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Lumbar Prone Pressure with Counter Leverage
CreatedJune 11, 2020
Last UpdatedFebruary 13, 2024
byMeghan
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Steps for Treatment:
- Patient prone, physician stands opposite to side to be treated
- Place thumb and thenar eminence of cephalad hand on medial aspect of paravertebral muscles over lumbar Transverse Processes on side opposite of the physician
- Inform patient that you will be touching their ASIS
- Take your Caudad hand and reach around the front of hip to ASIS and gently lifts toward ceiling
- Apply ventral and lateral force with cephalad hand (force perpendicular to lumbar paravertebral musculature) while maintaining the ASIS off of the table
- Hold for several seconds, slowly release, repeat in gentle, rhythmic/kneading fashion; reposition hands to contact different levels of the lumbar spine
- Repeat on the other side
Video Tutorial:
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