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The cervicothoracic junction (CTJ) is the transition between the cervical and thoracic spine. Functionally, is part of the “lower cervical spine” and plays an important role in overall neck mobility, particularly rotation. Grade III–IV mobilizations directed at the CTJ can be used to improve rotational range of motion (ROM), either through sustained holds (kaltenborn) or oscillatory (maitland) techniques. In the same position, a grade V thrust manipulation may also be performed which can lead to
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