Cervical Muscle EnergyTony Marek, M.S., A.T., C.
• First rib relationship
• First rib • Subclavius• Superior first rib
• Third rib/depressed
• Second rib• Posterior
migration to the left limits right cervical rotation
• First and second rib vertebral dysfunction
• First rib/clavicle rotation and side-bending dysfunction
• ScaleneElevated First Rib
• Relationship to Clavicle
• OA/AA dysfunction
• Right sidebent• Second cervicle
nerve dysfunction• Forward flexion
with left rotation
• OA/AA flexion = right rotation
• C-5 flexion lesion = rotation in extension
• OA/AA deviation = right flexion rotation
• Treat with left resistance
• OA/AA dysfunction
• Flexion with left rotation
• Treat with extension and right rotation (eyes look up to right)
• C-5 flexion lesion/facet locking left = right rotation
• Pencil insertion causes pain in the neck (do not be deceived by smiling skeleton)
• C-5 extension/ lesion = rotation in flexion
• Flexion produces left rotation dysfunction
• Right cervical rotation --45 degrees
• Left cervical rotation --45 degrees
• Cervical rotation exceeding 45 degrees requires thorasicinvolvement
• Axial loading with flexion lesions
• Extension lesion left
• Extension lesion left
• Treat with extension right rotation
• Flexion lesion• Treat with
flexion to clear lesion
• OA/AA dysfunction with longus coli
• Longus coli release with extension
• Facet lock right• Treat with
flexion and left or right rotation resistance
• Pain with tap test indicates: fracturepossible tumor