Cervical Traction, Manual Upper Isolation

1/31/2012

I wrote this in response to a question on another blog, slightly edited to remove my wacky "humor". To isolate the Occiput-C1, C1-C2 find this persons neutral position of the head which sometimes is not how they lie on you table. Supine is best, better than sitting. Contact is in front of the ears, on the temples and zygomatic arch. Pull ever so gently until system is engaged say 5 lbs. You can test the pull force with a fish weighing scale for about $10.00. No, not on the patient! Observe the anatomy. The upper joint lies right below the and very slightly behind the pinna of the ear (lower lobe-like my big ones!). Whereas, the C2-3 on down lie at least a centimeter or a centipede below (adolescent centipede-the petulant variety) such that you will not be able to traction the upper in the same manner as the upper. OK, this arachnoid needs more coffee.

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Cervical Traction, Manual Upper Isolation

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Dr. Jerry Hesch, DPT, MHS, PT

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