Counternutation Manipulation (cross grip)

Position of the therapist:

  • Standing opposite to the side to be manipulated

Position of the patient:

  • Prone lying position

Hand placement:

  • Fixating hand on contralateral side of the sacrum below segment S2
  • Hypothenar aspect of the ipsilateral hand on patient’s ilium

Direction of the manipulation:

  • Ventrocranial