Cyriax Concert 7 Cyrecax concept i Simple 94 ite clenecal concept that includes Subjective evaluation Chislny) £ obectve evaluation Cprysiat Geamination) 8b &S Aiagnoshe Oe covbactie 4ic6ue aythimetion aysfonction ete ste effective st Clinvcoity ob Can be dcagresed a y gresed as non congrrackte. dysfunction 2 jnint - ~ Rewarding & tine saving 1S Cost effecine — cenit requre any equipment, treaiment Can be geven by hana! anything Anpiohere. Atcowaling fo cymian AiS6ue lection ig elasifed late ~ CW) Hace ste lerion Gi) soft Hssue lercon Howel Hssue lesion can be dregneseel by mays and fof issue lesien Can be dragnased elentcally by cyatax Sele cere tte AL movements, REMY and resisted [Somenic tonbractian are geven . Henson FH in WHICH ACKNE phyolag fete movement i T Wusee contvacls mnement eceuens in she fein» cafe he Strictene on the eppeeie Kat cre shetched [elongated Be a in gre cunng mitts actonly He adtetinted at cxeunsien of nmembrecicle tsuet and maement of te Feinh dep cathe, nator of Timatatron CCeptiter / nen cepSulad) tre the fain vepoas joint prsvltm end nen conbrackte 4588 tytfnetion Can be aiffereskated Resined tsemetne conbwacken t= Fefemed agelnsh therapess manne oattance & ne maeneak cucrs en the. Jotnk » SHEE Ere OS Only acemthment f Conteaedle ate LEU dragnoshe Gf contractle tiine clytfimesion Evavuation 3 he = exth duration Compan A = em tee caparas) + Hise, = Froumatic a wigin Endout Jae mectaniin of tejeny , swenig , par - Runcrea ete 1053 of movement &Swootte Gentralesea} t< | edison Aeemarprcsot® Effasion 3 = Deverep slowly mer hound fo days = jint astuime fhe reo penton jmevemente lemeled capstar paver wth muscle spasm ena feet = fracture desk 8 fre Hacman theosis f Fpewetep fase ethan mvnede fo heuw ~ Jesed cottume tHE wesLAG porition anol amene & gress tA movement in Capsular patienn , There ie Seve pia © fluctwedion feat if ve al ANE Suiting Of tented. Lo tenon ase ‘ « 6 ‘ Srfeesnticatar Svetling Suggests jelat imowement ,echeambiatar ¢ Swoting Suggest! menov njony fo genernkecenl swelling cleveropeat faroutes raster imoensttston in Case of Aste R60 vanveate Veen Pate, + well ee (i Gretartagrenee) Lecatcsed pain incetnte mol iajerny to Ne Mperfere® 5 Shruchune «9m case ef effusion / Resmantine hs | Pein eS clrfbared In nadare ¢ Sed ts suggests ef suse Wyuny the tuptrhietah stuetare / injuny te ERE inhmanttuter Srmehine « Refemed fain “UW ama dn wgin rt fata experienced v9 anetter Frctine avn Foanslogy which UE Supplied by Sere nevie mek Gh incur of hip othe foe © ertiented oe fant ah te er foar Cry Roniating pein if enna engin bak dey tng ae enciee | td a ntare heck ty cempoested foritated by mechanical Preyer / | fa inbvemmeator er udot + Nature of pein, “Trshing pain i tnftermateny im eG IMS an necator / elecine shock URE fain G neu st Hh oigte 1s expertenced i” chye nie tondifion LAI Reh IG Paty fom ong mat; ‘Diunnat Var Morring: pain secure 19 degenmatix® condition «Aetamateny Syrovium overnight gle “Ke Aoucenes gous wees hig RR & mocing wee det siffees wich LIPS Goth oemted aoe agen nd A we beter aesg Pain at the ent af he day fhtescg ectacts th a « overewse [ fasigee syrdaeme-. Night pate iy fcese. Night pasa pgettrve of oeito ‘nPtamm ting « pain © Spake hires Flametony patkeleay « pin & Pai cen) wang haunt tnit pa mevemend 2 the AYM the faim Subsdes art far eccurs ay the toacesual mn tantarslaghy. [melantet Pam «Elaesy pron Conny ie ene need om fos aut My PEHSEN Compleat He night pain, WH lost may be ChacinogerteIy ove cay | Conkenae poly W acule. inf : | jen Rommestony b palielgy i miewstot fein mechanical ig ratint - oolomtty of fin Goh be henner Ty OF it a fewamink scale of toon. logit a ober Side kU caliteneted in mm. 0! indicate$ m0 pain anol ‘10’ «He maximum infolewathe pain» &Plain the. Prat chout dhe Scale. 5 that he Gin inchnte. Whe yore of Wis fer vet Fectore aggravating & facto gets + orunnat vanratvon + movements & ack wh es + fortune , that aggravate £ vets He Pata Assogiated SISter Tree Weakness , Aumbness los} of Hasler £ towel fenction giving wey lacking , Ceepeus. ete + Treatment history Prolonged steroid ANewapy , Sak congulant therapy ae conferintias ch meniisaten / menputaction. ask medical hastony * Perced of besptatsotion traction , Sngery Hrmobrcti Antes, Iypertention , Contac prcllem , respiratory problems eeFrom bition + : flrsenal hisowy ; . Snelucle cndrieseals babel Chobby) Fosrents cum opénton . Physical examinahon : ie > oksernwvatiey 5 S Posters, Jenenatesed pasture, body weight , gerenat furctinal € ACINEHEE Sueh OH het ONE Cant JOA depondinent : > riper 4 : * SHO = olan 4ertive jmeithine, abromel patch of har, ¢ teorenal Juteer / Lester , hypertrophic Fei , Star ‘ Red, sroeoth, Shinny ,gleity wet ein oy SyOHS hy prrasdny either due te acuie roflammasron | acute esp < TF, dy yreugh, Sealy sain indsente hypovateatanty — * clus to Chaonie inflammation / Cheonic &SD. : Subcutencens HUE - Karting /swellng , Chether Perevatomd/ Be catcseet + Bony landmests — checie chery relatemshep with each omer £ aetakenchp frm eference point - % Standing | frend 6 ste veference ond io lyshg any poort an | dg medion 16 oeferente Cinanabss slemum, Aphisienrum umbetieus ,Bmrphy RS pulls ).chechche | edendice bory larmasts m beth he sides & Sedma | erather they! ane levelted or not- Moment erehaton 5 (Selective Assia densin tay ache jmovement 1 > check Ue raters | chornctenttc of mmement Range, pata meyponte., Stren, COPE. prinf = woillengness i en wuhngly per fom Loarc he range of! f moon indical® the tordetion Een SEB sey Op con be performed wigourausly sone id ss ee el ee es ys - Thoutd be dons cautiously unwaai® Passive movement t Chee -the ange, pain FeIpMIE Crepehas , PEEL are jenctfbetd ings lemetachon iy Capraler Palfem Susgeshs joint fsthelegy Shere a Moneaptaley paileon eb Iontaten ritnte becca J Cetraanteatar dusting ® Resisled somubywe Strength fain tnfecance Norma Ne pain Normal Normal pain miner Gain Grade ) wean fain Grete 2 Sea ne pain Plocesd paralysis /ruptare. Neunomuscutar evaluate Cheer the tone, muscle Shergih by mmr /rorantury confaot Csetectre movement), in Case of umm terion , vefiexes a cuprbe DT cupebcca pT CRontar,abdomina? Cremasten) Sensation Frutenomic- bp, demp bladder bowel fluneton pelpetron Potpate. he Skin fir fenporatine,Aehne 4endeanes)jmecshine, nobly causing / ching Gevth measurement 1 dane in Echemty do estimate He amount of wastng | cwelteng by Companong tf orth ctenfreal SHE On the: sound gece» Fluctuaten Jesh to Fluckaation Jett Tres tre Joint from one seek. & Patpate on te ciple stele fo fect pe inpubse of me displaced furd rit Sasgertne of entraastoulor Selig * conknuashy /0USHeney Heademness motley.Boy Landman ¢- : Relakmsep with each ethey fan bnawledge of sinfnce anatany,! Retarionshap Soom velerence. point en oth the ser by petpalog Heo cent tony landamante« é Pevithene pudicakon + 6 Check rate, shythmn roneme , Wlateral Synchwonus , proxima® | astat defect e Conctusion, t t ~ conteactle $350 dytfiincinon iS chevactentsed by abnormal Retponse Cain, weaxness) 1 nesisied shomebne eontnarhon « Paso may be there ucth Pasicre shetehuig « ~Nonconbractie coe. dysinchey is chemcerisel by abaman setponse. fo HA RIM + Gost Jest may be tue = eink dgramcton if characterise by ovidetton of movement i Mapsatar pation wih muscie spn: enelftet in acute phate ag # oom [leatneny evel feet in chaence stage S ~ Buti = The pain aggreemtet (reproduces ever devect prestare ber burta, neilied ttemehie Covbrnction of eieaking mute [peste shetehing of clerlying macle Management + Areondeng 40 cynax he Soft eux letion ie managent OTE Prem Fone oF the mest lent fom of macige. aoe Ame Ho the ep Hse « Depending Upon the depth of abe teaget isnt presane applied as thee Of asenuanon af RU eppbed cores He Kbt j nol aleng + Trannense 7 mastege S cumnkve adtee OS longhudine® faction mnt Areumadsing . 9b Aves fo move HO fe from eps there Wy pened | break the adhesion. Patetion when one object ‘onere oF The other. , fetes fibre A youn! ‘Therapists “ager one “| favents Sh at a sgl emit more acrecs fe. toy ton aw poeretee Begin ord Mak egy « te and de wag eh movenents @r€ JE) ais HM Roe he ont oe Ty, Hon te effec is tes soe cat met empties ah, Cf Se Te OE at eartae gate S|ee bk 31 Gpptresl vegensusly fo break spe adhesion + SAS optics! fo the muscle. fendon ,tapaele & Lament Muscle 2 Mascle if © conbucicle Hue , dusting combachon adn myasin Kamen’ guile & overlap ratattng So Phontecing ene increas" thee Mescle balk ghee causes the actae movement 0 cate ef actherion Within the muscle fine the gliding mectoniton 1s lemated $0 he MULE Contracts but the muscle bulk daetit Geveate as ct then Following injury there occur Suellong dat to eCcumicteton af hasmonnhagic and inflammatory exuctater + The muscle fines soared lotthin the edematous faut betemer tienertd And Shortened «tio filias tome,’ Gser? Yon JoWeae ewer and ipay get abiherank ith each ether at trey get glued aith each other by the firnin content of edematous Puuceh DIEM tencis fo assperse he fiurd mover Ge Liver from the feu Liner $¢ present [bak tha caihetian tn the Acute £ Chee Stage PEPECKNeLy + Fomeung OTH acte mmament theuld Me eneamapt wing & over mechani will bE nasheed « DT So tak the ptiding ere 2d» PTE AG fe the muscle. U SAEN UHR muscle iH nelaxed stage Tendon i Muscte fone 8 transmitted fo the tone of insextion sax enon canting REIN macments Sone fendont are loca by the Sheath rdurang acing mort derdon glide Prownaty & dung patio movt « tenlon glide distally within the ohaath, of the tendon it adnertent Gaith the sheath the gliding mechanism sn be imprrect, ruscle Force fouls 10 he transmit $0 the hone of tse hen and Rckve Mork wll be CHaied Tandon adhesion ve charccte sed tos of actne mot aha paryee mer Us Fe Big ny toe deeclop inftemvation er cnn content of he Tattered eae p wrag gus ae tenon with GBS theath vesutheig 5 bapeismant od. actne movemont-“plied te the tendon theath with the fender ta FELL poston 5 bo that Drem is ‘the Jendon substance foun 2 vm bate DER which Hhemaperts thumb, paendf Sito and denslon heath mime 108 fro at a Sagle unt fr paswie shesching On chaonie Fotowing OTF encomage active nevt degeneration of the tendon excessive. Cros lntag § CE ie tounge Lert. eetuts to rogheniog of tHE tendon shee one gliding of thE mongh tendon Subthonce it aubjecied 49 5 Inereesed Paicheen ,impacrment om he sheng © oeptes ctusieg the | mesment Arrisakon of D7FMe over tHe tendon Sebelance Us uses « By Rebhing the femdom sheath ove the ‘rough tendon may émscther ih Anak unsbeinicted tendon gldng wheat tnepthut may be resloved. Ligament 2 The accessory Iegament guctes to & fey over the ncenbing = bone dung achve as Wel as Paste movement fAehetion af yee legament woth the anstertying bere may limit Ache aswell as © passve JORt movement. DTEm te she Ioament if applied Osh the © Vvanging bint Petckon 4 reslore Guding of Lyament oer he underly ing bone Dre to she Jeht Capsule and Iyament Can be appiced peter fo mobilamnen technique. oF Wrioe Ihe legamentous mobilety mare © He port numb So tae pase mebslezatron Can be eppied mare efeetwely « Folewing DFM Pane movement shasta be sven Technique i 1. Sedimebion « 2. Staring positon t- . aaa comfortoule he Peat ty be Ineateel mart te * undoes soc poses prope fo Mine Benth thoid ney yng" the target HUE: Thenepasis Stenting Lo MOU be SB te fy “Wy frestne by wing He Haig at te Fo mmemend combate : the treatment 5201nn Pte 8 cppted by he lng i ME Leger placed ever che other Ldsahy mde Rnger is placed oer Anetex fi Wy the Singers Sele Yy sete iu By the thamb Tu By the Ctecraion provers of utna which i Reénfbrced by Piecing therepca', chin oer the hone Place the Linger at He aigty Sepenaing Om He eg of he aes Cacute, Subacute chaone) Thereprstls finger £ pasientls shin as a Single unde move wef sere the Lime wih naaquate soe Complstude) Amped of tea fue UH Condition once Pane, AFy cdequate prestige HIE and naire 8 he conan Grrtealy. enccenses chee Hen longer Ampltucte of SOEP iS Appel to brest the cahesian Frequency 3 me fo hoe Cycles / tee SnsKaty ome Should feet the eitamfint tat no pads, a fre Someta es ee eee ees the drcorfort ond S909 sppiy te OTM. Baal, Ihe frenine,, 8 Terminated Jrndbally TENG He PeILIOe nok Ahn Paration f 9m acute — 6-fmin Chrome = 10.18 min Subsequent close ef DT EM xs applied once tne effect of presieus close (erythema , Soreness /tendemess) kebseles« Phytologeent effect al “f Disperses tke exeectate trom the lotad sie and help 2 Et nedvebsen of tke pan ya! 2. move the febre. fam «te fettotd fice , Prevent } break the. et anesion os 3 The heat energy gerereted due to recteon increases leat | eereculation onc Promote healing » ey Me The part bfcemes numb overteme s that jet mobstitetien © | an bE applied more effecterely » a Es prem ckelf zy painful, counter omvtation effect of which | | Wiocks tre omgina® pain with Shmates nesehing the thalomus —¢ torent level + & 6. Locks the pain : AM may SHemulale dhe destendng pain MAcbAIg meranse Ig nereating HE enctoryhin jemeephatin Seecetton Conteatndice ty :- Je Acute trauma > . Die acute frauime may Laser camage He dtiKe 2eilng © in Rurther bleading E delayed 9 healng a. Reese” ‘ Diem may dishob the Callus and may interfere ii dhe fmchoe' heating « t 3. oven ‘her pertplurnl newt “7 ‘ DIEM over the pariphern® neve may reser fo Teme lanes 4. heute infection | inflammation > Sh wequines reat fer the tflammation 40 Subcrele - Dr . weg Fey infeckye Condchion may worsen and spreed the Ffecim 5 poor Skin Condition eam, Sin nein prem crowd BE appled Cauttously ov Ue eae aay clevetep Siig abe ationanger / complication i= Drew, net given Properly may nesuit to Seq Alrnsion Hester formecion «Of chould be applied wth adequate Presuere ancl. Sousp: Drem wiih Mtr prestire. ang Jor Inceenttd Ample of ha Sane, may Former damage he trojet fattened dove of npg shots AYP once te PeAchen Of previous cose. Ceaythemay subsides. 9F cbis Sued ME pretence oF praseucs tshue mEactien she coettin ony The management of Jsint lesley & mobactadion /menputatio There are 3 preach as per tyra Grete — The Eman arpa maenent piven thin He gn rere ono ctomgautim of “he Shuctune Grade a - PL EE TRE medium ampltade ef merement gover for region Grade 3 — 4 1S the large empliade movement gover beyond he Pry tological lomet | mokoy haamer » that elongate the Soft bisne Sterchine anproving dint aange ef mekien hich it chorwite karen 4S manzpalaten The Meaputetin it Aad & Seail amptehide thetth yen at the tocrunge cb impr jit aange af motion beyond motion hamier Cypia USE MOTOS Hhmtt Hechalque for the eduekon af losebah Tie subject 8 pesthoned Satay and thernpst astime, suitable sraviong postin, foe the proximal bone, Suppet the pant 4 be maect as else me Jone Soface ar portehle and Sabilie the tisfad_ Pant = sore he park $0 Whe and gone 7 Ge ahythese ofcifedayy ema ange movements forest by 4 Sudden tatett) When Are snerepst fect Pre Patent 6 retKe4 maarmayHIP Som ‘ es Fences hip flenson Sebect We Sepine J bah ryrage Therapie shana by cele in nn standing position. fren she Asp B knee fe the enchwenge: am me hand on che beck of 1 astet Haigh: Idan footer to asiume forverd fatiout stending to {| Sophy forced hip fleeton l Ieee se RCeteEN t Subject i prom vt Trenapst shan by He in hide tlandlng: 0th mre. hen Sy > L the pelvis with other Kane Mpport ane doting TAghr mth ce few! 2 L evapee bencl WE nine Stteconys fo aastuime Faioays fateng + rE for Anced Kap extension « ai Soneea| Wp! internals notation, 2 ot Setjet im poms, toee Flexed 1 Treanpc shone on ote @ E grete, Lox fhe contralaterad panes, Mpport ERE anute from the o> medigh cipect te apply treed Rp cmitanal aolatton , Loose body venipstation Le Subject tm Supine , one cutistent fix Stanal at the feet enol of the the elves, Thermpest bed Gomsp above the amie Jont Leen Frchwerd fo tply Fenchim and 4H attemete hep Slemat win fe resluce the ose bendy. A. Sabjeck in Sepne, aititant Rx Ke pels merapcst shana you & Hep Standing hep # tee ceed 40.90", Parente tag men erapir Hegh . Saypon fre iste thigh by ome hand cach alestnt leg by other rent. plantar Flex He ankle te appr oneana, Sera dlistenetin © sting long ais of femir = Thernpe HAs the Irak te aptly an hyp internat exteneeh ahahon 4 reduce the loose hades tay Knee som Vs Forced terion :- Beyond ac) Slakjeck in Supine lying [hal lyhag Thewapist Sond by he Sde io Stride. Standing pection. Siproa tne knee farm he popliteal gion by ere hand eng other hand Bipper) the ankle flex he hip Kate duaring ahich thercpck position changes 1 AK Sending A the end oange 10th the harcS are plnceat on the cntenioe expect of lp TNE below AhiaL ekereosty and oinere above ankle jeune « len Gone fo astame Ronsind final Harding cnc apply tht ody 96 ty toe the elbow shonsgit forthe. Loeece Knee fenion. 2. Forced knee Hexion: les than qe!) Subject lo prone lying th Some padding Undere the knee. Then NS Stand by she Sede wth one hand on the back of distat High for Reader. the leg US Suppowed ty “the other forearm, oth he hands may be clasped Bend the Knee jeint by dhe ste bending the trunk and at the enol range Man Selesdays te use we borg iot for for cect Knoe frexton 3. fonced extension %- Sabjece in Supine ying hewn pist sranclf ty phe sole woah one hand Support the leg From the hes and other hand ie Placed on the front oh the Knee joint «Hear SilewayS fo push the, Knee backwancl ond wale the distal HUA Upwards by asidg the bodyiot Both the efbewss shewtd be Shans gh y Extennat noteho of #bia & Subject to halfiyng ath Wp Lence Aeced. Therapist shat by the tele tath onehand fix the olistel thigh, siher anol tape the leg ahve ankle - Tuan the leg outioerd yextencting. Your ort toe forced exierma® rotation + forced internat vofaton + Se ait yeg soh My eo Senses he Neg supported by one fotnom woh the fuel Yestng om Aa hand fom ae nends one ured fo Jrarp Areuncl Ha_enkie jtat Cad fon ake ot innard fy infernal rat, sjection ‘ Subject in supine lying [half lying wath tip € ence freed Therepty SHards by the des place onc hand mine tetera waptee of kaee ond + CIRer hand onthe mectiat aspret 2f ankle» Aply sheng vatger heh f TNATAL aspect » then apply external vetaivon of eben mncl graduatiy | ate ARE RAE fo eaxjends AE the endrange api c Hous by Puthong A Knee becenterd and satu Wsefat # reluckom of ng Me te epoard 7 (MPacted Jorn medial mencécit Fo Leste body mancpataton 2) Subject in Preene lying wocth foot out of the bed enel soft Paddling undew the knee © pre assistant fixes the eltstel Fgh Therepit Sands at the fet end and grep clove ankle woth Knee frexedl fo about 0" . | \ | \ J NY Pushing kace invand ancl putteng ontle sutvand fo open up te + | ‘ \ | \ l I i Apply Leng cas tmchan Ane veiste the tebe mebiety ena laternliy etternatey © move vince info fu extension B. Leese body mancpatatton (3): ot es to end Knee and WEIN He othe hanck placed Over the on ayply Hr foe fermina® Knee fiexcon , Anxre _& Foot Bewe 1 fonced Plantar fiewon, cvertion s Forced Planta seston, cnvenn Srgury to anjestow talefibiter lyament “if one of the commonest injury 9 cur body, Hat oct duc to Combonect pp 2 covension Such ah descending SHPS, Walking On Uneven ground with the heel waited feof Weer «Healing scours by Febrous = le Joint astcren frnction ich may Ll A Sateen age eh psy Suljeck in Supine lying terme stand ee Jrot enc anal. Mo heck by me hand enc fore for by elmer hand « for Jefe mL ee ee hana = Pyply PF fauorred bY Combed cnversion Of the. fing 'ag Ro Levse body manipulation 2 Subject tm Supine tying With heel out af the bed. ome Bwishemt fices the distal Whe Subjoct in site lying clot fo ne cage off beet Therapest Stands on the Pront foaoreds Re legends flex both hips Lknses fd altos ct to ding at he edge of the best» tnale Herepice Sepak he thigh hy his hgh mel aohate Ae thorns because by Sapiying PAE om the eeclateral fhewlden Gasheln chad lng at PUL with tele 2kcamfont bet NE pin © Recon dittencion ibe onthe pre leads 42 yeduct He herniated get dite maternal back fo tH place « Techozque= 3 Sams os Mekenate Hhrag corvecton performed in Standing Haro pise_Lestont The lesion tmoives cannulas hoses The herd dice fesin Pccums aboue Go years of age Above 60, ihe gel Lake nucleus pelpiicg & hensfemed iis fives mati and the dive Space Us filed Op by a hin layer of indishingusthaile. Sear HOWE Thee it sudden onvet” ma, dom annular Rboeps,outes third of which Us rewimk gues ome te Lap “The fon Fegment MOY Get auiplaced lining, maements Ona iapinge ner the Hine NENKE Mh gindg. FE fo andveala pads cet oe The Clonreat presenfaons ove of Rtype Om one group sere it sety back pin in ome FUP Lene UL boCk Pain radiating eonahe loses lems Susan onset of beclepein or Baek Pain mnatiatig aloen tte Lever nbs lamba flexion, Ctlenscon ancl sthe flee cum from he iyclcd Soe haat He potent: fiexion iy Hemaing tren Avay fetes He affected Sede U Sgjerne of Abymmeinent Jantar ferion duc looung | stee ef he taped Sede - Painfl ave may be int duneng Presser Gandong - SUR Uy limited amt Crofs SLR may be ent 2 3 3 2 ) 2 Me Gong) + Cuumbago) Cn he managed by exfension manipatctn T. forced extension Centra Prdicagoy —> Comber Wes beck pain | biatenal Symmebicnl pain Fechwique 3 Subjeck in prone lying INerapest Sinnels by Me Sole at he aaa leet by place fae nal Cottons) peor Fhe. epopate Spaeus prvcets weinfrtad I the other handy Near ferviond to ite te. vusewedbedy wt to a Pretione feyac RY Cermak PA pretine Apply abyhese oxsiator Mevect by a jeak at me ena ange tp complese forced PENSION Central mani pataen Hi- forcced extension later? Dhdicaison - unijateant feed back pain farymmetical lumbago Techetgue. - Subject in prone lying ,Arerapist hands on me affected Side ak the epprapriate levee place the perform ef Re clominant Lend over He appropminle enous process shen Up (move teoards the affected side. Reinforce by the other hand. Theeapiet Teer Praerd fo transfor He tedy ode, opty rhythmic ostctatoy prenmire by singing 4he trunk gockutrd L Paved, fered by & Silden jean gd whe trelarnge compere frvced Oxtensen contre. 2 monsputedcin Dht veviebral boy at he ioe SHC rotted away fiom te Pain ft stdeand csisk in reduction af the Aapleced contbus Fobresus Segment forccead extension lateral 2 Prediction & Asymmebsert [tintinteant lambege sh the ech -f Amt Het [reduce Fhe pacn me extend but nok Completely hen Kelli Cem be wsed of ane Rel ii eppavetes He Symptom ne fortier mmencpataclin Shad be giver La [ag of fj sr fas Fu rams ANA Aennaanreracrey Lipp pp pf Fechrigue ~ subject in prone: lying Merapist stants om tha sound Sate ak the aprmprode (ere place one hand ty the. sicke of agprpnate Sireus process and with the other hemd Support te thigh Lom the, amtenor aspect at fe distal Sale Theraps} mole che tmenie Stdewrays 4o apply whythmic PA PYENMYE Over ne ayhenter pillay of He Ineted apne on the affected ele /Thele entendng and naducing fe thigh Simuttaneautly RhaHhnce oicnatoy mobiie#o ts fevcises a Jem —4e complete forced extennon Inderal L manputation thes is a o progression ch tech- if a8 force extension lateral i, combonect oof aalduction £ exitason of Mugh,OWch fends te open up hE emolvesd ste nan Va ” LLELLLLL nm fT ef. > ms46 TV. fonced extension levtera. TM % Erdication {- Atymm/ tnilateva® (umbago ,repondled 4 the. for ces} ectnten laterad. a tecknrque j bk didnt vrilieve she Symprm fengletely ner aggravated Ke rymptnn Techosgue tsaiject > prone lying thenegist stand on the affrad Sde ak the appropriate level. place the beet of the han by the Sele SL cppmpricte speneus process veinBinced ty the Muse = the nvelved Sey one Mand Once Support the tagh Lon the front af ye chew brand - Thenapist says Ke dmunke Sdewauss 46 Ofplg PR Prete Ne the arckealar peilar of the. Cmaved vesfebon ude adduct € etlead the WIghs Rhyshmsc, eectlatory mobilitedon (¢ futoved hy Sudan jerk ts Complete. forted extension lat 3 mancputation 91 1 & progression of. tech Has the presnine outa sha evtieataw pillar Ob necnforced by the knee Vi" Forced extension Internal. & (n'shuckon) 5 untiaterat Jatyemebrical lhombage sespnded 40 tech Wy by Tabievcng, the Syoptonm 40 some. extent back Styeptinn niliae ebeved completely ner get cgpavated hy th Techrigua t- sakject 9 pte lng. Therepat stand by me affected mate Place Rest of both tha hand (Pine) by me See muss press on the affected sede vith the Prenens “panatet 4 the Spine and at hniaaneas G8 FORME Arr pressure by \entog dontrd. end mime te hands Saal reste dancer wands 18. ore hed patty otter” hone Coeudaty ty Fh gels sleewed alae the ‘nc cvett ancl elms the rch Oe to apply distraction to he taohed Sele - Grroup- 1 1 Clumbage vith Mediakog pain down the >) Ts Robakon terete =D Subject Wes on the Sound Side fovands the cage of the bed Therapist Shords behind. Te undelynge high (Saunt soe) 16 exlendact and underined scapula (5 protmacted with He ane on te front . The involved side WP R ence frexed with the fot behind tha Knee of the Sound Side + Thernpish places one hand om the -Cront of the affecket gile shoulder and OMer Land owe the pels fo fun it fomerd $1 te slack B teren eff The thene 19 femad bactuaret for fenton » ag04 ahyfhnic vation Wy Use the Bodyut fouored by a dheast ah enkrenge. Trevege t's carted en pafcent Rig Monest Mmain OmSAME VINE ANd WH etbond SHratgne Pouce is apptied Therapist staneting on tke cfuond flexed tlhe high Z faves FEE Me pain is fete wth the eniolved thigh im the Seve position, + fxend Phypecentend the undertined souncl thigh © shat” menspalate | bat he netetitely mare lntaliced ‘ Th Rotation teust f manipulation Woven the Symptom no manipatadsen Shawtd be applied +ERVICAL | SPINE. 4 : xl Manipulator it indicated in case of hand ate lesion one 7 Complain af insidious ontet af neck pain wadiatmg down Unilatecn® | is r a LPP exbemily. Cxtension, Sle fering and sotecon to the effected + Side hurt or eparduce oaiginad Symptoms bu Was jp be applied Mansputation witht trachon "Mey feed fo freneate of Acsplecement of toanect Mhrocartlage within tre Jornt 54 ous be ng rrariputecron trechon # ' Remembered that menipulachon vthart Hach net on'y increase wai Presere het alto presiene on Spmal cord shelf % may tren toue © Sponat cond enfuay with Hracion the. Wevtebrat body Jet preter, facets are disengaged thus Intertevtebwal movement ott bt faciliteied , * The vaginon [Rehr may “Tetult im reduchon of diplacad Substance tacr * fH place + The posterow Legenda Uyament became taught and its entapetat fect may result im reducton of posteriorly Lisplacad — * Subsinna back 4o E4s ple . = Subject to Supine lying weth head out of the bec Trempst — * Srvds ab heal end. fopporls he head with Sterpat te chor genaps # Thewapat leant backiserd 10 epply trachon fo comecat (pre + Contrasndecadion of me 1+ Pyreamidat Sogn t lodron o- a : pe DIA. exaggerated ‘ inant naton 2. vertibwe basillany Insefficency + ' Vertebral evdeay gels compressed daning rotation af head, extension & sidefexion tepairig cacutackon 4 IMC brain. 94 15 ‘ choracterisecl by blumng of tesion | blackout / double vesion /ryshegmus veesling of head, Mautea) vomiting, loth af conscsousners oe 2 7 Upper cervecaR instability due fe congenital absente of iegoment ery setavness of Eypment due! 10 Shewratod) Postewiatern® Ais Prodrusion causes unilabema? ceaiecescaputer pein ob fragment of Joaned| Cawtilagenous aise become aeipaced a8 Gy G5 ov G tegion“fr ‘ Neck extension, sete fyenion & wotetion do efftstect bleceed TPE Original censicostaputor pain Amoments ane. Subject in Supine tying with head oud of the bel, therapst | Stands ad head tnd, support the head woth otpab to chin eresp, Neant backiserel $0 Spply long ercis hachon & sladly Cxeumeuetien 7 mectment 15 applied ‘ Fetent Progreth can be veaseried in Sing poshon by Sheng ME: movements. €cther the renge wel be tmp 2nd orf cate oh aio wi heft upon £ medially taggett mon'patauny — ¢ 1S effectee - ¢ Techeique-2 i Rotatvon tresckion- | : Lndicatton - ‘ The Sh technoqus imprae symptom sightly didn't reduce te. € Syrtiom at ot > the SF fechecquie impmve tymplom no Lather — ¢ shaeplaton ig ven € Subjeck in Supine with head out of bed thempesh stands at ¢ head end, tugpost the head sath orciput to chin gresp » Gmnsp the chin from the opessle side ancl occiput own the. painful Tice ek ¢ the paicent ja realy which Can be ele experrenced by the Gatend she Neck WERE feels the painf Acstemfort tate the conceal, Sine, just shovt of pain ,pPly Img axit trecirn by leaning bastard, eres eviay: toon pinkie site Sey - Ryne testator ent erge rojancon if falowed by o Sutlen jen © Effectueness of manipulation Con be exntuactedl by checin reek Ren in Siting, 3 Technique- 3. t- Retetcon Hrackon ~a. Tndecateon > Rorekon Hrection- | is conknued G8 long as ch hene fis ha Pahent “when ck ne mere benefit the patient ‘woation trachay > ig om Gabjeet tn Supine 0h tact out of the hes MEME stands et head nal « Bapent head cath wccipuk I Chin graiprach ta fhe hand fon fesnfl Hale extend Ba mects Dash shot of pach hae e plate fhe neck A984 Prom Profit see PPAMIADAAH AD Nong 2:5 rection é Reevaluate effect af manipulator ln sckag ‘Techsquenq te & Dodccation > Previaes manipatatrons improve concbton Ho Some extent beh nok Completety, Te achieve farther eduction, sdefieron With dnacdion it Performed fosaras painless site Subject in Supine therapist stand at head enct £ suppore react with cxepat 40 chin gretp one | hie asustant Standing by soln Facog towers patent foe! the funk ty Myplying counter Hreution fo the shoulser Caepesiton) « ocipetal geeip 1 applied frm pavnlen, file and chin grip trom palnfa Swe + Lean backitend to apy tory avit fersckion siocth the traction maintained neck sole fiexon as00y Lanky Painful sae B given while men fort of Inder Lager apply counter Pressure over Areatverse Precers ak midtersteat. "region . 96 she condlhen inpmeas 2 can be vrepeated = of the Cemditin pene completly my Side Freson jorerds painki sida is uncomorinble then side fer’ te’ qainficl see Con be carried out carey « Techneque-§ + Anteroposterior gle, Tndicakon > Previous manipslakens ixpne He condstron , SHI neck extention range Is limited Subject "a cupine with Weed out of the bed Merapesh stand! at head ene with ore harsh appt she neck fiom orcapit & other hand. Shek, Space. 1 over she chin, apply long ais anctton & eth tmchin mantener Strong downers Pressure U ayptved over she chin. The backiwarel glede. te fertebrn meauce the: remaining postersiaterat bulge bast fo c4s place Technique - 6 2 Lateral glide Inditeckion —> Reauctoon ts atorest complete hut the fine actjustment reece, Jo set the profusion back fo cH place . Subject 1m Supine cae heact out of the bed Therspst stones ad head end by both the hands placed at eceipctal seqcoh MT Dania Mel at Rent any a Gide the head aver the MOCK and Desk we the Vereen beloo Uh Dosh opp sla Reson {inane aes fare) Tenrslatoy movement if appied ty linear Sve” a eeTechns, ee FF Sustained Retation & side flexon Trdecatron > ie ee. Sr, ™ One gets Up te tte morning Lath ake Pain over the Unileterad neck Am Scaputan regcon. rlecn flexion, Extension , Side fecion Lrhaton in one dlenecicon hut He fattent= Neck se flex” £ otahion ih ona damectien is blocked entrely. Subjeck o Sapte. pry tong ants shorg dosction cepemtady 4 bretng he neck fo newetral position. ance one can St wacth head ant Neck tH Reubral Poston and constant absent ) mantputatcon Can be ayptred, Techneques 8 3- Traction in siting Indication —> Soft ckise lesion Tracteon Uf) mtatumbency positon i indscnted ip in pper extremity y hen traction Aflmd tome oreliel foe (woah pan at rest) iy cate of severe pean