By the time this is auto posted, I will be back on a plane from Santiago, Chile, after another amazing weekend teaching The Eclectic Approach to Spinal Manipulation for TherAdvance Group.
I will post a few mini cases from the course later this week, but I wanted to share what I consider a very easy cervical passive motion screen that I do if a WB position is too painful/threatening.
The Screen: Cervical Retraction and sidebending with passive overpressure in supine
- patient maximally relaxed, may need a pillow or two if kyphotic
- Sitting or standing cranially in relation to patient
- one hand on occiput, the other hand on forehead
- pull cranially on the occiput with one hand
- push A/P with the hand on the forehead
- both of these together should case cervical retraction
- keeping the retraction, sidebend the head to the left and right, noting asymmetries
- typically, any relevant UQ issue that is cervicogenic will have a loss of retraction and SB to the involved side
- this is also seen if the patient needs to flex or protract earlier on on side
- full passive motion with overpressure pain free is needed to pass the screen bilaterally
- repeated cervical retraction with SB to the limited side
- light IASTM to cervical and upper trap patterns on the ipsilateral side
- cervical downglide thruston the involved side
Keeping it Eclectic....