Purpose: To increase cervical rotation and relief of cervicogenic headaches.

Start: The patient starts in sitting with the therapist standing behind the patient. 

Procedure: Using a thumb over thumb purchase, the therapist's point of contact is over the transverse process of the desired cervical segment. The patient is instructed to rotate their head in the direction of the restriction while the therapist applies an anterior superior glide towards the patient’s eyes. The glide is maintained throughout the ROM for several reps.