to increase hip adduction and IR/ Tăng khép háng và xoay trong
Accessory Motion Technique
Patient Position: supine position with the hip in neutral or with the hip flexed to 90 degrees and in varying degrees of ER/IR and abduction/adduction or standing.
Clinician Position & Hand Placement:
Stand on the ipsilateral side of the hip being mobilized.
Stabilization hand: placed on the lateral aspect of the knee. A mobilization belt may also be used at the patient’s pelvis for stabilization. If a mobilization belt is used, your stabilization hand is placed at the lateral aspect of the patient’s pelvis.
Mobilization hand: placed on the medial aspect of the proximal femur with your forearm in the direction in which force is applied.
If a mobilization belt is used, force is applied through the mobilization belt, which is placed between your gluteals and the medial aspect of the patient’s proximal femur.
Force Application: Apply a laterally directed force through either the mobilization hand contact at the medial aspect of the proximal femur or the mobilization belt while providing stabilization with your other hand.
Hip lateral glide in supine (accessory +/- physiologic motion)
References:
Christopher H. Wise, Dawn T. Gulick. Mobilization Notes: Rehabilitation Specialist’s Pocket Guide. F. A. Davis Company, 2009.
Christopher H. Wise. Orthopaedic Manual Physical Therapy: FROM ART TO EVIDENCE. F. A. Davis Company. 2015.
Carolyn Kisner, Lynn Allen Colby, John Borstad. Therapeutic exercise : foundations and techniques, Seventh edition. F.A. Davis Company. 2018