As the sideglide of a cervical segment is testing both the right and left facet joints, it can be used as a general facet mobility assessment. With the patient in supine, the therapist cradles the patients head in both hands with the pads of their middle and ring fingers resting on the articular pillars of C2. Again, if the articular pillars are too tender, the PIP or MCP of the therapists index finger may be used for a more comfortable contact. The right middle and ring fingers impart and gentle glide of C2 to the left followed by the left fingers gliding C2 back to the right. A small pause is given at the end of the glide noting end feel. Each segment could be side glided 2-3 times right and left noting the quantity and the nature of the end feel. The therapist then systematically works his way down the cervical spine facet joints testing each level until arriving at C7. Starting at C6 on C7, the therapist moves back up the neck again performing a sideglide at each level and compares intersegmental mobility, mobility between left and right, resistance to movement, and overall symptom response.
•Grade each level as one of the following: