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hi my name is John Gibbons and today were going to look at manipulation as in a high velocity frust which is an osteopathic or chiropractic technique for the c1 on a c2 which is known as the a a joint when we come to assess it then typically we can actually rotate to see how far we can rotate left and right a new neck is a bit stiff but it doesnt really test the a a joint it will just test rotation of a cervical spine so if we were able to flex the patients relaxed flex the patient when I say flex I probably would tear flex about 30 degrees and then slowly start to rotate if we cant rotate very far left and right and you can see theres a blocking then potentially but you see one on the c2 so you think about this atlas and it sits on the axis and then its the pivot joint here and then its considered but when you rotate by neck you have 80 degrees of motion and 50% of the motion I 40 degrees will come from c1 rotating on c2 if you happen to learn the technique then the way I do I
