Spinal BiomechanicalTherapeutic Maneuvers®

Cervical Spine 1

1. Stand straight
2. Slowly tip your head to the right
3. Right ear to right shoulder, don't lift shoulder
4. Hold position for count of 12
5. Release back to center
6. Repeat to left side
7. Repeat step 1

Cervical Spine 2

• Stand straight
• Slowly tip your head to the right
• Right ear to right shoulder, don't lift shoulder
• Rotate your chin toward right shoulder
• Hold position for count of 12
• Repeat to left side
• Repeat

Cervical Spine 3

• Stand straight
• Push chin outward away from neck
• Flex neck forward toward chest
• Hold position for count of 12
• Release to neutral
• Repeat

Cervical Spine 4

1. Stand straight
2. Slowly push chin toward neck
3. Flex neck forward toward chest
4. Hold position for count of 12
5. Release to neutral
6. Repeat

Thoracic Spine 1

1. Stand straight
2. Slowly tip your upper back to right side keeping head 90 degrees to shoulders
3. Maintain right arm next to right side
4. Hold position for count of 12
5. Release to back to center
6. Repeat three times per side

Thoracic Spine 2

1. Stand straight
2. Maintain left arm next to left side
3. Extend right arm straight forward
4. Maintain left shoulder position in space
5. Stretch forward as far as possible
6. Hold position for count of 12
7. Repeat to opposite side
8. Repeat three times per side

Thoracic Spine 3

1. Move hands above head
2. Keep upper arms parallel to floor
3. Extend fingers upward
4. Pull shoulders and wing bones (scapula) slowly backward
5. Hold position for count of 12
6. Repeat three times

1. Stand straight
2. Maintain arm position to side
3. Raise shoulders upward
4. Hold position for count of 12
5. Relax
6. Lower shoulders downward
7. Hold position for count of 12
8. Relax
9. Repeat three times

Lumbar Spine 1

1. Stand straight
2. Arms to the front
3. Feet shoulder width apart, 6" from wall or door
4. Head, Back, Buttocks against wall or door
5. Test lumar spine space with hand
6. Rotate hip backward and down
7. Hold position for count of 12
8. Relax
9. Repeat three times

Lumbar Spine 2

1. Stand straight
2. Bend lower back to right side
3. Maintain arm to right side of body
4. Don't bend hips
5. Hold position for count of 12
6. Release back to center
7. Repeat to left side
8. Repeat three times

Lumbar Spine 3

1. Stand straight
2. Bend forward at waist-knees straight
3. Reach hands toward toes
4. Don't bounce
5. Hold position for count of 12
6. Repeat three times

Wrist and Hand 1

1. Bend one wrist into flexion, use the other hand
2. Hold position at end range of motion for count of 12
3. Repeat step 1 with extension
4. Separate fingers as far as possible
5. Close fingers to each other, squeeze
6. Repeat three times

Wrist and Hand 2

1. Use right hand to pull fingers for traction
2. Use one finger at a time
3. Hold position for count of 12
4. Do each finger
5. Switch hands
6. Repeat three times

Wrist and Hand 3

1. Use left hand and right
2. Pull on right fingers with a smooth steady traction motion
3. Hold position for count of 12
4. Switch hands
5. Repeat three times

 Shoulder

1. Stand straight
2. Hands down to sides
3. Rotate arm outward
4. Hold position for count of 12
5. Repeat three times each arm