Standing at the long edge of the bench or stool on the contralateral side
Position of the patient:
Upright sitting position at the short edge of the bench
Patient’s shoulder at the same height as the therapist’s shoulder
Patient puts the hands in their neck and the elbows together
Hand placement:
Establish contact with the patient’s upper arm on the contralateral side by placing an arm above the patient’s elbows
Thenar eminence of other hand fixates T5 into ventrocaudal direction
Confirm fixation by asking the patient to slouch a little until movement is felt at T5
Movement:
Maximal homonymous 3D movement with equal components of flexion, ipsilateral lateral flexion and ipsilateral rotation.
This movement causes maximal opening of the facet joints of the upper thoracic spine on the contralateral side
