Does your patient have limited and/or painful cervical rotation actively that changes significantly when measured passively? If so, they most likely do not need manual intervention.
Try the below progression
- start the patient in supine
- make sure their neck/head is not in extension
- give them enough banding to make it feel like a challenge, but not so much that they are unable to speak or have to hold their breath
- after the band loads the posterior upper quarter chain or scapula stabilizers, have them re-check rotation to see if the motion/pain improves
- if so, have them repeat the now threat free pattern, with banding assist for a few minutes
- progress from
- tall kneeling (or half kneeling for unilateral rotation - rot toward elevated arm in cross pattern)
Thanks to Dr. David Tilley from The Hybrid Perspective for allowing me to video him!
Keeping it Eclectic....