Top 5 Fridays! 5 Variations on Cervical Retractions
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The cervical retraction exercise is a classic and works very well for cervical pain, cervicogenic HA, and general upper quarter complaints. Yes, posture does not directly predict or relate to pain any more than knee flexion causes knee pain. However, common prolonged or repeated activities often cause predictable triggers that should be avoided and novel movements in the opposite direction often desensitize the area and reset the symptoms.
Here are 5 variations on the cervical retraction to make it as comfortable and effective as possible. Remember, it's the dosage of the home program that really promotes recovery between patient visits, not what you treat the patient with in the clinic.
5 Variations on Cervical Retractions
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How do you explain to patients what the cracking/popping sound is when you manipulate them? How about when they stretch or move on their own and get their own audible cracks? You can find anything on youtube, while looking for recent articles on Cavitation, I found a great youtube video showing a the cavitation in real-time. I normally describe the cavitation as a negative pressure within the fluid filled joint capsule. The negative pressure forms a gas bubble, which is normally diffused into the synovial fluid, then pops from the movement or distraction of the two surfaces coming apart. I usually use my two hands clapsed together and pull them apart to create a suction effect. I may now just show them this video instead! Key Points cavitation is normal you can only get it with movement it doesn't put anything back into place the decrease in tone/tension and increase in mobility should be reinforced continuously until it's the new normal patient's don't n...
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