Cervical spine facilitated positional release

Cervical spine facilitated positional release

Chronic Week 1

Chronic Week 1

Down syndrome (Trisomy 21)
Galactosemia
Tay-Sachs disease (NORD)
Mucopolysaccharide storage disease type 1 (Hurler syndrome) (NORD)
Phenylketonuria (NORD)
Phenylketonuria (NORD): Year of the Zebra
Classical homocystinuria (NORD)
Homocystinuria
Glycogen storage disease type II (NORD)
Hypertrophic cardiomyopathy
Abnormal heart sounds
Normal heart sounds
Development of the cardiovascular system
Fetal circulation
Aortic valve disease
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Tricuspid valve disease
Valvular heart disease: Pathology review
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Acyanotic congenital heart defects: Pathology review
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Patent ductus arteriosus
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Cardiomyopathies: Pathology review
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Aortic dissections and aneurysms: Pathology review
Peripheral artery disease
Peripheral artery disease: Pathology review
Vasculitis
Vasculitis: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Raynaud phenomenon
Fryette laws
Diagnosing cervical somatic dysfunction
Spurling test
Cervical spine counterstrain
Cervical spine facilitated positional release
Cervical spine HVLA
Cervical muscle energy treatment
Cervical spine myofascial release
Other cervical spine treatments
Diagnosing lower limb somatic dysfunction
Special tests for the lower limb
Lower limb counterstrain
Lower limb HVLA
Lower limb muscle energy treatment
Lower limb myofascial release
Other lower limb treatments
Diagnosing lumbar spine somatic dysfunction
Lumbar muscle energy treatment
Lumbar spine counterstrain
Lumbar spine facilitated positional release
Lumbar spine HVLA
Lumbar spine myofascial release
Other lumbar spine treatments
Cranial osteopathy: Cranial nerves
Primary respiratory mechanism
Diagnosing cranial somatic dysfunction
Cranial treatments
Diagnosing pelvis somatic dysfunction
Pelvis counterstrain
Pelvis muscle energy treatment
Other pelvis treatments
Diagnosing rib somatic dysfunction
Rib counterstrain
Rib HVLA
Muscle energy for rib somatic dysfunction
Other rib treatments
Diagnosing sacral somatic dysfunction
Sacrum counterstrain
Sacrum muscle energy treatment
Sacrum myofascial release
Diagnosing thoracic spine somatic dysfunction
Thoracic spine counterstrain
Thoracic spine facilitated positional release
Thoracic spine HVLA
Thoracic muscle energy treatment
Thoracic spine myofascial release
Other thoracic spine treatments
Diagnosing upper limb somatic dysfunction
Special tests for the upper limb
Upper limb counterstrain
Upper limb HVLA
Upper limb muscle energy treatment
Upper limb myofascial release
Other upper limb treatments
Angina pectoris
Stable angina
Coronary artery disease: Clinical sciences
Coronary artery disease: Pathology review
Heart failure
Heart failure: Pathology review
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ACE inhibitors, ARBs and direct renin inhibitors
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Cardiac conduction velocity
Cardiac conduction system
ECG basics
ECG normal sinus rhythm
ECG intervals
ECG QRS transition
ECG axis
ECG rate and rhythm
ECG cardiac infarction and ischemia
ECG cardiac hypertrophy and enlargement

Notes

Cervical spine

Cervical spine facilitated positional release

Please refer to the "Introduction to facilitated positional release" learn page for more information about facilitated positional release (FPR).
SUBOCCIPITAL MUSCLE HYPERTONICITY
Example: left-sided dysfunction
  1. With the patient lying supine, gently support the occipital and upper cervical regions with one hand against the posterior upper cervical spine
  2. Place your other hand on top of the patient’s head and induce sight flexion to place the cervical spine in a neutral position
  3. With the hand on their head, add gentle axial compression down into the cervical spine
  4. While maintaining compression, gently extend the head and neck, and side bend and rotate the neck to the left (position of ease)
  5. Hold position for 3–5 seconds, slowly release axial compression and return the head and neck to neutral
C2–C7 DYSFUNCTIONS
Example: C4 F SRRR
  1. With the patient lying supine, gently support the occipital and upper cervical regions with one hand against the posterior upper cervical spine
  2. Place your other hand on top of the patient’s head and induce sight flexion to place the cervical spine in a neutral position
  3. With the hand on their head, add gentle axial compression down into the cervical spine
  4. While maintaining compression, gently flex the head and neck, and side bend and rotate the neck to the right (position of ease)
  5. Hold position for 3–5 seconds, slowly release axial compression and return the head and neck to neutral
Author: Arman Israelyan, OMS-III
Editor: Matt Lipinski, DO
Editor: Robyn Hughes, MScBMC

Key Takeaways

Cervical spine-facilitated positional release is a manual therapy technique used to treat pain and dysfunction in the cervical spine. It involves using hands-on techniques to move the bones and muscles of the neck into specific positions and then hold them there for some time. This helps restore normal movement and reduce muscle and joint tension. It is often used to treat conditions such as neck pain, headaches, whiplash, and carpal tunnel syndrome.