As I prepare for a class in a few weeks on Cervical Artery Dysfunction (rather than just VBI), I am delving further into the research behind using a pre-manipulative hold prior to OMT to the cervical spine.  I would like to get feedback from readers of this blog (and others, so share!) to get an attitudinal survey of clinicians.

For a recap, the pre-manipulative hold test (cervical rotation test) is performed passively by a clinician to full end-range rotation, either sitting or supine.  The clinician is then to hold the positive for 10-15 seconds, back to mid-line for 30 seconds (for latent effects) and then test the contralateral side.  The test is performed with care and clinician continuously assesses for signs and symptoms.

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It would also be beneficial to leave a quick reason behind your choice.  You can either do that in the survey section or down in comment section below.  Thanks!

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