This collection of videos demonstrate a range of manipulation techniques for the C0/C1 facet joint. There are cradle and chin grips for primary lever of rotation and side bending techniques to ipsilateral and contralateral joints respectively, including a very specific side bending technique to the contralateral facet with full cervical rotation and hence a 'normal' C1/C2. Finally a sitting technique which uses a primary lever of rotation but the total rotation is extremely small and hence very safe. The therapist must maintain a positive side bending throughout to keep the rotation controlled and small and to reduce discomfort due to applicator contact on the Transverse Process of C1, as well as introducing other secondary components to focus to the barrier. All techniques using a so called 'rotation' primary lever should be aware that very minimal or no rotation is actually present in this joint. The patients head still looks like it is rotating but in reality at the facet joint it is a 'rotation type' movement which is more like a small extension movement of the occipital condyle on the lateral mass articular facet of the C1. Minimal Lever Mid Range manipulation techniques ensure that the primary lever and the impulse are as minimal as possible, thus still making these techniques non torsional, safe and comfortable. Much practice and repetition is required to master these techniques.
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Upper Cervical Spine
Tags: atlas axis manipulation c0 c1 c1 c2 chin hold circular scalp massage cradle hold cross fibre disc effective and efficient manipulation facet joints facet locking local friction local inhibition long stretch mid range focusing minimal lever mid range manipulation mobilising to the c0 c1 modified cradle hold modified cradle hold facing patient modified cradle hold patient sitting multiple components muscle spasm non torsional occiput atlas manipulation patient sitting primary lever rotation primary lever side bending restriction safe manipulation scalp secondary levers simple traction c0 c1 sitting technique small amplitude impulse soft tissue massage specific direct side bending mobilising to the c0 c1 and c1 c2 springing to the c0 c1 sub occipital muscles upper cervical