Combined movements in the cervical spine (c2-7) their value in examination and technique choice

Treatment by passive movement has been shown to be a useful method when compared to other treatment procedures (Edwards 1969). It is however still empirical in nature. Part of the reason for this is because definite movement patterns related to pathology are still unclear. This can produce confusion when one is selecting a technique as very often there appears to be no relationship between the restricted movement the patient may exhibit and the technique chosen. It is suggested that detailed examination related to the combining of different movements will allow a more accurate choice of technique to be made. Under these circumstances the therapist should be able to predict the effect of a treatment technique. Progression of a treatment is also more logical as it depends on progressing the position of the joint to the position which is most painfull as the movement pattern improves, rather than increasing the vigour of the technique.