Supine Cervical Set Lecture

Overview

• Focus: Simple listing for PRS, PRI, PR-L setups
• Various hand positions and stabilization techniques
• Importance of correct line of drive, stabilization, and body position

PRS Setup

• Dual Contact: Right LPJ (lamina-pedicle junction) and right spinous
• Steps:
  • Curl finger for dual contact on right side
  • Tissue pull out and hook right LPJ and spinous process
  • Right index finger on right inferior spinous, backing up right LPJ
  • Thumb towards corner of patient’s mouth for correct line of drive
  • Stabilization hand supports segment above
  • Forearm on corner of patient's forehead for stabilization
  • Low squat: Feed in P to A (posterior to anterior), I to S (inferior to superior), chin pops up
  • Laterally flex towards you for correct vector
  • Line of drive: P to A, I to S, right to left, no torque

PRI or PR-L Setup (C6)

• Contact: Left LPJ
• Steps:
  • Left lateral index finger, P to A, I to S, left to right, no torque
  • Tissue pull, hook onto left LPJ
  • Thumb points towards corner of the mouth
  • Stabilize at C5, forearm on patient's forehead
  • Low squat: Feed in P to A, I to S, chin pops up
  • Laterally flex into tension
  • Line of drive: P to A, I to S, left to right, no torque

PLI Setup (Right particular pillar)

• Steps:
  • Tissue pull from spinous out to LPJ
  • Hook right LPJ, thumb towards corner of the mouth
  • Stabilize neck, forearm against forehead
  • Line of drive: P to A, I to S, right to left
  • Thrust straight through

Diversified Seated Cervical Set (Lower Cervical, C5)

• Setup: PRI or PR-L, contacting left LPJ
• Steps:
  • On right side of the body to contact left side
  • Patient sits on edge of the table
  • Flex and extend to find segment
  • Tissue pull from spinous out, index finger on LPJ
  • Stabilization hand at segment above, fingers pointed towards ceiling
  • Fingertips on temporal bone for lateral flexion
  • Line of drive: P to A, I to S, leaning up for I to S line of drive
  • Avoid rotating or shearing the patient's neck

Summary

• Ensure proper stabilization and line of drive
• Maintain correct body mechanics and patient positioning
• Importance of hand placement and movement coordination

Note: Pay attention to fine details like thumb orientation, forearm positioning, and patient comfort. Proper technique is crucial for effective adjustments.