To improve IS anterior rotation or in the presence of a posteriorly rotated innominate positional fault.
Accessory Motion Technique
Patient Position:
Prone position in a diagonal orientation on the table with one foot on the floor.
Stabilization of the contralateral pelvis is provided through the patient’s foot in contact with the floor.
Clinician Position & Hand Placement:
You are in a stride stance position facing the same direction as the patient.
Your caudal hand grasps the distal aspect of the patient’s anterior thigh just proximal to the knee
the hypothenar eminence of your cephalad hand contacts the posterior superior iliac spine on the side being mobilized with your forearm in line with the direction in which force is applied.
Force Application:
Your caudal hand moves the patient’s hip into extension as your cephalad hand applies an anterior superior force through the posterior superior iliac spine.
Between each progression, the patient may impart an isometric hip flexion force into your caudal hand contact at the anterior thigh for the purpose of utilizing the hip flexors to impart an additional anterior rotatory force followed by further movement of the hip into extension with simultaneous anterosuperior mobilization force provided by your cephalad hand.
