In a Supine Occiput adjustment - PR/PL, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Supine
Dr’s stance: Head of the table, on favouring side.
Segmental contact: lateral ridge of mastoid.
Tissue pull: Superior to inferior
Dr’s point of contact: Thenar eminence of hand on the affected side.
Stabilisation: opposite hand covering occiput - C3-4.
Rotate head slightly away from side of adjustment and slight lateral flex.
LOD: S-I, P-A following the axilla.
In a Supine Atlas PIR/PIL C0 on C1 adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Supine
Dr’s stance: Head of the table, side of listing.
Segmental contact: Lateral posterior aspect of C1 posterior arch.
Tissue pull: Superior to inferior from the mastoid down onto the posterior arch and onto contact.
Dr’s point of contact: DIP or PIP of index finger.
Stabilisation: head and upper cervical.
Step out 45 degrees. Slight lat flex to the same side and rotation away from side of adjustment, slight extension.
LOD: S-I and P-A, L-M towards axilla.
In a Supine Atlas ASR/ASL C0 on C1 adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Supine
Dr’s stance: Head of the table, side of listing.
Segmental contact: Lateral aspect of the atlas TVP of C1 from the tip of mastoid.
Tissue pull: mastoid on the lateral tip of C1 TVP.
Dr’s point of contact: DIP or PIP of index finger, elbow perpendicular to atlas.
Stabilisation: head and upper cervical.
Step out 45 degrees. Lat flex on the same side and rotation on the same side.
LOD: L-M straight across and slight A-P.
In a Supine Atlas ASRP/ASLP (C1 on C2) adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Supine
Dr’s stance: Head of the table, side of listing.
Segmental contact: Posterior, inferior aspect of C1 TVP.
Tissue pull: Posterior arch of atlas to TVP.
Dr’s point of contact: DIP or PIP of index finger, elbow perpendicular to atlas.
Stabilisation: Stabilise opposite occiput to C2 with slight counter pressure.
Step out 45 degrees. Lat flex on the same side and rotation on the same side.
LOD: P-A, L-M, I-S.
In a C2-C7 adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: Supine
Dr’s stance: Head of the table, side of listing.
Segmental contact: Lamina-pedicle junction on side of vertebra.
Tissue pull: SP - LPJ.
Dr’s point of contact: DIP or PIP of index finger, elbow perpendicular to atlas.
Stabilisation: Stabilise opposite side at same level.
Step out 45 degrees. Lat flex on the same side and rotate away.
LOD: I-S, P-A and L-M.
