CERVICAL MANIPULATION Step-By-Step How To
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- เผยแพร่เมื่อ 7 ก.ย. 2024
- In this video I share with you my step-by-step method to manipulate the cervical spine. This technique is sure to get the audible you want, and provide your patient with the relief they need. Check out the video...
“CERVICAL MANIPULATION Step-By-Step How To”
So you dropped 120k on PT school, and in the end, you still don’t know how to manipulate the neck. Yup, it's frustrating, AND it’s not your fault. Physical Therapy programs are notorious for not providing advanced manual therapy education.
While there are a few post-graduate spinal manipulation courses out there, techniques vary widely, and safety can sometimes be questionable.
In this video I share with you one of my simple cervical manipulation techniques. Because the neck is in very little rotation at the thrust, this technique protects the neck from over-rotation, and creates a local, as specific as you can get, audible cavitation.
If you want to learn more about developing your manual therapy and spinal manipulation skills, be sure to check out PHYSIOSecrets and download your first masterclass for FREE.
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☀️ ABOUT DR. JARED COOPER, PT
Dr. Jared Cooper is the founder of MOMENT INSTITUTE Physical Therapy & Fitness, and the creator of PHYSIOSecrets. With over 20 years of experience in the health and wellness field, he has taught, treated or trained thousands of patients and clients across the country. Because of his work as a pioneer in the field of integrated fitness, Dr. Cooper has been featured on ABC News, in The Wall Street Journal, The NY Sun, and The Chicago Tribune. He is a clinical instructor for Seton Hall and Rutger’s University, and a continuing education provider for rehab professionals nationwide. He earned his undergraduate degree from Cornell University and his doctorate in physical therapy from the University of Southern California.
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THIS VIDEO IS FOR INFORMATIONAL PURPOSES ONLY, DO NOT ATTEMPT ANY OF THESE TECHNIQUES IF YOU ARE NOT LICENSED OR QUALIFIED TO DO SO. FULL DISCLAIMER HERE: goo.gl/GVvkkS
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Great job, love Your style and point of view
Wojciech Roźniakowski thank u!!!
Love this channel
well done. This is the best how to C-spine manip vid ive ever seen
Thank you so much!! Are you a physio?
@@bodyworkdojo Hell Yeah :)
Awesome video! Could you please do one with explaining where you place your fingers? thanks!
will do in the future
Hey I am a chiropractor here, and that was a smooth and good demonstration of cervical manipulation. Do you guys do the vertebral artery test before you manipulate necks?
We do but the research on their sensitivity (ability to pick up a problem) is not great.
Excellent technique
thank u!
Very very helpful thanks
thank you! much appreciated.
Thanks for very good learning demonstration, Doctor.
Thanks Wilson. Feel free to share the vid.
Better than my school training. Pls post more.
Can you do upper cervicals please
Wow. Great and a smooth job Doc.
thank u!!
Very nice and clear video! Tank you for that.
Pier Carlo Agostinelli thank u
Dr Good Dr you are nice man I like your video.
Thank you!!
My question is stupid but how you can make rotation of upper vertebrae and fixation of lower ones by the same palm?
Hi there. Lower cervical "locking" is accomplished by sidebending the lower part of the neck. Target the sidebend using hand placement. When you rotate any neck all segments will try to rotate, but the more side bent a segment is, the less it can rotate due to facet approximation. During the technique, the practitioner needs to hold the neck in side bend (downglide) and rotate at the same time. I'm oversimplifying, but that's the general idea.
Awesome video! I have a question on the vector of thrust. When making the thrust, should it be a rotational thrust? or a translational thrust? There aren't many sources that clarify this.
Thanks for the question. The answer is actually both. Your contact hand applies mostly a downglide (translational) thrust, and your support hand applies a bit of rotation. Both hands participate, with the contact hand doing about 70% and the support hand about 30%. Depending on the level you are targeting and the style of technique this changes. But like in golf, a good simple swing applied to multiple clubs and situations will get you 90% of the results you really need. Hope that helps!
What is the direction of the trust? Just a rotation straigt to the left?
Thanks for the question. It's actually about 50/50
Applying extension, isn’t there the risk of compression the vertebral artery?
Tom thanks for the question. There’s just a tiny bit of extension to insure apposition locking. Nowhere near physiological end range. If 5-10 deg of extension compromised the vertebral artery every MMA fighter or wrestler would sever their Vert artery every training session. Also many neck patients have a flattening of their cervical curve, so a touch of extension really just brings them back to neutral. You can always achieve the same clean cavitation by avoiding any extension if you prefer but you will have to add a touch more side bend to appose the facets.
Nice , the only problem with this video is it doesn’t say the direction of the thrust, apart from that it’s a good step by step process,what I mean is, is the thrust for the side bend, or rotation, or along the lines your fingers point? Different cervical manipulations have different lines of thrust, I think it will be helpful to know where the line of drive is going and why... perhaps with some animation to illustrate , that will be awesome content... look forward to seeing those kinds of videos more
shilo storm awesome suggestion. I’ll add the line of thrust next time : )
shilo storm Was
Heloo sir i wanna learn this all hiw to adjust full spine and leg bone etc how could i learn this all online plzz help
These techniques are hard to learn from scratch online. I have a full cervical mobilization course for Physios and Chiros on my website www.physiosecrets.com. Designed for licensed professionals.
I'm an evidence based chiropractor- went to University of Western States which is a leader in conservative care research. A major part of my doctorate education was learning to manipulate the neck safely and effectively. This video looked like reasonable instruction, but I hope that PT's out there aren't posing as being able to manipulate the spine after watching this video. I am somewhat irritated that spinal manipulation was labeled as either dangerous and or ineffective by medicine and physical therapy... until PT's are able to do it, and now it's suddenly a good thing... and a good thing to learn it off of youtube or a weekend seminar rather than referring to an evidence based chiropractor. I would NEVER advertise that I provide physical therapy or lure post surgical ACL patients for example to my office implying that I can do the same thing a PT does... that would be dishonest. Especially if I learned about ACL rehab from youtube or a weekend course. I have had multiple patients come to me in pain after a PT attempted "adjusting" their neck or back. Just stop it. Why can't we work together instead of pretending to be a jack of all trades master of none manipulator? I refer to PT regularly, and get almost nothing in return- it's hurting patients- and that's all that really matters.
Cade Willes Thank you for the comment. I definitely understand your concern about physical therapists performing manipulation. To be fair, on multiple occasions my patients have told me that my manips are more comfortable and more effective than their chiropractors. That said, I definitely cannot speak for a profession as a whole. I am also certified in dry needling, like many chiropractors, but neither of us claim to be acupuncturist. As a whole, I could give a crap about people’s training. There are plenty of incompetent chiropractors, acupuncturist, physical therapist, all of who attended three year programs. Each of us as an individual needs to know what we’re capable of and what we’re not. Regardless of profession. Again thank you for your thoughts. Best of luck in your practice.
That's fair. As long as the provider is proficient in the care being given through training and subsequent in practice repetitions which you surely have, then I am confident the patient is being well-served. Thank you for your response.
mr thompson m fine isn’t good enough. Take the left hand out of the manipulation and it would be a great adjustment.
Evidence based and chiropractor in the same sentence is an oxymoron. Mostly because there is no evidence that manipulations work in a medium or long term better than a placebo treatment.
@@flyersurfboardschile3775 Who cares about long term, if you have serious pain, that prevents you from working or even sleeping, and you get instant relief, even when ANY pain medicine is not helping? I have experienced that many times myself as a customer, and years ago, on my very short "career" as a massage therapist and "bone setter" (in Finland they call us "limb correctors"). I managed to help several people who had diagnosed frozen shoulder, had been on pain medicine for months because of severe back pain etc. Some of them had told, that they need surgery. One of those started arm wrestling after my treatments, and have won Finnish national championship.
But of course there is a high possibility that it will come back if you just continue living your live as before. Something is causing it, and you should get rid of that, change your lifestyle, strenghten your muscles and do right stretches.
I am by no means professional with these techniques. On my practice I try to utilize some of these techniques as mobilisation, and if doesn't help, I try another position. Sometimes when you find a right spot and set up position, you get relief without thrust. And if it still doesn't go, I advice them to go to chiropractor.
i dont want to kill my dad or my mother sir
The background music is not therapeutic but the topic is educational though, a little bit of suggestion have a therapeutic background music.
Music is very annoying