Lumbar Loading for Hip Mobility | Modern Manual Therapy Blog

Lumbar Loading for Hip Mobility


In "traditional" manual therapy, the painful or tight side lumbar spine and hip is gapped or unloaded in a lumbar roll mob/manip. That works, but it seems much faster to use a novel loading strategy. The patient and often most clinicians they have seen in the past in usually already "stretching" or unloading the involved side. 



Think of having high tone in a neuro patient, you wouldn't stretch it as hard or as fast as you could. The painful and/or tight side usually already has guarding, so if and when gapping works, it's usually due to fatigue. Slacking or loading is a much more novel and therefore faster strategy in many cases. This video is an example for right hip flexion/IR mobility limitations. It is already cleaned up a bit from sidegliding in standing to the right (pushing hips to the left) in the previous lab session.

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Lumbar Loading for Hip Mobility




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