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3.6.2B. Specific techniąue to increase dorsal flexion with rotation and lateral flex-ion to the right of C2 on C3.

P supine.

(T “working” specifically on the right side of C2).

Starting Position: P: Supine; head beyond end of couch with C3 positioned at couch edge; P’s shoulders and thorax may be stabilized with a belt. T: Standing at head of couch, to the left of P’s head.

Grip: T's right index finger lies along the spinous and articular processes on the right side of P’s axis (C2). T’s right wrist and forearm support P's head against the right side of Ts abdomen. T’s left index finger stabilizes the spinous and articular processes on the left side of C3.

Procedurę: Using this grip, T applies traction, and then maintaining this traction, moves his/her body and P’s head to gradually and fully dorsally flex while rotating and laterally flexing C2 on C3 to the right. T’s right index finger, “working” on the right side of C2, pushes the right articular process of C2 slightly dorsally.

Stimulation of Antagonists: T retains grip, and asks P to look to the right, rearwards and downwards, and move his/her head further in the direction just stretched. T resists that movement to stimulate P's antagonists.

Notes: When moving the right articular facet of C2 slightly dorsally, the left articular facet moves slightly ventrally.

To avoid compressing the right articular facets, lateral flexion to the right should always be preceded by rotation to the right such that the articular facets glide parallel to one anothcr.

Fig. 45 a. Starting Position.