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

• Right rotation

• 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