Visit | Manual Therapy Techniques | Movement Systems Approach |
1 | ・ T5/6 facet joint gapping, HVLA mobilization ・ C5/6 gaping, HVLA mobilization ・ C2/3 gapping, Grade IV (Figure 2) ・ Posterior glide of occiput on atlas, progressive oscillations ・ CTJ distraction HVLA mobilization ・ Inferior glide of the first costovertebral joint, progressive oscillations and breathing ・ GHJ posterior and inferior glides, Grade IV ・ Anterior glide of AC joint with shoulder flexion, HVLA mobilization ・ Radiohumeral joint gapping, HVLA mobilization ・ Radiocarpal distraction, HVLA mobilization |
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2 | ・ T5/6 facet joint gapping, HVLA mobilization ・ CTJ distraction, HVLA mobilization ・ First costovertebral joint mobilization with breathing ・ GHJ posterior and inferior glides, Grade III and IV ・ Radiohumeral joint gapping, HVLA mobilization ・ Radiocarpal distraction, HVLA mobilization | ・ DNF with static craniocervical flexion exercise 10 seconds 10 times at 22, 24, 26, and 28 mmHg ・ DNF staticcraniocervical flexion exercise with concurrent shoulder flexion ・ Middle Trapezius “T” exercise ・ Lower Trapezius “Y” exercise ・ Serratus Anterior exercise in quadruped |
3 | ・ T5/6 facet joint gapping, HVLA mobilization ・ Radiohumeral joint posterior to anterior mobilization, HVLA mobilization ・ Radiocarpal volar glides, HVLA mobilization | ・ DNF with static craniocervical flexion exercise 10 seconds 10 times at 22, 24, 26, and 28 mmHg ・ DNF static craniocervical flexion exercise with concurrent shoulder flexion ・ “Number 3” wrist extension exercise ・ Lumbrical exercise with putty |
4 | ・ T5/6 facet joint gapping, HVLA mobilization ・ Radiocarpal volar glides, Grade IV, ・ Second MCP distraction, Grade III | ・ DNF with static craniocervical flexion exercise 10 seconds 10 times at 22, 24, 26, and 28 mmHg ・ Middle Trapezius “T” exercise ・ Lower Trapezius “Y” exercise ・ “Number 3” wrist extension exercise |
5 | ・ T5/6 facet joint gapping, HVLA mobilization ・ Second MCP distraction, Grade III | ・ DNF with static craniocervical flexion exercise 10 seconds 10 times at 22, 24, 26, and 28 mmHg ・ DNF static craniocervical flexion exercise with concurrent shoulder flexion ・ Middle Trapezius “T” exercise ・ Lower Trapezius “Y” exercise |
6 | ・ T5/6 facet joint gapping, HVLA mobilization | ・ DNF with static craniocervical flexion exercise 10 seconds 10 times at 22, 24, 26, and 28 mmHg ・ DNF static craniocervical flexion exercise with concurrent shoulder flexion ・ Middle Trapezius “T” exercise ・ Lower Trapezius “Y” exercise |