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
Proximal tibiofibular anterior and posterior glide to restore external tibial torsion (rotation).

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