Course curriculum

  • 1

    Introduction

    • Intro from Dr. E. Dubarry

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    • Visual representation of the techniques taught in this lower cervical course

    • How to master a chiropractic technique following this course

    • Classification of the chiropractic techniques among the more general hands-on approach.

    • Defining what is called a general or a specific chiropractic technique

    • Quiz: Check out what you learned.

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    • Description of the use of the Arc of Tension (AOT) in Spinal Manual Therapy (SMT)

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    • Description of the mechanical components involved in a spinal adjustment

    • Facet Based Adjusting

    • Importance of the facet's plane and the line of drive (vector thrust)

    • Memorising for instant practical use, the facet plane orientation in the lower cervical.

    • Observe how a pathology modifying the facet plane will force a modification of the vector drive

    • Anatomical similitude creates a similitude in the different adjustments

    • Defining on paper of what is a segmental extension or a segmental lateralization

    • What is a segmental extension during a technique setup?

    • Demonstration on a patient of segmental lateral flexion

    • Defining on paper what is segmental extension

    • Recommended sequential tensioning to be used for an audible release in the lower cervical

    • An example of sequential tensioning with the video of a very common cervical technique

    • Facet movement during the specific manipulation of the lower cervicals in flexion:

    • Respecting the facet plane change according to the vertebral level, in a sitting adjusting protocol.

    • quiz

    • How to detect the dysfunction between two vertebra (notion of joint barriers)

    • The similitude in the lower cervical technique set-up evidenced through a quick video

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    • amplitude of ROM on X motions

    • C2 automatic rotation

    • Adjusting with tension versus without tension

  • 2

    Supine Specific Adjusting technique

    • Using the Flash card associated with each technique presented

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    • Reading and understanding the name given to a technique

    • Sitting / 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝐶𝑒𝑓𝑎𝑐𝑎 / 𝐴𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟 𝑃 𝑃𝑎𝑟𝑖𝑒𝑡𝑎𝑙 / 𝐼𝑛𝑑𝑒𝑥 𝑡𝑢𝑓𝑓 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / Push / or Index tuff tip lower cervical

    • Supine Index tuff Specific

    • The vertebral level dictates how much the head is raised

    • Katachiro for the supine index tuff tip technnic

    • Facilitation with muscle fatigue

    • Supine / 𝑆𝑖𝑡𝑡𝑖𝑛𝑔 𝐶𝐸𝐹𝐴𝐶𝐴 30 / 𝐿𝑎𝑡𝑒𝑟𝑎𝑙 𝐴𝑃 𝑃𝑎𝑟𝑖𝑒𝑡𝑎𝑙 / 𝑃𝐼𝑃 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / Push / or Index Edge pip (technique A)

    • Supine proximal index edge (PIP) technique A: specific

    • Index Edge pip technique B : non specific

    • Modified index edge pip technique C: also called cervical break

    • Visual summary of the precedent three index edge techniques

    • Sitting / 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝐶𝑒𝑓𝑎𝑚𝑒𝑑 60 / 𝐴𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟 𝑃 𝑜𝑐𝑐𝑖𝑝𝑢𝑡 / 𝑇ℎ𝑢𝑚𝑏 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / 𝑃𝑢𝑠ℎ 𝐴𝑀𝑆 / or Supine thumb contact

    • Supine thumb contact

    • Kata of supine thumb contact

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    • Supine Thumb Contact at the C 4-5 level

    • Supine/ 𝑆𝑞𝑢𝑎𝑡𝑡𝑖𝑛𝑔 𝐶𝑒𝑓𝑎𝑐𝑎 30 / 𝐴𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟 𝑃 𝑜𝑐𝑐𝑖𝑝𝑢𝑡 / 𝐶𝑎𝑙𝑐𝑎𝑛𝑒𝑎𝑙 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / 𝑃𝑢𝑠ℎ 𝐴𝑀𝑆 / or Supine calcaneal break.

    • Facilitating the supine cervical adjustment by positioning the patient.

    • Supine calcaneal break

    • Kata of supine calcaneal break

    • C7 T1 supine_0

    • C5 supine adjustment

  • 3

    Seated Adjusting Technic.

    • Seated specific adjusting techniques

    • Sitting/ 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝑏𝑎𝑐𝑘 / 𝐴𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟 𝑃 ℎ𝑒𝑎𝑑 / 𝐷𝐼𝑃 / / 𝑃𝑢𝑠ℎ 𝐴𝑀𝑆 / also known as Gonstead seated

    • Gonstead seated index for lower Cervical

    • Gonstead seated Index contact

    • Katachiro for Gonstead Seated Index

    • Vector thrust orientation for a seated adjustment of the lower cervical

    • Sitting/ 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝑏𝑎𝑐𝑘 / 𝐴𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟 𝑃 ℎ𝑒𝑎𝑑 / 𝑇ℎ𝑢𝑚𝑏 / / 𝑃𝑢𝑠ℎ 𝐴𝑀𝑆 / or Seated using a thumb contact

    • Seated thumb contact

    • Supine/ 𝐹𝑒𝑛𝑡𝑒𝑟 𝑠𝑡𝑎𝑛𝑐𝑒 𝑓𝑟𝑜𝑛𝑡 𝑐𝑜𝑛𝑡𝑟𝑎𝑙 / 𝐴𝑟𝑡𝑖𝑐𝑢𝑙𝑎𝑟 𝑃 𝑜𝑐𝑐𝑖𝑝𝑢𝑡 / 𝐼𝑛𝑑𝑒𝑥 𝑡𝑖𝑝 / / 𝑃𝑢𝑙𝑙 𝐴𝑀𝑆/ or Seated front index pull

    • Seated front index pull

    • Seated front index pull

    • Katachiro for seated index pull

    • Sitting/ 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝑆𝑖𝑑𝑒 90 / 𝐴𝑛𝑡 𝑇𝑟𝑎𝑛𝑠𝑣 / 2𝑛𝑑 𝑖𝑛𝑑𝑒𝑥 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / 𝑃𝑢𝑠ℎ 𝑃𝐼𝑀 / Seated standing side 2nd index ant transverse glide

    • Facilitation for the seated adjustment

  • 4

    Prone Adjusting Technics.

    • Prone adjusting technique in the lower cervical

    • Prone with Web contact

    • Prone/ 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝐶𝑒𝐹𝑎𝐶𝑎 / 𝑃𝑜𝑠𝑡 𝐴𝑃 𝑂𝑐𝑐𝑖𝑝𝑢𝑡 / 𝑇ℎ𝑢𝑚𝑏 𝑖𝑛𝑑𝑒𝑥 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / 𝑃𝑢𝑠ℎ 𝐴𝑆𝑀 / or Prone web Contact

    • Katachiro Prone Web Contact

    • Effect of the thoracic pressure prone on the lower cervical

    • Prone head 90 / 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝐴𝑡 𝑆𝑖𝑑𝑒 / Thoracic / Thumb / / Push / or Prone resisted C7-T1 head 90 or prone thumb move

    • Prone thumb move

    • Prone thumb move

    • Prone/ 𝑆𝑡𝑎𝑛𝑑𝑖𝑛𝑔 𝐶𝑒𝐹𝑎𝐶𝑎 / 𝑇𝑃 𝑂𝑐𝑐𝑖𝑝𝑢𝑡 / 𝑃𝑖𝑠𝑐𝑖𝑓𝑜𝑟𝑚 𝐶𝑟𝑎𝑑𝑑𝑙𝑒 / / 𝑃𝑢𝑠ℎ 𝐴 / or Prone modified combination pisiform C7 T1

    • Differences between resisted and assisted technique in the cervical

    • Prone resisted technique for the C7

    • Preliminary note about the Spinal Listhesis

    • The use of the Knee Chest Position

    • knee-chest thumb contact

    • Table functionalities modifying the tension ( segmental table, drops, headpiece)

    • Prone thumb move using any "house" table

    • Prone thumb contact on a flexion distraction table

    • Prone cervical drop technique

    • Treatment for a painful cervical spine with a reversion of the cervical lordosis

    • Prone kick Drop technique for an anterior-spondylo-listhesis

    • Antero-spondylo-listhesis treatment using an ascending table drop

    • Home exercise for antero-spondylo-listhesis prone

    • Home exercise seated for anterior spondylolisthesis

    • Doctor seated mobilization for anterior spondylolisthesis of C4 over C5

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    • retrolisthesis C5-6