Therapy Cervical Thoracic Transition Sitting ABCD

Have the person sit relaxed and upright. Palpate the vertebral prominence of C7 by first flexing and then extending the head maximally. The vertebral prominence remains palpable, and the spinous process of C6 will shift ventrally when extending. C7 biomechanically forms a unity with the clavicles.

The therapist encompasses this movement unit with both hands, placing the thumbs next to C7 and the fingers on the clavicles. The therapist's body approaches the person's occiput. The person's head should maintain contact with the therapist's body and follow it in all movements. The head is slightly moved ventrally, along with a rotation to the left by the therapist's body. Simultaneously, the hands move the biomechanical unit C7-clavicles in the same direction: flexion, rotation to the left, and lateral flexion to the right, corresponding to the A typology. Attention is paid to the shift dorsally and to the left.
When initiating the movement, the person is asked to use their eyes and rotate them in the desired direction, in this case, to the left.

As the therapist's body moves backward, and the person maintains contact with the occiput, an extension is performed in the high cervical part of the cervical spine. A rotation to the right of the head occurs when the therapist moves the body slightly to the left. Also now, the therapist must simultaneously perform a rotation to the right with the hands and a shift ventrally and to the left.

A shift ventrally initiates an extension in the cervicothoracic transition, resulting in a conjunct lateral flexion to the right. This corresponds to a B typology. The person must also look in the same direction as the rotation with their eyes. The shift must be executed in such a way that the balance of the head on the trunk is not disturbed.