Cervicothoracic spine C7T3

Rotation gliding Patient prone Operator at head of couch

♦ Contact point. Left T3 transverse process.

♦ Applicator. Hypothenar eminence of the left hand.

♦ Patient positioning. Patient prone with the chin resting on the couch and the arms hanging over the edge of the couch or against the patient's sides. Introduce sidebending to the right (Fig. B1.14.1). Do not introduce too much sidebending.

♦ Operator stance. Head of the couch, feet spread slightly.

♦ Palpation of contact point. Place your hypothenar eminence against the transverse process of T3 on the left.

♦ Positioning for thrust. Place your right hand against the left side of the patient's head and neck. Rotate the cervical and upper thoracic spine to the left by applying pressure to the left side of the patient's head and neck with your right hand until a sense of tension is palpated at the contact point (Fig. B1.14.2).

♦ Adjustments to achieve appropriate pre-thrust tension.

♦ Immediately pre-thrust. Relax and adjust your balance.

♦ Delivering the thrust. The thrust is in the direction of the patient's left axilla and down towards the couch. Simultaneously, apply a slight rapid increase of head and neck rotation to the left with your right hand (Fig. B1.14.3). You must not overemphasize the thrust with your right hand against the patient's head.

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