Patella Distal Glide Manipulation

Position of the therapist:

• Standing at the long edge of the bench on the side to be manipulated

Position of the patient:

• Bench in lowest position
• Supine lying position
• Hip flexed to 60°
• Knee flexed in varying degrees from 90° to maximal flexion
• Leg fixated by the therapist sitting on the patient’s foot

Hand placement:

• Base of the palm of the contralateral hand placed against the base of the patella
• Ipsilateral hand fixates the other hand

Direction of the manipulation:

• Ventrodistal direction along axis of the therapist’s forearm