Category Archives: Typical Cervical Segments C3-C7: ERS

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MET C2-C3 ERS

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Typical Cervical Vertebra (C2-C3)

Diagnosis                 

Position:  Extended, left side-bent, and left rotated (ERSleft).

Motion Restriction:  Forward bending, right rotation, and right side-bending (FRSright).

The C2 left facet won’t open.

Patient is supine on the table with the operator sitting at the head.

Operator’s left hand supports the occiput with the left thumb over the left C2-C3 zygopophysial joint.MET C2-C3 ERS left 2

 

 

MET C2-C3 ERS left 3Operator’s right hand is placed on the patient’s right frontoparietal region to control head movement.

 

Operator’s two hands roll the head and upper neck into forward bending as far as the C2-C3 interspace.MET C2-C3 ERS left 4

 

 

Operator introduces right side-bending and right rotation by right-to-left translation through the left index finger contact on the right zygopophysial joint of C2-C3, engaging MET C2-C3 ERS left 5the flexion, right side-bending, and right-rotation restriction.

 

 

Patient exerts a 3-5 second isometric contraction into backward-bending, left side-bending, or left rotation.  Following relaxation, the operator engages the new flexion, right side-bending, and right rotational barriers.  Repeat 3-5 times.

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Typical Cervical Segments C3-C7: ERS

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Extended, Rotated, and Side-bent Dysfunction

Patient is supine on the table with the operator sitting at the head of the table.

Operator’s index and middle fingers of each hand contact the pillar of the superior vertebra of the motion segment being tested.

Operator’s palms and thenar eminences control the patient’s head and upper cervical spine.

Operator flexes the head and neck down to the segment under examination.  ERS4

 

 

 

With the palm and thenar eminence controlling the patient’s head and upper cervical, the operator introduces translation from right to left, sensing for resistance to movement at ERS5his index fingers.  If resistance is felt, the motion restriction is to forward-bending, right side-bending, and right rotation (indicating that the segment is extended, rotated and side-bent left [ERSleft]).  Something has interfered with the capacity of the left facet to open.

With the palm and thenar eminence controlling the patient’s head and upper cervical, the operator introduces translation from left to right, sensing for resistance to movement atERS6 his index fingers.  If resistance is felt, the motion restriction is to forward-bending, left side-bending, and left rotation (indicating that the segment is extended, rotated, and side-bent right [ERSright]).  Something has interfered with the capacity of the right facet to open.