GONSTEAD

SIDE
POSTURE
 PELVIS PUSH MOVES

 Anterior shoulder:
Gentle Superior & Slightly posterior traction
(this reduces the slack in the spinal tissues)
 Pelvis:
Roll the patient forward 45º and rest thigh on thigh.
(Apply light pressure on the 1/3 distal of patient’s thigh)
during Sacroiliac adjustments, excessive pressure will cause
discomfort to the patient reducing relaxation and would tend to
lock up the joint, thereby requiring considerably greater force
in the adjusting thrust.)

Patient placement: Common Errors:

1. The patient’s body and knee are too far away for edge.
2. There is too much patient torsion, his/her lower lumbars and SI joint will be locked.
3. The patient’s head is rotated up, and not facing forward.
4. The patient’s head is flexed. This position tightens the spinal muscle of the entire
length of the spine
5. Inferior leg is flexed at the knee. This leg must remain straight, or it will negates
everything else you did
 PELVIS PULL MOVES

 Anterior shoulder: Gentle Superior & Slightly posterior

traction
(this reduces the slack in the spinal tissues)
 Pelvis: DC’s tibia resting on patient’s thigh, or knee and leg,
patient’s pelvis just past 90º.
(A pull move is a push move from the contact hand. The doctor will
stabilize the patient’s pelvis into the table with his inferior leg,
applying a light force at the distal 1/3 of patient’s femur or knee and
leg, so pelvis is not locked while adjusting.

The kick: a lower leg kick underneath the table, not a Roll, to hold the
pelvis as the hand thrusts into a stable segment.
“Make the foundation with the kick then set with hand contact”

3 types of contacts points:

- 1 finger with 2 other fingers behind the first one

- 2fingers with one behind the 2 first one - 2 fingers with one finger on opposite mamillary

In a kick move(PULL move) the elbow that thrust is better out to use your arm to do a push PtoA. The Pull
move is a Push move.
 ILIUM
LISTINGS
PI Push Move
_ Indication : PI Ilium Listing

_ Patient : Listing Up

_ Doctor Stance : Fencer stance, close, at patient pelvis height

_ Contact points : Soft Pisiform, directly inferior to PSIS, fingers 45º across the spine

_ L.O.D. : P-A, Slightly Superior, through SIJ

_ Torque : None

AS Push Move
_ Indication : AS Ilium Listing

_ Patient : Listing Up

_ Doctor Stance : Fencer stance, close, at patient pelvis height

_ Contact Points : Soft Pisiform, Gonstead fossa: 2” lateral to PSIS, 3” down

_ L.O.D. : P-A, Slightly Inferior, through SIJ

_ Torque : None
IN Push Move
_ Indication : IN Ilium Listing

_ Patient : Listing Up

_ Doctor Stance: Fencer stance, close, at patient pelvis height

_ Contact Points : Soft Pisiform, Medial border of PSIS

_ L.O.D. : P-A, 45° through SI joint laterally to medially

_ Torque : None

Ex Pull Move
_ Indication : EX Ilium Listing

_ Patient : Involved side down

_ Doctor Stance : Facing patient, close

_ Contact Points: Soft Pisiform, lateral to PSIS

_ L.O.D. : Lateral to Medial toward opposite SI Joint

_ Torque : None
 PIEx Push Move
_ Indication : PIEX Ilium Listing

_ Patient : Listing Up

_ Doctor Stance : Fencer stance

_ Contact Points : Soft Pisiform, lateral to PSIS

_ L.O.D. : Slighlty Superior, Through SIJ

_ Torque : Closing the joint – radial torque

PIEx Pull Move

_ Indication : PIEX Ilium Listing

_ Patient : Involved side down

_ Doctor Stance: Facing the patient

_ Contact Points : Soft Pisiform, Lateral & Inferior to PSIS

_ L.O.D. : P-A, Slightly Superior, Thought SIJ plane

_ Torque : Closing the joint – Ulnar torque with wrist pronation

ASEx Push Move
_ Indication : ASEX Ilium Listing

_ Patient : Listing Up

_ Doctor Stance : Fencer stance

_ Contact Points : Soft Pisiform, Gonstead fossa

_ L.O.D. : P-A, Inferior, Through SIJ

_ Torque : Closing the joint – radial torque

ASEx Pull Move

_ Indication : ASEX Ilium Listing

_ Patient : Involved side down

_ Doctor Stance : Facing the patient

_ Contact Points : Soft Pisiform, Gonstead fossa

 _ L.O.D. : P-A, Inferior, Through SIJ

_ Torque : Closing the joint – radial torque with pronation

PIIn Push Move

_ Indication : PIIN Ilium Listing

_ Patient : Listing UP

_ Doctor Stance : Fencer stance

_ Contact Points  : Soft Pisiform, Inferior and Medial to PSIS, finger pointing laterally.

_ L.O.D. : P-A, Slightly Superior, through SIJ.

_ Torque : Closing the joint – radial torque

ASIn Push Move

_ Indication : ASIN Ilium Listing

_ Patient : Listing UP

_ Doctor Stance : Fencer stance

_ Contact Points : Soft Pisiform, Gonstead Fossa.

 _ L.O.D. : P-A, Superior to Inferior, through SIJ.

_ Torque : Closing the joint – Ulnar torque

PIIn Pull Move

_ Indication : PIIN Ilium Listing

_ Patient : Involved side down

_ Doctor Stance : Facing the patient

_ Contact Points : Rat hole Finger tips (2,3,4) Inferior & medial border to PSIS .

_ L.O.D. : P-A, Slightly Superior through SIJ.

_ Torque : Closing the joint – Ulnar torque

SACRUM
LISTINGS
P-L or P-R Push Move
_ Indication : P-(L or R),

_ Patient : involved side down or involved side up.

_ Doctor Stance : Fencer stance

_ Point Contact : Soft Pisiform midline to PSIS and S2. Fingers parallel to the spine for involved

side down, and fingers pointing down for involved side up.

_ L.O.D. : P-A, Superior to Inferior, through SIJ.

_ Torque : None

Involved side up involved side down

Base Posterior Push

_ Indication : Base Posterior Sacrum,

_ Patient : Better thrust in the convexity

_ Doctor Stance : Fencer stance

_ Contact Points : S1 Sacral Tubercle.

 _ L.O.D. : Soft Pisiform fingers 45°, P-A through L5 Disc Plane.

_ Torque : None

COCCYX
Anterior COCCYX
_ Indication : Anterior Coccyx, Anterior Left, Anterior Right

_ Patient : prone with a support elevating the pelvis,

_ Doctor Stance : Fencer stance, inferiorly to coccyx

_ Contact Points  : The Coccyx just below the sacrococcygeal joint. Pisiform of inferior hand over
Thumb of superior hand.

_ L.O.D. : Straight superiorly.

_ Torque : None

If laterality is present the doctor should stand on the side of the deviation, using a torque to close the wedge
LUMBARS
LISTINGS
Lumbar Push Move
 Anterior shoulder:
Gentle Superior & Slightly posterior traction
(this reduces the slack in the spinal tissues)
 Pelvis:
Roll the patient forward 45º and rest thigh on thigh.
(Apply pressure on patient’s thigh)

Lumbar Pull Move

 Anterior shoulder: Gentle Superior & Slightly posterior
traction
(this reduces the slack in the spinal tissues)
 Pelvis: DC’s tibia resting on patient’s thigh or leg and knee,
patient’s pelvis just past 90º.
(A pull move is a push move from the contact hand. The doctor will
stabilize the patient’s pelvis into the table with his inferior leg,
applying a light force at the Proximal 1/2 of patient’s femur so
pelvis is locked while adjusting.

The kick: a lower leg kick underneath the table, not a Roll, to hold the
pelvis as the hand thrusts into a stable segment. “Make the
foundation with the kick then set with hand contact”

A listing is always made compare to the vertebra below.

L5 PRS-SP Push
_ Indication : L5 PRS

_ Patient : Involved side up

_ Doctor Stance : Fencer stance,

_ Contact Points : Left pisiform on Right inferior and lateral border of L5 Spinous, fingers 45°

with the spine.

_ L.O.D. : P to A through the plane line of the L5-S1 disc.

_ Torque : Radial to close the wedge.

L5 PLI-M Push
_ Indication : L5 PLI-M

_ Patient : Involved side up

_ Doctor Stance : Fencer stance,

 _ Contact Points  : Left pisiform on Right mamillary L5, fingers parallel to the spine.

_ L.O.D. : P to A through the plane line of the L5-S1 disc.

_ Torque : Radial to close the wedge

L4 PLS Pull
_ Indication : L4 PLS

_ Patient : Right side up

_ Doctor Stance : Facing the patient

_ Contact Points : Left middle and index fingers on left inferior lateral border of L4 spinous.

_ L.O.D. : P to A through the plane line of the L4-L5 disc.

_ Torque : Supination to close the wedge

L4 PLI-M Pull
_ Indication : L4 PLI-M

_ Patient : Right side up

_ Doctor Stance : Facing the patient

 _ Contact Points  : Left index finger on Right Mamillary, 3rd and 4th finger on left lateral spinous

of L4.

_ L.O.D. : P to A through the plane line of the L4-L5 disc.

_ Torque : Pronation to close the wedge

L5 exceptional Listings:
Normal listings

Exceptional listings

Advices:
Every L5 special listing can be adjusted with a push or a pull move, thrusting always
into the convex side of the scoliosis.