Manual of Combined Movements: Their Use in the Examination and Treatment of Mechanical Vertebral Column Disorders
Aims to draw attention to the use of combined movements when examining and treating mechanical disorders of the vertebral column. It is intended that this manual is used in conjunction with the more complete texts of Maitland (1986) and Grieve (1988).
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Subjective examination of the vertebral column
Upper cervical spine
4 other sections not shown
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accessory movements articulation atlanto-axial complex atlanto-axial joints atlas rotated Box Diagram C3 cephalad C4 caudad cervical spine Fig combined movements extension and right facet joint facet of C4 flexed flexion and right flexion in extension flexion in flexion hand is placed Hand position head and atlas hypermobility iliac crest inferior facet ischial tuberosity kyphosis left buttock pain left lateral flexion left rotation left thumb left transverse process lower cervical spine Lumbar spine Fig medial Middle and lower movement is performed Objective examination occiput palpation Patient position patient's head performed in extension performed in flexion primary combination primary movement process of C1 quadrant right hand side right lateral flexion right rotation rotation in extension rotation in flexion Route Sacroiliac joint sacrum Selection of technique spine and thoracic spinous process Standing superior facet Therapist position therapist's left hand therapist's right hand thoracic spine Fig thumb is placed Upper cervical spine vertebral column zygapophyseal joints