🔹 1. Joint mobilization techniques

Cervical spine

• Physiological mobilizations in supine position: flexion/extension/side-bending/rotation

• Accessory mobilizations in prone position: central PA and unilateral PA

• Accessory mobilization in a seated position: myotensive technique on pre-manipulative placement

Thoracic spine

• Physiological mobilizations in a sitting position (upper and middle thoracic spine): F/E/S/R

• Accessory mobilizations in prone position:

  • Middle thoracic spine: central and unilateral AP

  • Upper thoracic spine and cervicothoracic hinge: central and unilateral P.A.

Symptomatic modulation

• Unilateral middle thoracic PA:
  Appropriate grade P.A. → recoil → unilateral dog technique

• Central middle thoracic PA:
  Appropriate grade P.A. → prayer technique

• C-T hinge:
  Appropriate grade P.A. → central or unilateral lift

Ribs

• Anteromedial rib head PA

• P.A. posterolateral rib head

• Mobilization with movement (MWM):

  • Anteromedial rib head

  • Posterior-lateral rib head

• First rib:
  Longitudinal caudal – PA – AP

Lumbar spine

• Physiological mobilizations in lateral decubitus: F/E/S/R

• Accessory mobilizations in prone position: Central and unilateral P.A.

• Mobilization in lumbar position:
  Global approach → segmental work → myotensive phase → acceleration in inclination

Sacroiliac

• Iliac in anterior rotation:
  EIPS PA – EIPS PA + counter-grip on sacral point – Sacral point PA

• Posterior rotation of the iliac:
  P.A sacral base – modified Chicago technique

Hip

• Hip lemniscate

• P.A hip

• Anterior-posterior hip

• Hip traction

• Transverse to lateral sliding

🔹 2. Musculo-fascial tension lifts

Cervical-thoracic region

Upper trapezius – SCOM – Anterior and middle scalene muscles – Splenius – Semi-spinal head/neck – Scapula elevator – Pectoralis minor – Subclavian – Posterior superior serratus – Anterior serratus

Lumbopelvic region

Psoas – Rectus femoris – Quadratus lumborum – Latissimus dorsi – Gluteus maximus – Piriformis – Hamstrings – Serratus posterior inferior minor – Abdominals

🔹 3. Trigger points

Cervical-thoracic region

Upper trapezius – Supraspinatus – Levator scapulae – Splenius – Temporalis – Masseter – SCOM – Anterior and middle scalene muscles