The patient extends the chin on the floor as much as possible. The therapist places the back of his hand between the left shoulder blade and the patient’s spine, with the fingers oriented towards the left shoulder. The left palm is placed above the left ear, with the fingers oriented towards the top of the head. Afterwards, the patient’s head is tilted to right up to the maximum limit of his mobility. The first time the tilting is executed slowly up to the maximum point, the position is kept for about 7 seconds and then it comes back to initial position. If the patient accuses pain or significant discomfort, the procedure is executed once more with a short motion of simultaneously slight pressing of the head and shoulder (on the opposite part of the movement) in the final point of the movement. In the final moments of the movement the pressure applied by the hands is the same, both at the level of the head as well as at the level of the shoulder.
This description presents the manner in which the procedure is performed on the left side of the patient. Similarly, the same steps are followed on the right side. In the standard version, the procedure is first performed on the left side and then on the right side.