Video presented by Matthew H. Kowalski, DC
Cervical spine manipulations are commonly performed in the supine position and interfallangial is placed over the articulating pillar of the affected joint. The joint is then placed at its end range of motion and all joint play is then locked out. A high-velocity, low-amplitude impulse is then applied. Cervical spine manipulation techniques may be selected that require a minimum of neck rotation and extension. For example, the patient may be placed prone on the examination table with the headpiece slightly flexed. A contact is then made over the facet articulation and counter-pressure is applied to the opposite side. The manipulative force is then administered through the facet joint without rotating the patient’s neck.