Category Archives: Typical Cervical Segments C3-C7: FRS

Unknown's avatar

MET C5-C6 (FRS)

by

Cervical Spine Muscle Energy Technique

Typical Cervical Vertebra (C5-C6)

Diagnosis

Position:  Flexed, rotated left, and side-bent left (FRSleft)

Motion Restriction:  Extension, right rotation, and right side-bending (ERSright)

The C5 right facet won’t close.

Treatment

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

Operator’s finger tips of the right index and middle finger are placed on the right articular pillar of C6 to hold the segment so that C5 can be moved upon it.MET C5-C6 ERS left 2

 

 

Operator’s left hand controls the left side of the patient’s head and neck.MET C5-C6 ERS left 3

 

 

Operator’s right fingers translate the segment anteriorly introducing motion to the backward-bending barrier.MET C5-C6 FRS left 4.jpg

 

 

Operator’s left hand introduces right side-bending and rotation of the head and neck to the right by right to left translation engaging the right rotation and the right side-bending barriers.MET C5-C6 FRS left 5

 

 

Patient exerts a small isometric effort against the operator’s resisting left hand into forward bending, left side-bending, or left rotation.MET C5-C6 FRS left 6

 

 

After a 3-5 second muscular effort, the patient relaxes and the operator increases translatory movement in an anterior and right to left direction engaging the backward-bending, right side-bending, and right rotation barriers.  This process is repeated 3-5 times.

Retest.

Unknown's avatar

Typical Cervical Segments C3-C7: FRS

by

Flexed, 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. FRS2

 

 

 

Operator’s palms and thenar eminences control the patient’s head and upper cervical spine.  FRS3

 

 

 

Operator backward-bends the head and neck down to the segment under examination. FRS4

 

 

 

With the palm and thenar eminence controlling the patient’s head and upper cervical, the FRS5operator introduces translation from right to left, sensing for resistance to movement at his index fingers.  If resistance is felt, the motion restriction is to backward-bending, right side-bending, and right rotation (indicating that the segment is flexed, rotated and side-bent left [FRSleft]).  Something has interfered with the capacity of the left facet to close.

With the palm and thenar eminence controlling the patient’s head and upper cervical, the FRS6operator introduces translation from left to right, sensing for resistance to movement at his index fingers.  If resistance is felt, the motion restriction is to backward-bending, left side-bending, and left rotation (indicating that the segment is flexed, rotated, and side-bent right [FRSright]).  Something has interfered with the capacity of the right facet to close.