Lumbar 2D Gap Manipulation (L1-L5)

Position of the therapist:

• Standing at the long edge of the bench

Position of the patient:

• Side-lying position close to the edge of the bench facing the examiner
• Bottom leg completely extended, the other leg bent with its foot hooked behind the other knee
• Lumbar spine brought into slight extension via the hip to protect the IVD
• Head rotated with trunk
• Arms crossed in front of the chest

Hand placement:

• Therapist sticks one hand through the patient’s crossed arms with the forearm placed against the patient’s coracoid process
• Fixating hand on lower vertebra of level to be manipulated
• Other hand rotates trunk from above until resistance is felt
• Fixating hand creates pre-tension by rotating pelvis in opposite direction

Impuls:

• A body drop and resulting in opposite rotations guided by the therapist’s hands