HVLA Thrust Manipulations:

REGION TECHNIQUE INDICATIONS PROs/CONs

1. LAD 30̊/30̊/slight ER
HIP 2. can bias toward EXT to correct for post rot.
3. can bias toward FLX to correct for ant rot.
1. LAD manip-- 30̊/30̊/IR
SIJ
2. SIJ Gapping w/mechanical lock

1. L4-L5 Gapping (sidelying)

L/s
2. L5-S1 Gapping (sidelying)
1. Prone Gapping (wind up caudal/cranial segmts)
2. Prone Double knife edge
3. Prone T/s closing modification (U/L closing)
T/s
4. Supine T/s Gapping
5. Supine T/s Gapping (U/L)
more focal, SB away + Rot toward
6. Supine Upper T/s
1. CT junction in sitting
- Downglide (SB toward/rot away/opposite arm up) 2 vs 1: distraction is
C/s - Gapping (SB away/rotate toward/same arm up) more global, don’t need
to lock cranially
2. Seated CT junction upglide (distraction of C7 on T1)
1st Rib: Sitting -assessment flexion/SB away/Rot
toward
- Tx: pre-position t/s rot away, c/s SB away/Rot
toward – pt. head rest in arm, manip ant/distal
1st rib hypomobility,
Ribs
rib hypomobility/pain
Rib (general)
1. Supine: same as t/s supine- instead of trigger finger,
use flat hand to cup Rib
2. Prone: Stabilize opposite t/s,
1. Carpal Whip
Wrist - Limited Extension: palmar glide of carpal row Hypomobile wrist
- Limited Flexion: dorsal glide of carpal row
Hypomobile wrist,
1. Varus thrust
Elbow decreased gross
2. Radial glide manip
ROM/pronation+sup

Additional MT Techniques:
Cervicogenic Headaches
MOVEMENT
TECHNIQUE
ASSESSING
Side Bend Rotation Test
C1/C2 - Bony locking
- Rot toward, SB away

Flexion/Rotation Test
C1/C2
- want to hold below C2 so when flex, C1/2 able to move

C0/C1 (O-A) Prone UPA on transverse process of C1 – glide onto occiput, force toward eyes

C2/C3 Prone UPA on transverse process of C2 (rotation of C2 on C3)

C1/C2 Rotate pt. head to 30̊, Prone UPA transverse process of C2

Seated – block sp w/MTP w/pincer grasp, Rot toward-SB away

C1/2 - cup C1 w/ opposite hand, rest pt. head in elbow
- distract upwards and angled toward side of dysfx.

Shoulder: Rotator Cuff Interval/Posterior Capsule

Position Technique

Rotator interval capsule, ER @0

Supine
- elbow bent, bring to ER stop, distract at elbow down line of humerus

Rotator interval capsule, hand on hip, elbow in flexion/arm slight extension

Side lying
- curvilinear force through arm toward back

Posterior capsule progression:

Supine 1. Cross body
2. flexion/for end range elevation

HIP: FAI

Position Technique

FADDIR progression:
Supine
1. posterior mobilization through femur—bringing more toward ADD and IR as pt can tolerte