C0-C1 Traction Manipulation (supine)

Position of the therapist:

• Standing close to the long edge of the bench

Position of the patient:

• Patient lies diagonally on the bench in supine so that the head is close to the therapist
• Cervical spine in submaximal heteronymous 3D flexion until C1

Hand placement:

• Fixating hand grasps the patient’s chin and has the dorsolateral side of the patient’s head resting on the forearm
• Patient’s head is incorporated between the therapist’s trunk and forearm
• Forearm rests on the head part of the bench
• Palmar aspect of 2nd proximal phalanx of the working hand placed under the patient’s mastoid process
• Therapist’s forearm points in cranial direction

Direction of the manipulation:

• Cranial direction