Steps for Treatment:

EASE, COMPRESSION, BARRIER

1. Patient in supine. Physician standing on side of dysfunction.
2. Flex hip and knee on ipsilateral side to 90 degrees.
3. Physician tests for freedom of motion in either ABDuction or ADDuction, and treat the motion which is most free.
4. For Both ABDuction and ADDuction, monitor SI joint with physicians cephalad hand.
5. Follow the process of Ease, Compression, Barrier for the given freedom of motion (see below)
6. Release compression and return to neutral
7. Reassess

If Freedom of Motion is ABDuction:

• Ease
  • Abduct the thigh, hip, and knee to the ease position
• Compression
  • The physician then introduces  a gentle compressive  axial vector force down to the SI Joint
• Barrier
  • While maintaining compression continue moving the patient’s hip and leg through the restrictive barrier with a circular motion of flexion moving into ADDuction and ending with extension.

Video Tutorial:

If Freedom of Motion is ADDuction:

• Ease
  • Adduct the thigh, hip, and knee to the ease position
• Compression
  • The physician then introduces  a gentle compressive  axial vector force down to the SI Joint
• Barrier
  • While maintaining compression continue moving the patient’s hip and leg through the restrictive barrier with a circular motion of flexion moving into ABDuction and ending with extension.

Video Tutorial: