Spine

CERVICAL SPINE HOLDS AND GRIPS

The hold or wrist position selected for any particular technique is that which enables the operator to effectively localize forces to a specific segment of the spine and deliver a highvelocity low-amplitude (HVLA) force in a controlled manner. Patient comfort must be a major consideration in selecting the most appropriate hold.

Chin hold

• Operator's left forearm must be over, or slightly in front of, the patient's left ear.

• Operator's fingers lightly clasp the patient's chin.

• Operator's chest should be in contact with the vertex of the patient's head.

• Operator's right hand applies applicator to contact point.

Cradle hold

• Patient's left ear resting in the palm of operator's left hand.

• Operator's left hand spread out for maximum contact.

• Operator's right hand applies applicator to contact point and gives support to the patient's occiput.

• The weight of the patient's head and neck is balanced between the operator's left and right hands.

Wrist position

Operators can select from either the pistol grip or wrist extension grip.

Pistol grip Note: radius in line with first metacarpal.

Wrist extension grip Note: wrist extension.

Pistol grip Note: radius in line with first metacarpal.

Wrist extension grip Note: wrist extension.

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