Figure 2.

Manual therapy interventions. (a) C0-1 Traction Manipulation in the Resting Position. Patient was placed in supine with neck in a neutral position. The therapist gently cupped the patient’s chin with their hand while their arm was cradled around the head. The other hand placed the radial side of the index finger under the mastoid process and aligned the forearm in the line of drive pointing cranially. Then, the therapist applied a cranial thrust; (b) C2-3 Traction Manipulation in the Resting Position. The same handling procedure was performed, but the grip was relocated in C3 vertebrae; (c) C0-1 Dorsal Mobilization. Patient was positioned in supine, with neck in a neutral position. The therapist placed a hand dorsally at the level of the vertebral arch of C1 with the metacarpophalangeal and radial border of the index finger. The other hand was placed posteriorly under the occiput, with the shoulder positioned anteriorly on the patient’s forehead. The mobilization force was directed dorsally from the shoulder until the therapist felt a marked resistance, and then slightly more pressure was applied to perform a stretching mobilization.