Cervical Spine

techniques

Sakellariou Kostas ,ΡΤ-ΟΜΤ,MSc

Senior Clinical Instructor,
Certified Adults’ Educator
Soft tissue
Soft tissue in sitting
Examination flexion-extension C0-C1
Rotation C1-C2
Flexion C0-C1
Extension C0-C1
Sidebending C0-C1 starting position
Sidebending C0-C1 final position
Traction C0-C1
Traction C0-C1
C0-C1 flexion (soft tissue)
PIR according to Lewit for Sidebending C0-C1
Examination of sidebending below C2
Location of the symptomatic segment
Extension+rotation+Sidebending
Examination of Sidebending below C2
Examination – Treatment
ΡΑ below C2, pressure on the articular pillar of C2
ΡΑ on the spinous proccess

ΡΑ on the articular pillar in preposition

rotation to the right
Prepositioning before
mobilization
Gliding facet mobilization in C2 on the left in
flexion direction
Prepositioning for
gliding facet mobilization in C2 on the left in
extension direction
Gliding mobilization of the left facet in C2 on C3
in extension direction
C4 traction mobilization
on the right side
C4 traction mobilization
on the right side
 Mobilization with
movement below C2
 Mobilization with
movement below C2
PIR according to Lewit
Cervicothoracic junction mobilization
Stretching upper Trapezius
Autostretching upper trapezius
Stretching Levator
Stretching Levator
Autostretching Levator
Stretching Pectoralis minor
Autostretching Pectoralis minor
Mulligan for the cervical spine
 NAGS

• Between C2-C7.
• NAGS= Natural apophyseal glides
• The movement direction is frontal –cranial
• Must be pain free
NAGS
REVERSE NAG
 SNAGS

• Sustained natural apophyseal glides

• They are end range movements
• They are movements performed under loading.
• Often overpressure is used by the patient
Cervical flexion Snag
MWM at C5-C6 with right rotation
Headache snags
Reverse headache snags
Upper cervical traction
Snags for restricted rotation C1-C2
Snags for nausea or vertigo with extension
The end