Proximal Tibiofibular Glide

Indications:

• Anterior fibular & posterior tibial glide to improve knee flex
• Posterior fibular & anterior tibial glide to improve knee ext

Accessory Motion Technique

• Patient Position:
  • supine position with the knee in the open-packed position and a bolster or wedge just proximal to the knee.
  • May be pre-positioned the knee in varying degrees of flexion to the point of restriction.
• Clinician position & Hand Placement:
  • Stands on ipsilateral side
  • Stabilizing contact: Hold distal femur against the bolster with belt
  • Mobilizing contact: For anterolateral mobilization, fingers grasp posterior aspect of proximal fibular head with forearm in direction of force; for posteromedial mobilization, heel of hand contacts anterior aspect of proximal fibular head with forearm in direction of force
• Force Application:
  • One mobilizing hand exerts an anterolaterally directed force to fibular head with posteromedial force to tibia through other mobilizing hand for flex
  • One mobilizing hand exerts posterolaterally directed force to fibular head with anteromedial force to tibia through other mobilizing hand for ext