manual therapy of the cervical spine kaltenborn approach "part a" by abdul ghafoor sajjad
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MANUAL THERAPYDPT 9
THE CERVICAL SPINEPart B
Dr Abdul Ghafoor SajjadAssistant Professor
RCRS, RIU
Dr Abdul Ghafoor Sajjad
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Occiput-atlas (C0-C1)
Dr Abdul Ghafoor Sajjad
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Occiput-atlas (C0-C1)
• Follows the Convex-concave Rule• During Flexion The Condyle of the occiput
move ……….• Couple movement is side bending with
opposite side rotation• Right Side bending couple with ……….• End Feel ……..
Atlas Axis C1-C2
Dr Abdul Ghafoor Sajjad
5Atlas Axis C1-C2
• The Axis of movement is Dens• Movement of the Posterior Arch of Atlas During
Flexion …………• No Side bending• 45 Rotation (Contribute half of the rotation of
Cervical Spine)• Follows the Concave-Convex Rule• Couple movement same as C0-C1
Dr Abdul Ghafoor Sajjad
6Upper Cervical Spine Flexion & Extension
Dr Abdul Ghafoor Sajjad
7Upper Cervical Spine couple movement
Dr Abdul Ghafoor Sajjad
8Upper Cervical Spine C0-C1 Traction
Dr Abdul Ghafoor Sajjad
9Upper Cervical Spine MobilizationC0-C1 Flexion & Extension Test
Dr Abdul Ghafoor Sajjad
10Upper Cervical Spine MobilizationC0-C1 Flexion & Extension Stretch Mobilization
Dr Abdul Ghafoor Sajjad
11Upper Cervical Spine MobilizationCouple Side Bending and Rotation Test & Stretch Mobilization
Dr Abdul Ghafoor Sajjad
12Upper Cervical Spine MobilizationAtlas-axis Rotation
Dr Abdul Ghafoor Sajjad
13Upper Cervical Spine MobilizationLateral Glide with Caudal Fixation
Dr Abdul Ghafoor Sajjad
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LOWER CERVIAL SPINE
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Dr Abdul Ghafoor Sajjad
17Lower Cervical Spine
• The cervical spine has the greatest mobility of the entire spine, mostly in the sagittal plane and especially in extension.• Resting position there is a lordosis in the
cervical spine• During flexion the lordosis is ……• During extension the lordosis is …….
Dr Abdul Ghafoor Sajjad
18Lower Cervical Spine
• Follow Concave Rule• Concave Surface Move ……. During
Flexion & Vice Versa
Dr Abdul Ghafoor Sajjad
19Lower Cervical Spine
• Coupled movement• Cervical rotation and side bending to the
same side• Non coupled movement ???
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LOWER CERVICAL SPINEMOVEMENTS
Dr Abdul Ghafoor Sajjad
21Active cervical flexion and extension
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ACTIVE CERVICAL FLEXIONWITH COMBINED SIDEBENDING AND ROTATION
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LOWER CERVICAL SPINE MOBILIZATION
LOWER CERVICAL SPINE MOBILIZATION
Dr Abdul Ghafoor Sajjad
24Cervical traction
Dr Abdul Ghafoor Sajjad
25Cervical traction
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Cervical traction ê Belt
Dr Abdul Ghafoor Sajjad
27Cervical segment: lateral glideCranial Fixation
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Cervical segment: lateral glideCaudal Fixation
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Cervical segment C2 to C5translatoric joint play
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Cervical segment C2 to C5translatoric joint play (Side Laying)
Dr Abdul Ghafoor Sajjad
31Cervical segment Flexion
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Cervical segment: Flexion With Couple Movement
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33Cervical segment Extension
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Cervical segment: Extension With Couple Movement
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CERVICOTHORACIC SPINE MOBILIZATION
CERVICOTHORACIC SPINE MOBILIZATION
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CERVICOTHORACIC SPINE MOBILIZATIONTraction
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CERVICOTHORACIC SEGMENT (C5- T3) TRANSLATORIC JOINT PLAY
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CERVICOTHORACIC SPINE MOBILIZATIONFlexion & Extension
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CERVICOTHORACIC SPINE MOBILIZATIONFlexion With Side bending & Rotation
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CERVICAL SOFT TISSUE MOBILIZATION
Cervical Soft tissue mobilization
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Cervical Soft tissue mobilizationSuperficial Fibers
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Cervical Soft tissue mobilizationUpper Deep Fibers
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43Cervical Soft tissue mobilization
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44Cervical Soft tissue mobilization
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Cervical Soft tissue mobilizationDorsal Fibers
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Cervical Soft tissue Ventral mobilization (Caudal Stabalization)
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Reference
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