Clinical Research Directory

Patient Position: * The Patient lies supine on the treatment table. * Head in neutral or slightly flexed position (according to comfort and symptoms). * Arms rest by the sides. Therapist Position: * Therapist stands at the head end of table, therapist places the middle finger on the concerned cervical segment. * To maintain joint contact and control movement at the level. Belt Placement: * The Mulligan belt is positioned at an angle to apply gentle traction targeting the lower cervical spine (C5-C7) (16) * Make sure there is no pressure on the throat or jaw. Application of Traction: * While maintaining contact at the target segment, therapist leans backward, to apply gentle sustained and controlled traction (distraction force) along the line of the cervical spine. * This help to open up the intervertebral foramen, reduce nerve compression and restore normal joint mechanics. (17) Duration: • Traction is applied for 10-30 seconds per repetition, repeated 3-5 times per session base

Sit upright in a chair with back support. • Keep your spine straight and head in a neutral position. Hand Placement: * One fist is placed at the upper chest\\sternum, acting as a fulcrum. * A towel is used between the fist and chest for comfort and positioning.(18) * The opposite hand is placed around the back of head (occiput). Traction Technique: * The head is pulled forward and down, guiding cervical flexion over the fist. * Maintain for 10-15 seconds, repeat 5-10 times, depending on comfort.