Mid-cervical Upslope Rotation Manipulation (sitting)

Position of the therapist:

• Standing behind the patient in a split stance

Position of the patient:

• Patient is in sitting position with the feet on the ground
• Patient leans backwards comfortably against the lateral side of the therapist’s thigh
• Patient’s head at the height of the therapist’s abdomen
• Patient’s spine in heteronymous 3D flexion until the level to be treated

Hand placement:

• Hypothenar eminence on the arch of the upper cervical level to be treated
• Other hand on top of the working hand

Direction of the manipulation:

• Ventrolateral direction