Low-cervical Downslope Manipulation

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 of the contralateral hand on the arch of the upper level
• Thumb fixates the contralateral arch of the lower level

Direction of the manipulation:

• Rotation in ventrolateral direction