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STJ
Mobilisation
Instructions: 1. Remember to have your patient prone for the following mobilisations/manipulations, and the couch laid flat at about your pelvis height so that you can most easily work with the patient. Their foot should be at your mid-chest level when you are working on it. 2. Make sure your patient is relaxed as possible, and keep up conversation about what you are doing as you undertake these techniques. 3. For this mobilisation, bend the patient's knee to 90°. 4. With one hand, cup it around the plantar aspect of the heel. 5. With the other hand, place it on the plantar midfoot and hold onto it. 6. Slowly start moving the STJ around in a circular-type motion 4-5 times in each direction (clockwise/anticlockwise) 7. Once you have done this, repeat whilst trying to extend joint to its end ROM. 8. Once you have done this, you are ready to move on to the next mobilisation. |
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