manual therapy of the cervical spine kaltenborn approach "part a" by abdul ghafoor sajjad

MANUAL THERAPYDPT 9

THE CERVICAL SPINEPart B

Dr Abdul Ghafoor SajjadAssistant Professor

RCRS, RIU

Dr Abdul Ghafoor Sajjad

2

Occiput-atlas (C0-C1)


3

Occiput-atlas (C0-C1)

• Follows the Convex-concave Rule• During Flexion The Condyle of the occiput

move ……….• Couple movement is side bending with

opposite side rotation• Right Side bending couple with ……….• End Feel ……..

Atlas Axis C1-C2


5Atlas Axis C1-C2

• The Axis of movement is Dens• Movement of the Posterior Arch of Atlas During

Flexion …………• No Side bending• 45 Rotation (Contribute half of the rotation of

Cervical Spine)• Follows the Concave-Convex Rule• Couple movement same as C0-C1


6Upper Cervical Spine Flexion & Extension


7Upper Cervical Spine couple movement


8Upper Cervical Spine C0-C1 Traction


9Upper Cervical Spine MobilizationC0-C1 Flexion & Extension Test


10Upper Cervical Spine MobilizationC0-C1 Flexion & Extension Stretch Mobilization


11Upper Cervical Spine MobilizationCouple Side Bending and Rotation Test & Stretch Mobilization


12Upper Cervical Spine MobilizationAtlas-axis Rotation


13Upper Cervical Spine MobilizationLateral Glide with Caudal Fixation


14

LOWER CERVIAL SPINE


15


16


17Lower Cervical Spine

• The cervical spine has the greatest mobility of the entire spine, mostly in the sagittal plane and especially in extension.• Resting position there is a lordosis in the

cervical spine• During flexion the lordosis is ……• During extension the lordosis is …….



• Follow Concave Rule• Concave Surface Move ……. During

Flexion & Vice Versa



• Coupled movement• Cervical rotation and side bending to the

same side• Non coupled movement ???


20

LOWER CERVICAL SPINEMOVEMENTS


21Active cervical flexion and extension


22

ACTIVE CERVICAL FLEXIONWITH COMBINED SIDEBENDING AND ROTATION


23

LOWER CERVICAL SPINE MOBILIZATION

LOWER CERVICAL SPINE MOBILIZATION


24Cervical traction


25Cervical traction


26

Cervical traction ê Belt


27Cervical segment: lateral glideCranial Fixation


28

Cervical segment: lateral glideCaudal Fixation


29

Cervical segment C2 to C5translatoric joint play


30

Cervical segment C2 to C5translatoric joint play (Side Laying)


31Cervical segment Flexion


32

Cervical segment: Flexion With Couple Movement


33Cervical segment Extension


34

Cervical segment: Extension With Couple Movement


35

CERVICOTHORACIC SPINE MOBILIZATION

CERVICOTHORACIC SPINE MOBILIZATION


36

CERVICOTHORACIC SPINE MOBILIZATIONTraction


37

CERVICOTHORACIC SEGMENT (C5- T3) TRANSLATORIC JOINT PLAY


38

CERVICOTHORACIC SPINE MOBILIZATIONFlexion & Extension


39

CERVICOTHORACIC SPINE MOBILIZATIONFlexion With Side bending & Rotation


40

CERVICAL SOFT TISSUE MOBILIZATION

Cervical Soft tissue mobilization


41

Cervical Soft tissue mobilizationSuperficial Fibers


42

Cervical Soft tissue mobilizationUpper Deep Fibers


43Cervical Soft tissue mobilization


44Cervical Soft tissue mobilization


45

Cervical Soft tissue mobilizationDorsal Fibers


46

Cervical Soft tissue Ventral mobilization (Caudal Stabalization)


47


48

Reference

manual therapy of the cervical spine kaltenborn approach "part a" by abdul ghafoor sajjad

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