to the left
compress gently and then rotate to the right

Question 6

Still Technique

OA F SlRr

Answer 6

Pt supine
sensing hand palm up w/ index finger on occiput and thumb on the temporal aspect of pt’s head
head slightly sidebent to side of ease. Flex head.
lightly compress through top of head
move from flexion –> extension and rotate left

Question 7

Typical Cervical - C4 E SrRr Still Technique

Answer 7

Pt supine
right index finger on pt’s right C4 articular process
left hand over pt’s head so doc can control mvt
extend, Sr, Rr –> compress –> move to barrier (F SlRl)