The cervical spine: OA, AA and C2-C7

2 min read. Updated October 9, 2026.Founders

The neck does not follow Fryette's thoracolumbar rules. It has three motion units with their own conventions.

The three units

UnitMain motionCoupling in the teaching modelHow dysfunction is named
OA (occiput on atlas)Flexion and extension (nodding)Sidebending and rotation to opposite sides, flexed or extendedFor example OA E SL RR
AA (atlas on axis)RotationAlmost pure rotationAA RR or AA RL
C2-C7Rotation and sidebendingSidebending and rotation to the same sideFor example C4 F SR RR
  • OA is the main nodding joint and AA the largest single contributor to neck rotation.
  • C2-C7 couple rotation and sidebending to the same side in the teaching model, whatever the flexion or extension.

The rest of this guide is for founders

Founders get every guide, endless cases with an AI tutor, and Anki export of their misses. Here is what is inside:

  1. The three units
  2. Testing
  3. Facets and anatomy
  4. Safety rules for the neck
  5. Not covered yet

Read next