What do you want to stretch today?  

Please choose the appropriate Spinal Biomechanical Therapeutic Maneuver®:

• Cervical Spine
• Thoracic Spine
• Lumbar Spine
• Wrist and Hand
• Shoulders

Cervical Spine 1 Stand straight Slowly tip your head to the right Right ear to right shoulder, don't lift shoulder Hold position for count of 12 Release back to center Repeat to left side Repeat step 1 Back to Top	Right Lateral Flexion	Left Lateral Flexion
Cervical Spine 2  Stand straight Slowly tip your head to the right Right ear to right shoulder, don't lift shoulder Rotate your chin toward right shoulder Hold position for count of 12 Repeat to left side Repeat Back to Top	Lateral Flexion Head Rotation
Cervical Spine 3 Stand straight Push chin outward away from neck Flex neck forward toward chest Hold position for count of 12 Release to neutral Repeat Back to Top	Step 1: Neutral	Step 2: Chin Out	Step 3: Chin Out, Neck Down
Cervical Spine 4 Stand straight Slowly ush chin toward neck Flex neck forward toward chest Hold position for count of 12 Release to neutral Repeat Back to Top	Step 1: Neutral	Step 2: Chin In	Step 3: Chin In, Neck Down
Thoracic Spine 1 Stand straight Slowly tip your upper back to right side keeping head 90 degrees to shoulders Maintain right arm next to right side Hold position for count of 12 Release to back to center Repeat three times per side Back to Top	Front View of Upper Back, Right Lateral Bending	Back View of Upper Back, Left Lateral Bending
Thoracic Spine 2  Stand straight Maintain left arm next to left side Extend right arm straight forward Maintain left shoulder position in space Stretch forward as far as possible Hold position for count of 12 Repeat to opposite side Repeat three times per side Back to Top	Front View: Lateral Tip Right Shoulder, Arm Extended Forward	Oblique View: Lateral Tip, High Shoulder, Arm Extended Forward
Thoracic Spine 3 Stand straight Move hands above head Keep upper arms parrallel to floor Extend fingers upward Pull shoulders and wing bones (scapula) slowly backward Hold position for count of 12 Repeat three times Back to Top	Front View: Elbow 90º, Pull Scapula Together	Back View: Approximation of Scapula with Spine
Thoracic Spine 4  Stand straight Maintain arm position to side Raise shoulders upward Hold position for count of 12 Relax Lower shoulders downward Hold position for count of 12 Relax Repeat three times Back to Top	Shoulders Elevated, Hands Down, Head Straight	Side View: Shoulders Up
Lumbar Spine 1 Stand straight Arms to the front Feet shoulder width apart, 6" from wall or door Head, Back, Buttocks against wall or door Test lumar spine space with hand Rotate hip backward and down Hold position for count of 12 Relax Repeat three times Back to Top	Hip Rotation	Side View Hip Rotation
Lumbar Spine 2 Stand straight Bend lower back to right side Maintain arm to right side of body Don't bend hips Hold position for count of 12 Release back to center Repeat to left side Repeat three times Back to Top	Front View of Right Arm Down Right Leg, Head Perpendicular to shoulders	Opposite Side View
Lumbar Spine 3 Stand straight Bend forward at waist-knees straight Reach hands toward toes Don't bounce Hold position for count of 12 Repeat three times Back to Top	Side View of Flexion Position
Wrist and Hand 1 Bend one wrist into flexion, use the other hand Hold position at end range of motion for count of 12 Repeat step 1 with extension Separate fingers as far as possible Close fingers to each other, squeeze Repeat three times Back to Top	Hand Flex Fingers Out	Hand Extension Fingers In
Wrist and Hand 2 Use right hand to pull fingers for traction Use one finger at a time Hold position for count of 12 Do each finger Switch hands Repeat three times Back to Top	Axial Finger Stretch
Wrist and Hand 3 Use left hand and right Pull on right fingers with a smooth steady traction motion Hold position for count of 12 Switch hands Repeat three times Back to Top	Hand Traction
Shoulders Stand straight Hands down to sides Rotate arm outward Hold position for count of 12 Repeat three times each arm Back to Top	Starting Position	Holding Position