Week 1 Cervical Muscle Energy

Technique Notes Treatment position

OA and AA joint muscle testing Type 1 mechanics Supine
Side bending and rotation Operator at head of table
opposite
Rotation inferred as opposite OA:
side bending Cup occiput
Lateral side bending
Ext and Flexion with side
bending
AA: Full flexion C spine
Rotation left and right (45
degrees)

C2-C7 Diagnosis ROTATION AND SIDEBENDING Supine

IN SAME DIRECTION Operator head of table
Follow type 2 Locate lateral articular pillars
Side bending
Repeat at next vertebra
Find restriction
Test extension and flexion

OA neutral, flexed, extended Supine

Treatment Operator at head of table
Finger pads base of occiput
Test Lateral side bending

Follow muscle energy, put

patient in restriction, pt pushes
toward diagnosis
AA Treatment Supine
Operator at head of table

Full flexion of cervical spine

Follow muscle energy, put
patient in restriction, pt push
toward diagnosis

C2-C7 Treatment N, F, E Type 2 mechanics Supine

Operator at head of table
Fingers at lateral articular pillars

Follow ME, put pt in restriction,

pt push toward diagnosis
 Cervical CS Anterior
Technique Notes Treatment position
Tender points

AC1 and AC1 Lateral Tx Supine

Operator and head of table
Find Tender Point
ROTATION AWAY
Follow CS technique
AC 2-6 Tx Anterior Tubercle of Supine
Transverse Process Operator at head of table
Find tender point
FSARA
Follow CS technique
AC 7 Tx Supine
Operator at head of table
Find tender point
FSTRA
Follow CS technique
AC 8 Tx Supine
Operator at head of table
Find tender point
FSARA
Follow CS technique

Cervical CS Posterior
Technique Notes Treatment position
Tender Points

PC1 Inferior Nuchal Supine

Lateral to inion Operator and head of table
Find Tender Point
Marked Flexion
Follow CS technique
PC1 Occiput Inferior nuchal line Supine
Midway inion and Operator and head of table
mastoid Find Tender Point
Extension
Follow CS technique Extension
PC2 Occiput Inferior Nuchal line Supine
Attachment of Operator and head of table
semispinalis capitis Find Tender Point
Extension
Follow CS technique Extension
PC2 Superior aspect C2 Supine
spinous process Operator and head of table
Find Tender Point
E with minimal SARA
Follow CS technique
PC3 Inferolateral aspect C2 Supine
Spinous Process Operator and head of table
Find Tender Point
FSARA
Follow CS technique
PC4-8 Inferolateral aspect of Supine
tip of spinous process Operator and head of table
of vertebra one Find Tender Point
segment above ESARA
Follow CS technique