The goal of spine mobilization treatment is the same as HVLA spinal manipulation which is to restore or to enhance joint function. However, unlike HVLA spinal manipulation, slow movement, usually to a firm endpoint of joint movement, is used to mobilize the joint. There is a wide range of spinal mobilization approaches and techniques. Limitations in thoracic mobilization may be due to restrictions in contractile or non-contractile tissues. Joint mobilizations are indicated when hypo mobility of a joint (non-contractile tissue) is identified. The ability for a patient to perform self-mobilizations of the thoracic spine and ribs may help maximize intervention outcomes. The purpose of this article is to describe a low cost, portable device which can be used for thoracic spine self-mobilization techniques. The main function of the cervical spine mobilization is to support the weight of the head. The seven cervical vertebrae are numbered C1 to C7. The cervical region has the greatest range of motion because of two specialized vertebrae that connect to the skull. The first vertebra (C1) is the ring-shaped atlas that connects directly to the skull. The second vertebra (C2) is the peg-shaped axis, which has a special projection called the odontoid process that the atlas pivots around. Joint mobilizations are indicated when an impairment in joint mobility or a limitation in accessory joint motion is pathologic. Individuals with a history of back pain or referred pain that is suspected to be caused by a hypomobile joint in the thoracic region may benefit from these techniques. The ability of patients to perform a self-mobilization in the thoracic region may help maximize clinical rehabilitative outcomes that are done by the orthopaedic surgeons.
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