3 COMMON MISTAKES | Cervical Manipulation

Рет қаралды 33,603

4 жыл бұрын

In this video, I discuss the 3 most common mistakes I see with cervical manipulations:
1. Wrong Body Angle
2. Losing the Lock
3. Low Velocity
Stay tuned to the end for the cavitation.
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ABOUT DR. JARED COOPER, PT:
Dr. Cooper is the founder of MOMENT Physical Therapy and the creator of PHYSIOSecrets. With over 20 years of experience in the health and wellness field, Dr. Cooper is a continuing education provider for rehab professionals nationwide. His work has been featured on ABC News, in The Wall Street Journal, The NY Sun, and The Chicago Tribune. He is a clinical instructor for the Manual Therapy Osteopathic Fellowship at Morristown Hospital, and for the doctoral programs at Seton Hall and Rutgers University. 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. ALWAYS CONSULT WITH YOUR DOCTOR BEFORE ATTEMPTING TO SELF-TREAT ANY DISEASE OR CONDITION. DO NOT ATTEMPT ANY OF THESE TECHNIQUES IF YOU ARE NOT LICENSED OR QUALIFIED TO DO SO. FULL DISCLAIMER HERE: bit.ly/physiosecrets_disclaimer

Пікірлер: 64

@pieroelmotero 4 жыл бұрын

Very nice video! Very well explained, congratulations. I wanted to ask you if the trust in this case is carried out with a push movement on the facet joint or with a rotation movement towards the opposite side. Many thanks for your time and video. Greetings from Spain

@bodyworkdojo 4 жыл бұрын

Pier Carlo Agostinelli thank u for the question!! Glad u like the video. The dominant hand is pushing, the non-dominant hand is pulling into rotation. The combined force produces a down glide on the treated side to maintain facet apposition, and a gapping on the opposite side that we believe generates the negative internal pressure that actually causes the cavitation.

@pieroelmotero 4 жыл бұрын

@@bodyworkdojo Many thanks for your explanations. Cervical manipulations are very complex techniques and require a lot of precision and good biomechanics by the therapist. I have attended many courses but I must say that in a few minutes you have solved many of my doubts. You now have a new subscriber for your channel :)

@anthonypaganin5500 3 жыл бұрын

@@bodyworkdojo is the rotation potentially dangerous for the vertebral artery??? many thanks

@bodyworkdojo 3 жыл бұрын

@@anthonypaganin5500 thanks for the questions. Any time you twist the cervical spine, whether you are mobilizing, stretching or manipulating there is going to be some stress on the artery. The key is to never perform your manip at end range and do not overthrust. Always use combined motion to lock the facets. You cannot avoid artery stress, but you can minimize it greatly with good technique.

@anthonypaganin5500 3 жыл бұрын

@@bodyworkdojo thank you very clear and helpful!!!! cheers from Italy

@anthonypaganin5500 3 жыл бұрын

amazing great video.. really helpful

@bodyworkdojo 3 жыл бұрын

Thank you. Glad it was helpful for u 👍

@KitBryan 2 жыл бұрын

By far the clearest video I’ve seen across KZfaq. Indeed the mistakes i made earlier. Million thanks!

@bodyworkdojo 2 жыл бұрын

Thank u for the support. Glad the video was able to help!!

@BriNJ1983 3 ай бұрын

Wow! You got a new follower for sure!

@bodyworkdojo 3 ай бұрын

Awesome, thank you!

@dionstokes1 8 ай бұрын

Very informational

@bodyworkdojo 8 ай бұрын

Glad it was helpful!

@Eternallifewithgod 2 жыл бұрын

The best video for manipulation! Lumbar manipulation as well please!

@DrSinghneurotherapy 10 ай бұрын

Nice Guidance for cervical manipulation

@bodyworkdojo 9 ай бұрын

Thank you sir

@joeatallah338 4 жыл бұрын

Perfect

@carljessup5368 4 жыл бұрын

Great video. Can you do the same for lumbar spine?

@bodyworkdojo 4 жыл бұрын

Absolutely. I have a lumbar manip instructional video on my Instagram @physiosecrets. But I’ll do a longer one here.

@DaddyRobLIVE 5 ай бұрын

Well explained. I was able to crack my wife's neck and she was able to crack mine. This is the most informative video I've watched about neck adjustment

@bodyworkdojo 4 ай бұрын

glad to hear it was helpful for you!

@NightwishArena Жыл бұрын

Great video. Do you think that having too much upper cervical rotation could have been the reason, when some patients have been paralyzed or died after neck adjustment? And I see a lot of comments asking more videos like this, but I guess you haven't been able to do those yet?

@bodyworkdojo Жыл бұрын

Thank you. Yes, I have been teaching a lot but haven't had time to make videos, but I hope to start again soon. As far as I know, there aren't any verified incidences of paralyzation after cervical manipulation. Dissecting the carotid artery is the primary concern. However, the manipulation does not likely dissect the artery, but rather the individual is already having dissection which is causing their neck pain, gets a manipulation, and then is found to have this underlying problem. If deaths have occurred it is likely for this reason.

@anthonypaganin5500 3 жыл бұрын

can you make a video on how to test C01/C1/C2?? thanks

@bodyworkdojo 3 жыл бұрын

Great request. Will do

@tszchuncheung 10 ай бұрын

Thanks for the video! It's one of the fewer comprehensive videos about manipulation on KZfaq, helped a lot. Quick question, as you mentioned the dominant hand performs a Downglide and non-dominant hand performs an upglide, is the motion of force basically facing each other? E.g if treating the right side you downglide towards their left shoulder with one hand, and then upglide up towards their right eye with other hand. And so the main thrusting action is still just a downglide rather than a little twist from locking position?

@bodyworkdojo 10 ай бұрын

Thanks for the awesome comment. Basically, yes. The downglide hand creates most of the lock. The other hand provides the rotation. But most of the thrust is into the downglide so as to avoid wrenching the neck into excessive rotation. If done wrong the patient will feel jamming on that side, so the rotation must be included to allow dissipation of force. That said, it is a combined motion using both hands (bimanual).

@user-si6hs6hn1i 7 ай бұрын

I want to learn

@RyleyRehab 4 жыл бұрын

I totally agree with you with what you said about the cavitation mattering. Do you happen to know what this so-called literature is out there cuz I hear clinicians bring this up all the time but I bet 99% of them couldnt even give me the article on it

@bodyworkdojo 4 жыл бұрын

RyleyRehab I’m sure I have the article somewhere in my files but not off hand : ) yeah, I think literature is important but it’s not gospel.

@DrSinghneurotherapy 10 ай бұрын

Can you make a video for Frozen shoulder and sciatic pain

@bodyworkdojo 10 ай бұрын

Thanks for the request! I'll add it to the list.

@mrhmd8308 2 ай бұрын

What about using a pulley harness to support/hold his head for a therapist with small hands or small frame?

@bodyworkdojo 2 ай бұрын

Has not been necessary in my experience

@billwaterson9492 7 ай бұрын

Thats a spicy mezmer!

@bodyworkdojo 7 ай бұрын

Thank you brother

@StrongNoah Жыл бұрын

Hey Mr. Cooper, My Chiropractor says doing a neck adjustment while sitting would really hurt so he doesn’t ever do that. I would think it might feel good if I had a bad headache. Would it really hurt? And btw I happen to crack my fingers all the time. Is this going to weaken my hand grip? Thanks..

@bodyworkdojo Жыл бұрын

I take it you mean you’re sitting not the chiropractor. Sitting adjustments are similar to supine. The primary difference is the weight of the head is resting on the neck so some people experience more discomfort. But it depends on the manipulation being performed. And no, cracking your knuckles will not weaken your grip, however, compulsively cracking a joint can stretch the ligaments, which has the potential to make the joint less stable.

@AnimalAce Жыл бұрын

It also depends if the chiro is trained in that area. Some of my pts can't relax so doing sitting adjustments really helps!

@bodyworkdojo 4 жыл бұрын

Feel free to ask a question or leave a comment!!

@efficientguitar Ай бұрын

you ara a great teacher, , new sub here! I feel more comfortable manipulating people with short necks, but actually my girfriend is skinny and has a long neck, do you have a particular technique for long necks? any pointers will be helpful. She´s become more untrusty due to losing the lock and not getting the adjustment, plus she gets tense and while i think i got the lock, I didn´t have it in the first place. So it´s a vicious circle. (I might go to the zoo and practice with a giraffe first, jk)

@paulragusa8538 3 жыл бұрын

Hey Physiosecrets! Thanks for the video. I had a quick question though regarding the word “adjust”. Are people offended by this term? Why the dance around it? Thanks for your time!

@bodyworkdojo 3 жыл бұрын

Hey Paul. Physios generally dislike the term "adjustment" because physios generally don't believe in the subluxation theory. I, on the other hand, this it's a gentle term that resonates with patients. Sounds better than "manipulation."

@paulragusa8538 3 жыл бұрын

@@bodyworkdojo thanks so much for the response! I also don’t like the word subluxation, nor believe in the subluxation theory. There’s actually a very large number of Chiro’s who also believe the same as me. Look up evidence based Chiro’s if you’d like to learn more about them. But I had no idea this term adjustment was so ....offensive. I never associated it with subluxation theory. I feel like a renegade saying it now hahaha (just kidding).

@bodyworkdojo 3 жыл бұрын

@@paulragusa8538 LoL You're my kind of chiro. Feel free to reach out any time.

@francosecchi9288 Жыл бұрын

How would you adapt this setup if the patient has a neck spasm and can not move their neck?

@bodyworkdojo Жыл бұрын

Thanks for asking. It helps to address the spasm first with soft tissue work, heat, and whatever else you can before attempting the HVLA. Sometimes the HVLA knocks out the spasm. Manipulate in the less painful direction. Build the barrier slowly and take your time. It may take a few minutes to set up a good manip when spasm is present. Hope that helps.

@mrhmd8308 2 ай бұрын

How does a chiropractor differ from an Osteopathic doctor?

@karolborkowski8231 2 ай бұрын

Osteo is much more holistic. Manipulations are one of the many techniques we use (mostly by structural therapist).

@omercan5996 3 жыл бұрын

In literature says if there is myelopathy, you should stop but i learned from courses for manuplation techniques and instructure said if there's myelopathy sign, then you should examine the patients neck, bend forward + rotation, pain icreases = disc hernia ; Bend Backward + Rotation, pain icreases = Stenosis (spondylosis, thick lig.flavum, facet cysct etc.) and he said basically you can perform manipulation away from the pain source if there is no low muscle weaknes lower than 3/5 in examination, what do you think about it ? according to literature there are cases of incidence between myelopathy and manuplation series

@bodyworkdojo 3 жыл бұрын

Thank for the question Omer. Appreciate you watching the video. If there are signs of myelopathy I would consider that a strict contraindication to manipulation and most other mobilization of the neck. Myelopathy is typically a surgical situation and if not dealt with properly can result in paralysis.

@askkrishna 2 жыл бұрын

@@bodyworkdojo Absolutely. Unfortunately, some practitioners don't take that serious and go ahead with Manipulation. It is simple, Myelopathy is a Strict Contraindication. You did a great job in common mistakes vid.!!

@bodyworkdojo 2 жыл бұрын

@@askkrishna thank u!

@JoePAcalaughs Жыл бұрын

By "downglide" and "upglide" do you mean translation? Not sure what you're referring to there.. thanks!

@bodyworkdojo Жыл бұрын

An upglide is a pull technique that glides the superior facet superiorly, and a downglide is a push technique that glides the superior facet inferiorly. Up and down glides both induce segmental rotation. Translation would theoretically be induced by lateral glide or a PA. 👍

@g.a.mendoza1064 11 ай бұрын

It’s the Gate Control Theory in action.

@bodyworkdojo 10 ай бұрын

Among other things

@mrhmd8308 2 ай бұрын

So that down glide & up glide looks like you’re rotating his head but in actuality you’re not?

@bodyworkdojo 2 ай бұрын

Downglides and upglides induce rotation naturally

@mrhmd8308 2 ай бұрын

So an arthrokinematic motion of downglide + upglide produces an orthokinematic motion of head rotation? Great videos/ instruction. Thanks

@bodyworkdojo 2 ай бұрын

Up/downglides induce rotation and osteokinematic rotation produces up on one side and down on the other. They occur together.

@mrs.happydog584 7 ай бұрын

Your not a chiro & don’t adjust everybody’s neck. Ahem.. not all chiropractors adjust everyone the same. Motion palpation is extraordinarily specific & thrust is special & direct. Myofascial Trigger Point Therapy is essential Study Janet Travell MD. Warren Hammer soft tissue manipulation & Leonard Faye DC - Father of motion palpation- a rational, effective approach.