CERVICAL SPINE

Question 1

chin tuck

Answer 1

tuck to point before symptoms return

tuck hold 10s, relax hold 10s - repeat 10x

3x/day

supine, with extension, sitting, sphinx, 4 point, standing, with breathing, on swiss ball

Question 2

trap static stretch

Answer 2

sit on hand

SB head opposite way

Question 3

lev scap static stretch

Answer 3

sit on hand

Flex, SB and Rot opp way

Question 4

SCOM static stretch

Answer 4

sternal head: hold down on sternum, extend head and rot both ways

clavicular head: hold down on clavicle, SB opp and extend

Question 5

scalene static stretch

Answer 5

slide fingers behind clavicle

SB to opposite side

change finger position to get all fibers

Question 6

c/s SB/translation HR

Answer 6

supine hold head in hands

fingers on lateral masses and SB head (feel translation)

HR if one stuck

Question 7

C/s manual traction

Answer 7

web space of hand on affected level

distract occiput away

Question 8

c/s seated traction

Answer 8

hold ociput

elbows on pt shoulders

distract

Question 9

dural stretch 1 upper t/s

Answer 9

hands crossed to opposite shoudlers

push down on arms and distract head

Question 10

dural stretch 2 mid t/s

Answer 10

hands crossed to opposite elbows

push down on arms and distract head

Question 11

dural stretch 3 low t/s

Answer 11

hands by side

push down on solar plexus and distract head

Question 12

MFR platysma

Answer 12

supine head SB one way

hypothenar eminance cups mandible

other hand cups clavicle

50/50 hold 90-120s or until release

Question 13

Anterior scalene HR

Answer 13

hold head and thumb on 1/3 clavicle

SB away and rotate toward tx side

HR by SB to tx side

Question 14

Posterior scalene HR

Answer 14

hold head and thumb on 2/3 clavicle

SB and rotate away

HR by SB to tx side

Question 15

Trap HR #1

Answer 15

supine hold head

SB head and push shld down

HR by shld elevation or SB

Question 16

Trap HR #2

Answer 16

side lying

arm under crook of elbow

cup occiput and depress shld

HR by elevating shld

Question 17

HR lev scap

Answer 17

seated on hand

SB and rot head opp - therapist incraeses stretch

HR by shld elevation or head SB

Question 18

HR interspinalis cervicis

Answer 18

supine and basket head

push down to floor on shoulders and bring head up

HR into extension

Question 19

sub occipital fascial release

Answer 19

find occipital ridge

separate hands and lean back

Question 20

soft tissue mob/massage

Answer 20

rolling

Question 21

posterior chain release

Answer 21

gently and passively lift head into flexion

hold 90-120 sec