Supine Occiput – PR/PL:
Tissue Pull: S – I
Thrust: S-I, P-A and towards the opposite axilla
Supine Atlas – PIR / PIL:
Hand Placement: Lateral posterior aspect arch of C1 with DIP/PIP
Tissue Pull: S – I from occipital ride onto contact
Thrust: L-M, S-I (scoop), P-A, elbows at 45
Supine Atlas – ASR / ASL:
Hand Placement: Lateral aspect of TVP C1 with DIP/PIP
Tissue Pull: S – I, L-M onto lateral tip of atlas
Head: Gently rotate the head TOWARDS you, slight LF
Thrust: L-M with slight A-P
Supine Atlas – ARP / ALP:
Position: Head of table, favour side of listing. (ARP = Right, ALP = Left)
Hand Placement: Posterior inferior aspect of atlas TVP with DIP/PIP
Tissue Pull: P-A, M-L slight I-S posterior arch of atlas to TVP
Head: Gently rotate the head away from you, maybe slight LF
Thrust: P-A, I-S, L-M
C2-C7 Supine Articular Pillar Push RP/LP
Position: Head of table, favour side of listing. (RP = Right, LP = Left)
Hand Placement: Lamina-pedicle junction on posterior inferior facet joint with DIP/PIP
Tissue Pull: M-L, I-S from spinous to LPJ
Head: Laterally flex the head and then rotate the head
Thrust: P-A, I-S, L-M
T3-T8 Crossed Pisiform without Torque RP/LP
Position: Prone, side opposite spinous rotation. (RP = Right, LP = Left)
Hand Placement: TVP of affected vertebra opposite side of spinous rotation
Tissue Pull: M-L, I-S from spinous to TVP with fleshy pisiform of hand
Thrust: I-S*, P-A and slight M-L
T4-T12 Crossed Pisiform with Torque RP/LP
Position: Prone, side opposite spinous rotation (RP = right, LP = left)
Hand Placement: TVP of affected vertebra opposite side of spinous rotation
Stabilisation: Superior fleshy pisiform on opposite TVP
Tissue Pull: M-L, I-S from spinous to TVP with fleshy pisiform of hand. Torque is up the spine.
Thrust: I-S, P-A and slight M-L
T3-T12 Double Thenar RP/LP
Position: Prone, side of spinous rotation (RP = left, LP = right)
Hand Placement: TVP of affected vertebra opposite side of spinous rotation
Stabilisation: Thenar pad on opposite TVP
Tissue Pull: M-L, I-S from spinous to TVP with thenar pad
Thrust: I-S*, P-A and slight M-L
T3-T12 Carver Bridge RP/LP
Position: Prone, side of spinous rotation (RP = left, LP = right)
Hand Placement: TVP of affected vertebra opposite side of spinous rotation
Stabilisation: Lateral fleshy pisiform on opposite TVP
Tissue Pull: M-L, I-S from spinous to TVP with thenar pad
Thrust: I-S, P-A and slight M-L
T1-T4 Single Hand Pisiform RP/LP
Position: Prone, side opposite spinous rotation (RP = right, LP = left)
Hand Placement: TVP of affected vertebra opposite side of spinous rotation
Stabilisation: Modified toggle, clasping wrist of contact hand
Tissue Pull: M-L, I-S from spinous to TVP with pisiform
Thrust: I-S, P-A and slight M-L
C7-T2 Spinous Thumb Push RP/LP/SpR/SpL
Position: Prone, side of spinous rotation (RP = left , LP = right, SpR = Right, SpL = Left)
Hand Placement: Lateral aspect of SP on side of spinous rotation
Stabilisation: Inferior hand thumb pad gently change position of the and neck toward the involved spinous
Tissue Pull: L-M
Thrust: L-M, slight P-A
L1-L5 Lumbar Mamillary Push Sideposture RP/LP
Position: Lateral recumbent with involved side up (RP = Lay on left, LP = Lay on right)
Hand Placement: Mamillary process on the side of posterior inferior facet with fleshy pisiform
Stabilisation: I-S pressure on upper arm
Tissue Pull: M-L
Thrust: P-A, M-L and I-S
Sacrum Involved Side Up Sideposture PR/PL
Position: Lateral recumbent with involved side up (PR = Lay on left, PL = Lay on right)
Hand Placement: Sacral Ala with fleshy pisiform
Stabilisation: I-S pressure on upper arm
Tissue Pull: M-L from S2 tubercle and PSIS
Thrust: P-A, M-L
Sacrum Involved Side Down Sideposture PR/PL
Position: Lateral recumbent with involved side down (PR = lay on right, PL = lay on left)
Hand Placement: Sacral Ala with fleshy pisiform
Stabilisation: I-S pressure on upper arm
Tissue Pull: M-L from S2 tubercle and PSIS
Thrust: P-A, M-L
PI Ilium Sideposture R PI/L PI
Position: Lateral recumbent with involved side up (R PI = Lay on left, L PI = Lay on right)
Hand Placement: Inferior aspect of PSIS with fleshy pisiform
Stabilisation: I-S pressure on upper arm
Tissue Pull: I-S slight M-L
Thrust: P-A, I-S
AS Ilium Sideposture R AS/L AS
Position: Lateral recumbent with involved side up (R AS = Lay on left, L AS = Lay on right)
Hand Placement: Acetabular ridge, palpate S3 tubercle laterally out towards the ilium.
Stabilisation: I-S pressure on upper arm
Tissue Pull: S-I
Thrust: P-A, S-I down the femur
