Thrust and Fulcrum Position

May 31, 2012

Hi Everyone. I was speaking to a good friend about thoracic spine thrust and he thought I should post it. As we know, thrust is a helpful tool for getting “sticky” segments to mobilize. You can bias the outcome of flexion or extension dependent upon your line of thrust impulse and your fulcrum. In the […]

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Alar Stability Testing

April 30, 2012

As you know, the alar ligaments help to keep the head on tight (by keeping rotational and lateral stability of the cranium in check). To assess, support the head while palpating both lateral aspects of the C2 spinous process. As you side-tilt the cranium (to the right in photo) the C2 spinous process should be […]

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Cervical Rotation Lateral Flexion Test

March 24, 2012

Happy Spring! This test was first described by Lindgren (1990) to be helpful in determining 1st rib elevation/hypomobility. By rotating the head/neck fully to the right (in this pic) and then laterally flexing toward the chest, you can assess the freedom of C7 to move with respect to T1/1st rib. If movement is limited, an […]

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Lower Cervical Spine Solution

February 4, 2012

Sometimes isolating the lower cervical spine for extension purposes can be tricky. If you don’t take the head and mid neck together you can often limit your extension movement to about C4-5. Giving support to the C7-T1 area with one hand while providing head and mid-neck retraction over your target segment will help greatly. Be […]

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FABER-SI or FA?

January 16, 2012

We’re all familiar with the FABER (Flexion-ABduction-External Rotation) Test used in lower quarter assessment but what joint is it really testing? Sacroiliac or Femoroacetabular? The answer is both. The difference is the pain provocation pattern. Compressive forces will be through both articulations but SI provocation will present posteriorly while FA will present anteriorly. Sensitivity for […]

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Troubles at AA

December 19, 2011

How many of your patients with neck complaints have limited rotation in one or both directions? I think it’s safe to say ALL! I thought it might be nice to revisit an easy correction at the atlato-axial joint (AA) to help you through your treatments. Aproximately half of the c-spine’s rotation is found at this […]

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Thanksgiving Tech Tip-Cervical Spine

November 24, 2011

How many manual techniques do you see in this picture? Hint: It’s less than 6 and greater than 4. Yup, you guessed it 5. Now the break down. The patient’s cervical spine is positioned toward the right extension quadrant (ie closing the right facet of C4 on C5). With a grade mobilization (III-IV) toward the […]

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Upper Cervical Spine Quick Screen

October 4, 2011

When patients come to see you (and I know they do) for headaches or upper neck pain, a quick screen I like to have them do is cranial lateral flexion. If the patient is able to stay in the coronal plane during movement, I’m less worried about the relationship of the Occiput-C1-C2. If, however, rotation […]

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New York State Fond of Joint Effort Therapeutics

September 4, 2011

As of August 29, 2011, Joint Effort is an approved independent provider of NYS continuing education credits for all licensed NY PT’s and PTA’s. I’d personally like to thank everyone for their support throughout the application process. A special thanks, of course, going out to NYS Education Department.

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Helping Hands

August 3, 2011

Everyone needs a helping hand now and then. Two local groups on Long Island are doing their share. I recently had the pleasure to provide group lectures for both The Arthritis Foundation and The Northfork Cancer Support Group of Southold. And might I say, they were inspiring. The willingness of each group to share personal […]

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