You are now viewing our public site. Back to Dashboard

Long Axis Distraction

Body Region: Hip
Technique Name: Long Axis Distraction non-thrust mobilization/thrust manipulation

Indications: hip osteoarthritis, hip pain, knee osteoarthritis, lumbar spinal stenosis, lower back pain


Patient Position:
  • Supine
Clinician Position:
  • Standing at feet of patient
Technique Description:
  • Grasp the patient’s ankle with both hands just above the malleoli and position your feet in a walk stance
  • Position the hip in slight flexion and abduction
  • Apply a distraction force to the hip by shifting your weight to your back foot and pulling with both arms
  • The technique may be performed as a graded mobilization into resistance or as a high-velocity thrust at end range
  • Progress the technique by positioning the hip in further abduction and internal rotation prior to performing the mobilization or thrust manipulation
Key Points:
  • Use a belt in a figure-8 to aid in gripping force and increased patient comfort
  • You may also have another person provide proximal stabilization through the pelvis with downward pressure on the patients bilateral anterior / superior iliac spines
  • Ensure the hip is not brought into adduction as this may risk injury to the acetabulum
  • Evidence

Sign up to get free evidence-based articles, exclusive discounts, and insights from industry-leaders.

Join our newsletter to get the latest updates delivered straight to your inbox.

MedBridge blog posts and emails

Request a Demo

For groups of 5 or more, request a demo to learn about our solution and pricing for your organization. For other questions or support, visit our contact page.