2.2.4 L5/S1 Side Lying Manipulation Using Rotation & Side Bending Primary Lever Directions
This video demonstrates the basic Lumbar side lying manipulation technique and how it is modified to focus to the L5/S1 segment at the very bottom of the Lumbar region. The explanation clearly identifies how to focus to the L5/S1 and how to maintain this focusing and the the components of the technique are introduced in order to build the barrier. Finally the impulse is identified and applied. The first part of the video introduces the technique with a rotation primary lever and the second part with a side bending primary lever. Pay attention to the therapists hand contact point changes and the direction changes of some of the movements and in particular the impulse direction with side bending.
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Category:
Lumbo Sacral Junction
Tags:
articulation back to back counter nutation movement sacrum disc effective and efficient manipulation facet joints facet locking flexion l5 s1 lumbar roll manipulation lumbar spine lumbo sacral lumbosacral junction manipulation manipulation prone mid range focusing minimal lever mid range minimal lever mid range manipulation minimal torsion mobilising multiple components muscle spasm non torsional osteophytes primary lever flexion primary lever rotation primary lever side bending primary lever traction primary lever translation primary mobilising direction restriction rhythmical sacral springing safe manipulation secondary components secondary levers side lying sitting small amplitude small amplitude impulse spondylolisthesis standing standing and prone techniques stretch posterior structures supine supine thoracic manipulation therapeutic traction traction manipulation vertical
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