Cervical spine facilitated positional release

Page created: March 23, 2021

Cervical spine facilitated positional release

OMM

OMM

Biomechanics: Muscle contractions
Components of the osteopathic structural examination
Fryette laws
Trigger points
Diagnostic skills
Introduction to muscle energy
Introduction to counterstrain
Introduction to facilitated positional release
Introduction to myofascial release
Introduction to high velocity low amplitude (HVLA)
Diagnosing cervical somatic dysfunction
Spurling test
Cervical muscle energy treatment
Cervical spine counterstrain
Cervical spine HVLA
Still technique for the cervical spine
Cervical spine facilitated positional release
Cervical spine myofascial release
Other cervical spine treatments
Diagnosing thoracic spine somatic dysfunction
Thoracic muscle energy treatment
Thoracic spine counterstrain
Thoracic spine HVLA
Still technique for the thoracic spine
Thoracic spine facilitated positional release
Thoracic spine myofascial release
Other thoracic spine treatments
Diagnosing lumbar spine somatic dysfunction
Lumbar muscle energy treatment
Lumbar spine counterstrain
Lumbar spine HVLA
Still technique for the lumbar spine
Lumbar spine facilitated positional release
Lumbar spine myofascial release
Other lumbar spine treatments
Diagnosing sacral somatic dysfunction
Sacrum muscle energy treatment
Sacrum counterstrain
Sacrum myofascial release
Diagnosing pelvis somatic dysfunction
Pelvis muscle energy treatment
Pelvis counterstrain
Other pelvis treatments
Diagnosing lower limb somatic dysfunction
Special tests for the lower limb
Lower limb muscle energy treatment
Lower limb counterstrain
Lower limb HVLA
Lower limb myofascial release
Other lower limb treatments
Diagnosing upper limb somatic dysfunction
Special tests for the upper limb
Upper limb muscle energy treatment
Upper limb counterstrain
Upper limb HVLA
Upper limb myofascial release
Other upper limb treatments
Diagnosing rib somatic dysfunction
Muscle energy for rib somatic dysfunction
Rib counterstrain
Rib HVLA
Other rib treatments
Viscerosomatics and facilitation
General visceral techniques
Chapman points
Primary respiratory mechanism
Cranial osteopathy: Cranial nerves
Diagnosing cranial somatic dysfunction
Cranial treatments
Treatment of the lymphatics

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.