In L1 – L5 Lumbar Mamillary Push Sideposture RP / LP adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position:
Patient on their side. INVOLVED SIDE UP. IF RP PATIENT IS LAID ON THEIR LEFT AND WE ARE ADJUSTING THE RIGHT MAMILLARY.
Dr’s stance: Wide fencer stance 45 degrees to the table keeping your sacrum close to the
patient contact point. The inferior leg is not situated down along or parallel to the table.
Segmental contact: Mamillary process on the side of the posterior inferior facet.
Tissue pull: M-L from the interspinous space above (approximately 2 mm) onto the mamillary process of the involved vertebra.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: On upper arm with slight I - S pressure.
Shift leg up femur to femur. Roll patient forward with the drop lunge.
LOD: P-A, I-S and M-L
In Sacrum Involved Side Up Side posture PR / PL adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: On their side. If listing is RP, get them to lie on their left side.
Dr’s stance: Fencer stance along the side the table with superior foot 45° to table and inferior foot perpendicular to the table.
Segmental contact: Sacral ala midline to the S2 tubercle and the PSIS.
Tissue pull: Take tissue pull from S2 tubercle to sacral ala.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: On upper arm with slight I - S pressure.
Shift leg up femur to femur. Roll patient forward with the drop lunge.
LOD: P-A; M-L.
In Sacrum Involved Side Down Side posture PR / PL adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: On their side. If listing is RP, get them to lie on their left side.
Dr’s stance: Fencer stance along the side the table with superior foot 45° to table and inferior foot perpendicular to the table.
Segmental contact: Find PSIS (level of S2). Contact is sacral ala at level of S2 which is between midline and PSIS on down side.
Tissue pull: Take tissue pull from S2 tubercle to sacral ala.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: On upper arm with slight I - S pressure.
Shift leg up femur to femur. Roll patient forward with the drop lunge.
LOD: P-A; M-L.
In PI Ilium Sideposture R PI / L PI adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: On their side. If listing is RP, get them to lie on their left side.
Dr’s stance: Wide fencer stance 45 degrees to the table keeping your sacrum close to the patient contact point. The inferior leg is not situated down along or parallel to the table.
Segmental contact: Find PSIS. Contact is inferior side of PSIS.
Tissue pull: Tissue pull from inferior to superior to the inferior PSIS.
Dr’s point of contact: Fleshy pisiform of inferior hand.
Stabilisation: On upper arm with slight I - S pressure.
Shift leg up femur to femur. Roll patient forward with the drop lunge.
LOD: P-A, I-S
In AS Ilium Sideposture R AS / L AS adjustment, describe the client position, Dr’s stance, Segmental contact, tissue pull, Dr’s point of contact and stabilisation, and Line of Drive.
Client Position: On their side. If listing is RP, get them to lie on their left side.
Dr’s stance: Wide fencer stance 45 degrees.
Segmental contact: Find greater trochanter, slide up and medial onto acetabular ridge.
Tissue pull: Tissue pull/pretension from superior to the ridge.
Dr’s point of contact: Fleshy pisiform.
Stabilisation: On upper arm with slight I - S pressure.
Shift leg up femur to femur. Roll patient forward with the drop lunge.
LOD: P-A, S-I line of femur.
