• Sitting up relaxed
• Feet on floor, toes up
• Hands on lap
• Strapped in
• Head over torso with varying extension
• Nose in midline with head laterally flexed toward contact hand

• Feet within legs of chair
• On balls of feet with contralateral foot forward
• Knees slightly bent
• Elbow of thrust hand kept to body
• Pectoralis opposite contact hand against patient’s head
• Rat hole created between contact point and stabilizing thumb

• S.P. or lamina (on -L listings)
• N.P. = lateral, distal part of index #6
• Stabilize occiput and neck with opposite hand

• P ®  A
• Lift through plane line of the disc

• P ®  A
• Superiorward  to S.P. or lamina

PR-L, PL-L,

PRI-L, PLI-L