MANUAL THERAPY IN PEDIATRICS

Principles of Mulligan.

Rectus elongation
Subject position: Side lying. Belt position: Belt held in figure of eight with the loop of treatment belt around the hands and the other end of the loop around the shoulders. Technique: With the belt around the hand grasp the thigh just above the bent knee lean back to apply distraction to the leg, raise the and extend the hip while an assistant helps stabilize the pelvis.

Fig1: Rectus elongation in side lying.

Bent leg raise (for hamstring elongation)

Subject position: Supine. Therapist position: Standing on the side of elongation placing subjects bent knee over his/her shoulder. Technique: Apply traction with the shoulder push the subject bent knee up as far as possible in the direction of his shoulder, sustain the stretch for several seconds ask the subject to push on the shoulder relax and lower the leg to the bed. Repeat 3 times.

Fig 2: Bent leg raise ( hamstring elongation)

Adductor spread (for elongation of adductors)

Subject position: Supine on a plinth with legs over each side. Belt position: Belt held in figure of eight with the loop of treatment belt around the hands and the other end of the loop around the shoulders. Technique: With the belt around the hand grasp the thigh just above the bent knee lean back to apply distraction to the leg apply traction and elongate the adductors by laterally abducting the hip, assistant helps stabilize the other leg by maintaining traction with the belt. Make the subject sit up and do

Fig 3: Adductor spread ( adductor elongation)