Transcript for:
Supine Cervical Set Lecture

All right, this supine cervical set, we're going to set up for a simple listing. So this is going to be for a PRS. Remember, we're going to have a dual contact where I'm going to hook the right LPJ as well as the right spinus. So I'm going to curl my finger and have a dual contact on the right side here. So can I slide in, find the segment that I want to do. I'm going to tissue pull out and hook the right LPJ in the spinus process with my right hand. So it's my right index finger on the right inferior spinous backing up the right LPJ. Remember, you're going to put your thumb towards the corner of your patient's mouth to help us get the correct line of drive. My stabilization hand is going to be low supporting the segment above. Remember, I want you to get your forearm. where my tattoo is on the corner of that forehead so we have a good stabilization. You're going to get in a low, really good squat. I'm going to feed in P to A, I to S to notice that his chin pops up. Then I'm going to laterally flex him to me to get in my correct vector. Here, and my forearm is low, I am I to S, and I'm right to left, and I'm coming up that facet angle. So P to A, I to S, right to left, no torque. So we're going to set up another supine cervical set. I'm going to stay on C6. We're going to do a PRI or a PR-L. We're on the left lamina pedicle junction using our left lateral index finger, P to A, I to S, left to right, no torque. So we're going to find your segment. I'm going to tissue pull, hook onto that left LPJ. My thumb will point towards the corner of the mouth to help me learn to drive. I'm going to stabilize at C5. Hook in that my forearm is compressing the part of Dr. Bradford's forehead. That's going to help me with my lateral flexion. I'm getting a low squat. I'm going to feed in P to A, I to S so that the chin pops up. I'm going to move my body and then loudly flex him into tension here. Then I'm P to A, I to S, left to right, no torque. Okay, we're going to set up a supine cervical set, PLI, sitting up on the right particular pillar. I'm going to flex and extend my. I'm in a tissue pull from the spinous out of the LPJ. I got a good hook of his right. My thumb is going to go towards the corner of the patient's mouth. I'm going to stabilize, hold his neck, use my forearm against the forehead to laterally flex. And then my line of drive is P to A, I to S, right to left, and the thrust comes straight through. I set up a diversified seated cervical set on a lower cervical segment, so I'm going to choose C5. I'm going to set up a PRI or a PR-L where I'm going to be contacting Dr. Bradford's left lamina pedicle junction there. So this is another move that we're kind of standing on the opposite side of the table. So in order for me to contact his left side, I'm on his right side of the body. I set my patient on the edge of the table here to allow me to be able to move around and help achieve my line of drive. Remember, for a PRI, we're P to A, I to S. So I need to make sure we exaggerate that you're pulling up I to S with your line of drive. So let's see how we do this. We flex and extend to find the segment. Okay, I'm going to tissue pull from the spinous out that this part of my index finger is on the LPJ. You just want to be careful that fingers and thumbs aren't jabbing in the patient's ear, so it all just rests kind of there. The next really important thing all becomes with this stabilization hand. You always want to make sure when we stabilize we're at a segment above that we're adjusting, we're not high up on the patient's head. The other thing is make sure your fingers are pointed up towards the ceiling and not in this direction. If our fingers are pointed like that, we're going to Chuck Norris our patient or just rotate and shear it. So we're going to point our fingers straight up towards the ceiling. I'm going to stabilize the segment above. My fingertips stay on the patient's temporal bone to help me with my lateral flexion. I'm going to now laterally flex as I'm pulling P to A, I to S, and I'm leaning up to show this I to S line of drive. So this is a PR-L or a PRI seated cervical set. So, I'm setting up a seated cervical. This would be a PRI setting up on the left facet. Notice that I got to bring my forearm up to get the P to A, I to S. My stable is H and U. My fingers are pointing up towards the ceiling. I'm cupping around the ear. Thank you, Carol. Thank you, everyone. Thank you, everyone. Thank you, everyone.