Sierra Moore

PTH 662
1/26/18

Manual Therapy II Presentation Write-up

Origin of the Technique/Historical Background

The origin of this technique was from a continuing education class taught by Sherry McLaughlin,
MSPT, CSCS.

Potential Patients Who Would Benefit from This Technique

A patient coming in with SI joint pain. This person most likely has Pelvic/Sacral instability. You
would then determine if they had a L on L sacral torsion with your testing procedures and this
MET would help correct the torsion.

Specific Technical Description of the Technique

 The patient will lay in a left side-lying position
 Place the left arm behind and right arm in front allowing the chest to face the table,
rotate the trunk to movement barrier
 Bring the hips and knees to flexion barrier
 Allow the patients feet to drop towards the floor
 PTs hand placement will be at the patient’s SI joint area for monitoring and at the
patient’s right ankle for applying resistance
 Have the patient perform isometric contraction by meeting your 20-25 lbs. of resistance,
with the patient pulling their ankles toward the ceiling for 8 seconds.
 Patient will relax 2-3 seconds
 Drop the patient’s feet closer to the floor into their new barrier
 Repeat 3-5 times
 Help the patient return to prone position
 Reassess SI joint to ensure correction of the L on L sacral torsion

Techniques for Home

The patient can be instructed to use a tennis ball to self-mobilize the SI joint.