Prone (Direct or Indirect)

1. The patient lies prone.  The physician stands beside the patient.
2. The physician places one hand over the inferior lumbar segment (e.g. L4-5) and the other over the superior lumbar segment (e.g. L1-2) 
3. The physician monitors inferior and superior glide, left and right rotation, and clockwise and counterclockwise motion availability for ease-bind asymmetry.
4. After determining the presence of an ease-bind asymmetry, the physician will either indirectly or directly meet the ease-bind barrier, in all 3 planes, stacking the motions.
5. The force is applied in a very gentle to moderate manner.
6. Force is held for 20-60 seconds or until a release is palpated.  The physician may continue this and follow any additional release (creep) until it does not recur.  Deep inhalation or other release-enhancing mechanisms can be helpful.
7. Slowly, “Unstack” the motions in reverse order from which you stacked 3 planes of motion in step #6

Video Tutorial: