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Long Axis Distraction

Body Region: Hip
Technique Name: Long Axis Distraction non-thrust mobilization/thrust manipulation

Indications: hip osteoarthritis, hip pain, knee osteoarthritis, lumbar spinal stenosis, lower back pain

Instructions:

Patient Position:
  • Supine
Clinician Position:
  • Standing at feet of patient
Technique Description:
  • Grasp the patient’s ankle with both hands just above the malleoli and position your feet in a walk stance
  • Position the hip in slight flexion and abduction
  • Apply a distraction force to the hip by shifting your weight to your back foot and pulling with both arms
  • The technique may be performed as a graded mobilization into resistance or as a high-velocity thrust at end range
  • Progress the technique by positioning the hip in further abduction and internal rotation prior to performing the mobilization or thrust manipulation
Key Points:
  • Use a belt in a figure-8 to aid in gripping force and increased patient comfort
  • You may also have another person provide proximal stabilization through the pelvis with downward pressure on the patients bilateral anterior / superior iliac spines
  • Ensure the hip is not brought into adduction as this may risk injury to the acetabulum
 
  • Evidence

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