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Advanced Techniques for Spinal Manipulation in Right Lamina Contact

This guide outlines the proper positioning and technique for performing spinal manipulation in the right lamina contact (RLC) on a patient. Begin with the patient resting on their left side, ensuring the right side is up. The stance line aligns with the inferior segment's zygapophyseal slope. Approach the patient with shoulders level to the slope, keeping the right ulna parallel to it. Apply anterior-superior contact on the zygapophysis, utilizing an A-P, S-I tissue pull with clockwise pre-torque and 90° toggle torque for optimal cervical motion facilitation.

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Advanced Techniques for Spinal Manipulation in Right Lamina Contact

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  1. ARS - RLC

  2. Patient rests on their left side, right side up. Stance line is set by the zygapophyseal slope of the inferior segment. Stand in front of the patient with shoulders parallel to the slope. Right Ulna parallel to the slope. Contact the anterior-superior zygapophysis. Tissue Pull is A-P, S-I with Clockwise pre-torque. Use 90o toggle torque.

  3. Lower Cervical Motion Superior Segment moves on the inferior segment

  4. Axis ARS - RLC Slope Angle – Side? Right

  5. ARS – RLC (Right Lamina Contact) 45o

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