The 2nd part of this series is devoted to the manual approach to C1-2 dysfunction. This list could go on and on for what clinicians perform to treat this, but I do prefer the C1-2 Rotatory HVLAT chin-hold technique. Just be mindful that I did not show the pre-manipulation examination. The following is an informal disclosure of how I perform the technique:
http://www.youtube.com/watch?v=KdFUfVFEb4U&feature=player_embedded
As noted in the video, you should see around a 10 degree, or even up to a 20 degree, improvement in FRT after this approach. This not only allows for greater cervical ROM but you should see a significant decrease in pain and tissue texture of upper cervical spine musculature. I like this technique as it is quick, effective, sub-painful (have you ever had mobilizations to a painful upper cervical spine) and basically gets results. Stay tuned for the next series to see therapeutic exercises that relate to C1-2 dysfunction.
What techniques do you use? Do you prefer mobilizations, MWM, METs, releases, etc.? I would like to hear about other techniques as some individuals aren’t appropriate for the above approach.
 Harrison Vaughan, PT, DPT, Cert. SMT is a physical therapist at In Touch Therapy in South Hill, Virginia. His clinical interests involve orthopedic and manual physical therapy, including clinical diagnostic tests. He enjoys treating the spine but his dynamic work setting in a rural area provides an opportunity to treat a wide variety ranging from pediatrics to the neurological population. Harrison received both his Bachelors of Science degree and Doctor of Physical Therapy from Old Dominion University in Norfolk, Virginia. Dr. Vaughan is certified in Spinal Manipulative Therapy through the Spinal Manipulative Institute and American Academy of Manipulative Therapy. He is a member of the American Physical Therapy Association with a special subsection in Sports and Orthopedics and currently assists as Co-Chair of Technology position of the Virginia Physical Therapy Association. More of Harrison’s blogs can be found at http://intouchpt.wordpress.com.
The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.
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