8 Cervical and cervicothoracic spine
Cervical Spine Holds And Grips
The hold or wrist position selected for any particular technique is that which enables the operator to effectively localize forces to a specific segment of the spine and deliver a high-velocity low-amplitude (HVLA) thrust in a controlled manner. Patient comfort must be a major consideration in selecting the most appropriate hold.
Chin hold
• Operator’s left forearm must be over, or slightly in front of, the patient’s left ear (Fig. 8.1).
• Operator’s fingers lightly clasp the patient’s chin (Fig. 8.2).
• Operator’s chest should be in contact with the vertex of the patient’s head.
• Operator’s right hand applies applicator to contact point.
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