CTJ Manipulations (HVLAT)

Authors
Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

CTJ HVLAT: From SDSU DPT

Technique

  • Pt position: prone
  • Head turned towards you + extension
    • “Look up at your wrist”
  • Ipsilateral arm above patient’s head
  • C/L arm: Can be at side or above head as well
  • Clinician:
    • Ipsilateral (hand close to pt) hand on side of (T1?) lateral shifting towards clinician
    • Grab muscle tissue with this hand → allows you to feel how their neck responds
    • Far hand (hand further from pt) placed on:
      • patient’s temple: for SB
      • parietal/occipital bone: More rotation
  • Movement
    • Can be more SB or more rotation
    • It just depends where they are locking
    • Tips for relaxing the patient
      • Take them in and out of the position
      • Do the mobilization instead

Citation

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