Prone with knee in open-packed position & bolster or wedge just proximal to knee to eliminate pressure on patella
May be pre-positioned in varying degrees of flex to point of restriction with bolster under distal leg for support
Clinician position & Hand Placement:
Stands on ipsilateral side
Technique:
Stabilizing contact: Just proximal to ankle providing counterforce to maintain knee position or stabilization provided by placing lower leg on clinician’s shoulder if knee is flexed >90°
Mobilizing contact: Heel of hand contacts posterior aspect of proximal tibia just below knee with forearm in direction of force (may vary, depending on position of knee) or both hands contact proximal tibia if knee is flexed >90°
Force Application:
Apply force through your mobilization hand contact in an anterior direction that is parallel to the treatment plane of the joint.