Tibiofemoral Distraction

Indications:

• Testing; initial treatment; pain control; general mobility

Accessory Motion Technique

• Patient Position:
  • Supine with the knee in the open-packed position or prone with the knee flexed to the point of the restriction
• Clinician position & Hand Placement:
  • Stands at foot of pt facing cephalad
  • Stabilizing contact: In supine, distal thigh is stabilized over a bolster or mobilization straps can be used; in prone, stabilization provided through clinician’s elbow over posterior thigh
  • Mobilizing contact: 1–2 hands grasp just proximal to ankle
• Force Application: Through your mobilization hand contact, apply a long-axis distraction force.