This topic contains 8 replies, has 2 voices, and was last updated by 
Cody Scharf, DC October 3, 2017 at 11:12 am.
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AnonymousHey team!
I have a few questions. The first is about table height during the cervical protocols, specifically the UCF moves. The other day when I was working it occurred to me that my forearm was extended down at an angle to reach the patient’s head and that it was messing with my line of drive during the tissue pull and maintaining tension. Has it been discussed here already, or is any one else giving consideration to the proper height of the table while treating those structures? I then raised my table so that it was closer to the height of my elbow while treating so that my tissue pull could be in more of a horizontal plane verses an upward angle. Has anyone else played with this? I seem to be getting better results from a more comfortable (less of a forward lean) position.
Second question. Are people running all the cervical flexion exams each visit? I ask because after the initial exam, I feel that a lot of emphasis is placed on the UCF exam, and once that has cleared out, I am getting the impression from patients that they are excited to be done. I can tell that when we start moving onto the next test, (which they have forgotten about by now) they will be wondering why they are not done. Any thoughts on this?
Thanks!
Eric Lambert, DC
I’ve been playing with table and stool height to help not only line of drive, but my body posture as well. I’ve notices a difference with better tension when I adjust for patient and my height. Just bought two new Lifetimer tables this week, can’t wait to be in better positions all the time.
William Brady, DC
Yes, line up your table/stool heights so your contact hand forearm is approx. parallel to the floor. You do want your tension produced from pulling your elbow with the rectus minor and major MAR.
Perform all 4 cervical tests on the initial exam- use the PDF form provided. Then for the next several visits focus on the priority test. When that plateaus or passes test all 4 tests again- filling in the reexam section of the PDF form. Repeat until you are all the way through the tests.
This flow keeps the patient aware that “There are 4 motions necessary for a healthy neck. We will begin with XYZ and progress through all of them.”
AnonymousGot it
AnonymousAwesome, thanks Bill and Eric!
Cody Scharf, DC
Am I reading this correctly? We now prioritize the cervical test instead of going through the standard UCF->CF->CTF etc?
Danielle Hommer, DC
Good catch Cody, I glossed over that initially. I sure hope not otherwise I have a major overall in store for myself.
William Brady, DC
There are no changes to the cervical test/treatment flow. For cervical spine the priority test is the first one on the list (in order) that is restricted. Which means 99% of the time we are starting with UCF for treatment. The 1% has a negative UCF test so we start with the next positive test on the list.
Cody Scharf, DC
(phew)
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