Cervicothoracic (CT) Manipulations in Prone Position. 1. PA Thrust Manipulation at C7–T1 (Prone Position) Patient Position: Prone on a firm surface Arms resting comfortably by the side or overhead Head in neutral or supported Therapist Hand Placement: Stand at the side of the patient Place pisiform contact (hypothenar eminence) of the mobilizing hand over the spinous process of T1 or just lateral to it (over the transverse process or facet joint) Reinforce this hand with the other hand (either s
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