Procedure ID Procedure Name Description Rating
2931TBD
294Joint manipulation - Cervical SpineTBD
295divTBD
296adfTBD
297adfTBD
298Spinal Manipulation - Thoracic SpineTBD
299Spinal Manipulation - Cervical SpineTBD
300Spinal Manipulation - Lumbar SpineTBD
301Spinal Manipulation - Sacro-Iliac JointTBD
302Shorten the muscle and apply tension to the area of restriction. Have subject actively lengthen muscle while tension is applied. Direct the tension force along the area of restriction. Work both directions of the muscle. TBD
303Spinal Manipulation : C1-C2TBD
304Spinal Manipulation : C2-C3TBD
305Spinal Manipulation : C3-4TBD
306Spinal Manipulation : C4-5TBD
307Spinal Manipulation : C5-6TBD
308Spinal Manipulation : C6-7TBD
309Spinal Manipulation : C7-T1TBD
310Spinal Manipulation : T1-T2TBD
311Spinal Manipulation : ThoracicTBD
312Spinal Manipulation : ThoracicTBD
313Spinal Manipulation : ThoracicTBD
314Spinal Manipulation : ThoracicTBD
315Spinal Manipulation : ThoracicTBD
316Spinal Manipulation : ThoracicTBD
317Spinal Manipulation : ThoracicTBD
318Spinal Manipulation : ThoracicTBD
319Spinal Manipulation : ThoracicTBD
320Spinal Manipulation : ThoracicTBD
321Spinal Manipulation : Thoraco-LumbarTBD
322Spinal Manipulation : LumbarTBD
323Spinal Manipulation : LumbarTBD
324Spinal Manipulation : LumbarTBD
325Spinal Manipulation : LumbarTBD
326Spinal Manipulation : Lumbo-SacralTBD
327Spinal Manipulation : CostovertebralTBD
328Spinal Manipulation : CostovertebralTBD
329Spinal Manipulation : CostovertebralTBD
330Spinal Manipulation : CostovertebralTBD
331Spinal Manipulation : CostovertebralTBD
332Spinal Manipulation : CostovertebralTBD
333Spinal Manipulation : CostovertebralTBD
334Spinal Manipulation : CostovertebralTBD
335Spinal Manipulation : CostovertebralTBD
336Spinal Manipulation : CostovertebralTBD
337Spinal Manipulation : CostovertebralTBD
338Spinal Manipulation : CostovertebralTBD
339In supine position while lifting the patients neck in full flexion, lateral flexion and rotation with 7-10s isometric contraction away from side to be treated will be provided.

The patient will be instructed to take head backwards to the table while at the same time asking the patient to slightly shrug the shoulder and resistance will be provided. Repeating it 3-5 times.
TBD
340In supine position while passively positioning the patient's opposite hip (and knee) into full flexion, have the patient lift their treatment hip into slight flexion suing 20-30% pressure. This pressure is held for 3-8 seconds and released. The hip drops down into extension.
This procedure is repeated 3-5 times.
TBD
341In supine position flex treatment side hip to 90 degrees of flexion and knee to 90 degrees flexion. Patient actively tries to extend hip against therapists resistance. This pressure is held for 3-8 seconds when released, the hip is flexed and stretches the posterior hip. A new barrier is found and the process is repeated 3-5 times. TBD
343To perform a suboccipital release, start with positioning the patient. The patient will need to be supine and flat. A pillow can be placed under the patient's head for comfort until starting the procedure.

Once the patient is comfortable and correctly positioned, the provider will sit at the head of the bed and place both hands underneath the patient's head in the occipital region. The provider should then feel for the occipital ridge along the scalp and move the hands slightly caudad until the muscle is felt.

The provider then flexes the fingers upward against the suboccipital muscles and holds this position for three to five minutes, or until significant muscle tension is released. After the treatment, it is important to re-assess the patient's symptoms.

It is not uncommon to have some transient fatigue and persistent symptoms. However, most patients see an improvement in symptoms after undergoing this procedure.
TBD
344Shorten the muscle and apply tension to the area of restriction. Have subject actively lengthen muscle while tension is applied. Direct the tension force along the area of restriction. Work both directions of the muscle. TBD
345Shorten the muscle and apply tension to the area of restriction. Have subject actively lengthen muscle while tension is applied. Direct the tension force along the area of restriction. Work both directions of the muscle. TBD
346Shorten the muscle and apply tension to the area of restriction. Have subject actively lengthen muscle while tension is applied. Direct the tension force along the area of restriction. Work both directions of the muscle. TBD
347To get into the starting position, first sit down on the machine and place your feet on the front platform or crossbar provided, making sure that your knees are slightly bent and not locked.
Lean over as you keep the natural alignment of your back and grab the single handle attachment with your left arm using a palms-down grip.
With your arm extended, pull back until your torso is at a 90-degree angle from your legs. Your back should be slightly arched and your chest should be sticking out. You should be feeling a nice stretch on your lat as you hold the bar in front of you. The right arm can be kept by the waist. This is the starting position of the exercise.
Keeping the torso stationary, pull the handles back towards your torso while keeping the arms close to it as you rotate the wrist, so that by the time your hand is by your abdominals, it is in a neutral position (palms facing the torso). Breathe out as you perform that movement. At that point, you should be squeezing your back muscles hard.
Hold that contraction for a second and slowly go back to the original position while breathing in. Tip: Remember to rotate the wrist as you go back to the starting position so that the palms are facing down again.
Repeat for the recommended amount of repetitions, and then perform the same movement with the right hand.
Variations: You can perform this movement with a high pulley as well and standing up. You can also perform it doing a full rotation of the wrist. In other words, at the starting position you will have the palms of the hands facing down and at the end of the movement they will be facing up. Great movement to perform for a variety of purposes.
TBD
348Repeated motions of lumbar extensionTBD
349Move the massage on the affected area(s) to comfort. TBD
350In supine position while passively positioning the patient's opposite hip (and knee) into full flexion, have the patient lift their treatment hip into slight flexion suing 20-30% pressure. This pressure is held for 3-8 seconds and released. The hip drops down into extension.
This procedure is repeated 3-5 times.
TBD
351Cervical mobilizationTBD
352Mckenzie retraction and extensionTBD
353A.R.T. Thoracic Erector SpinaeTBD
354A.R.T. RhomboidsTBD
355Shorten the muscle and apply tension to the area of restriction. Have subject actively lengthen muscle while tension is applied. Direct the tension force along the area of restriction. Work both directions of the muscle. TBD
356Shorten the muscle and apply tension to the area of restriction. Have subject actively lengthen muscle while tension is applied. Direct the tension force along the area of restriction. Work both directions of the muscle. TBD
357Pelvic TiltsTBD
358Spinal Manipulation : C4-5TBD
359Foot Joint MobilizationTBD
360Knee Joint MobilizationTBD
361Wrist Joint MobilizationTBD
362Elbow Joint MobilizationTBD
363IST is typically delivered using a motorized roller table — a padded treatment surface beneath which two or three cylindrical rollers travel slowly along the length of the spine. The patient lies supine, fully clothed or in a gown, with the spine in a neutral, relaxed position. The rollers move in a cephalad-to-caudad (head-to-tail) direction, applying gentle, progressive pressure to the paraspinal musculature on either side of the spinous processes as they pass. This action produces a mild wave-like extension of each spinal segment in sequence, mobilizing the facet joints and stretching the surrounding soft tissues without axial loading.
Key procedural parameters include:
Roller height and pressure. Most tables allow the practitioner to adjust the elevation of the rollers to control the degree of spinal extension. Higher settings increase the stretch applied to each segment and are typically reserved for patients with good range of motion and no acute inflammation.
Speed. Roller travel speed is adjustable and is usually set slower for acute or sensitive patients and faster for chronic, well-conditioned spines.
Duration. A typical session runs 8 to 12 minutes, though acute presentations may warrant shorter exposures of 5 to 6 minutes to avoid aggravation.
Positioning modifications. A pillow placed under the knees flattens the lumbar lordosis and shifts emphasis to the lumbar segments. Removing the knee pillow and allowing a natural lordosis directs more motion into the thoracic and cervicothoracic regions. A small cervical roll can be used to include the lower cervical spine in the treatment.
Contraindications include acute disc herniation with radiculopathy, spinal fracture or instability, advanced osteoporosis, spinal infection or neoplasm, and recent spinal surgery. Relative caution is warranted in patients with severe spondylolisthesis or significant spinal stenosis.
In clinical practice, IST is almost universally used as an adjunctive modality — typically performed at the beginning of a visit to warm and loosen the paraspinal tissues before spinal manipulation, therapeutic exercise, or other manual therapy procedures.
TBD

Regions