The manual therapy group received aggressive manual stretching of muscles determined to be tight, longaxis distraction of the involved hip, and traction manipulation in each limited position. Whereas the exercise group received a treatment protocol addressing diminished muscular strength, limited ROM, pain, walking ability, and were provided a A 17. 35 increase in hip abduction torque was noted immediately after the inferior Grade IV hip mobilization; whereas, the control group without mobilization experienced a 3.
68 decrease in hip abduction torque. Hip LongAxis Distraction. For the client with multiplanar restricted capsular mobility, or the client requiring sustained overall capsular stretch, the supine longaxis distraction (Figure 15) can be a particularly effective technique. One of the most commonly used manual therapy techniques is long axis distraction to the hip, which has been shown to increase hip joint capsule extensibility, increase lubrication to the joint cartilage, decrease pain and improve hip mobility.
Technique Highlight: Hip Long Axis Distraction 10: 00 PM by Erson Religioso III, DPT, FAAOMPT 2 comments Yesterday's post on FAI inspired me to share this Distraction of the hip can be produced by the therapist leaning backward, producing slight joint gapping at the femoroacetabular joint.
This technique can be used for decreasing muscle spasm or pain, and is also useful to increase accessory joint movement for flexion and abduction movements. In a recent systematic review (2011), French et al reported that there is silver level evidence that manual therapy is more effective than exercise over the short and longterm. Hoeksma et al. compared the effectiveness of manual therapy versus exercise therapy in patients with hip OA. Purpose: To assess the mobility and laxity of the hip joint.
Test Position: Supine. Performing the Test: With the patient's hip passively placed in 30 degrees of hip flexion, 30 degrees of abduction, and 15 degrees of lateral rotation, the examiner applies a distraction force by grasping onto the patient's ankle (the knee should be extended).