The doctor hand contact is a cephalward long‐y axis delivery as the caudal section moves caudally. B. Start with manual distraction and careful toleranceGoal is to create a slow rhythmic (1-3 sec) localized distractive movement. In this trial, only axial distraction (Cox protocol 1) will be used. Active The Cervical Distraction Test is a diagnostic test for the presence of the best was with the neck in extension, lateral flexion and axial compression.