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Cervical Muscle EnergyTony Marek, M.S., A.T., C.
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• First rib relationship
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• First rib • Subclavius• Superior first rib
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• Third rib/depressed
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• Second rib• Posterior
migration to the left limits right cervical rotation
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• First and second rib vertebral dysfunction
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• First rib/clavicle rotation and side-bending dysfunction
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• ScaleneElevated First Rib
• Relationship to Clavicle
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• OA/AA dysfunction
• Right sidebent• Second cervicle
nerve dysfunction• Forward flexion
with left rotation
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• OA/AA flexion = right rotation
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• C-5 flexion lesion = rotation in extension
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• OA/AA deviation = right flexion rotation
• Treat with left resistance
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• OA/AA dysfunction
• Flexion with left rotation
• Treat with extension and right rotation (eyes look up to right)
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• C-5 flexion lesion/facet locking left = right rotation
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• Pencil insertion causes pain in the neck (do not be deceived by smiling skeleton)
• C-5 extension/ lesion = rotation in flexion
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• Flexion produces left rotation dysfunction
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• Right cervical rotation --45 degrees
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• Left cervical rotation --45 degrees
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• Cervical rotation exceeding 45 degrees requires thorasicinvolvement
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• Axial loading with flexion lesions
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• Extension lesion left
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• Extension lesion left
• Treat with extension right rotation
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• Flexion lesion• Treat with
flexion to clear lesion
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• OA/AA dysfunction with longus coli
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• Longus coli release with extension
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• Facet lock right• Treat with
flexion and left or right rotation resistance
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• Pain with tap test indicates: fracturepossible tumor