GLENOHUMERAL JOINT MOBILIZATIONS

Resting Position: 55 degree of abduction and 30 degrees of horizontal adduction, slight lateral rotation OR 30-40
degree of abduction, no flexion and neutral rotation
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine Both hands grip proximal humerus Move humeral head lateral,
close to axilla anterior and inferior
Inferior Supine Mobilizing hand: web space over the Grade 1 traction + inferior May increase
Glide superior surface of proximal humerus glide abduction.

Guiding hand: supports upper limb

from medial side of distal humerus
Posterior Supine Mobilizing hand: anterior surface of Mobilizing Hand: glides May increase
Glide with the proximal humerus humerus posteriorly medial rotation,
humerus flexion and
off edge Guiding hand: supports upper limb Guiding Hand: Grade 1 horizontal
of table from posterior side of distal humerus traction + controls position of adduction
humerus
Anterior Supine or Mobilizing hand: over the posterior Mobilizing Hand: glides Motion may be
Glide prone with surface of proximal humerus humerus in anterior direction hypermobile.
humerus
off table Guiding hand: supports upper limb Guiding Hand: Grade 1 May increase
and towel from anterior and posterior sides of traction + controls position of lateral rotation,
roll under distal humerus humerus extension, and
coracoid horizontal
process abduction

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 SCAPULOTHORACIC JOINT MOBILIZATIONS
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Sidelying with Mobilizing hand: over Mobilizing Hand: moves May be difficult to
dorsum of hand acromion scapula medially and inferiorly mobilize
on sacrum
Guiding hand: adjacent to Guiding Hand: lifts scapula
inferior angle of scapula away from ribs
Superior Sidelying with Mobilizing hand: adjacent to Mobilizing Hand: glides May increase
Glide arm in neutral the inferior angle of scapula scapula in superior direction elevation and
position upward rotation
Guiding hand: over acromion Guiding Hand: Grade 1
traction + controls scapula
Inferior Sidelying with Mobilizing hand: over Mobilizing Hand: glides May increase
Glide arm neutral acromion acromion in inferior direction depression and
downward
Guiding hand: over inferior Guiding Hand: Grade 1 rotation
angle of scapula traction + controls position of
scapula
Medial Sidelying with 1 hand over axillary border Both hands glide the scapula May increase
Glide arm neutral and other hand over the in a medial direction retraction,
acromion depression and
downward
rotation
Lateral Sidelying with Both hands positioned with Both hands glide scapula in a Motion may be
Glide arm neutral fingertips over medial border lateral direction hypermobile.
of scapula
May increase
protraction,
elevation and
upward rotation

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 STERNOCLAVICULAR JOINT MOBILIZATIONS
Mobilization Patient Hand Placement Movement Particulars
Position
Superior Supine Mobilizing hand: thumb over thumb of Mobilizing Hand: Motion may be
Glide guiding hand glides clavicle in a hypermobile
superior direction
Guiding hand: thumb over inferior surface
of clavicle about 3 cm lateral to the most
medial surface
Inferior Supine Mobilizing hand: thumb over thumb of Mobilizing Hand: Motion may be
Glide guiding hand glides the clavicle in hypermobile
an inferior direction
Guiding hand: thumb over superior
surface of clavicle about 3 cm lateral to
most medial surface
Posterior Supine with Mobilizing hand: thumb over thumb of Mobilizing Hand: Motion may be
Glide arm resting guiding hand glides clavicle in hypermobile
on table posterior direction
Guiding hand: thumb over anterior surface
of clavicle about 3 cm lateral to most medial
surface
Anterior Supine with Stabilizing hand: grips around the clavicle Stabilizing Hand: Motion may be
Glide of the arm resting holds the clavicle in hypermobile.
Clavicle on on table Mobilizing hand: positioned over sternum position
the Sternum Grip might be
Mobilizing Hand: uncomfortable.
glides sternum
posteriorly

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 ACROMIOCLAVICULAR JOINT MOBILIZATIONS
Mobilization Patient Hand Placement Movement Particulars
Position
Posterior Sitting Stabilizing hand: positioned over Stabilizing hand: holds Motion
Glide with arm posterior surface of scapula scapula may be
resting at hypermobile
side Mobilizing hand: thumb over thumb of Mobilizing hand: glides
guiding hand clavicle in posterior direction

Guiding hand: same as stabilizing hand Guiding hand: controls

– thumb over anterolateral aspect of position of mobilizing hand
clavicle
Anterior Sitting Stabilizing hand: anterior acromion and Stabilizing hand: hold Motion
Glide with arm anterior surface of proximal humerus acromion in position may be
resting at hypermobile
side Mobilizing hand: thumb over thumb of Mobilizing hand: glides
guiding hand clavicle in anterior direction

Guiding hand: same as stabilizing hand Guiding hand: controls

– thumb over posteriolateral surface mobilizing hand
clavicle

4
 HUMEROULNAR JOINT MOBILIZATIONS
Resting Position: 70 degrees flexion, 10 degrees supination
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine, Stabilizing Hand: grips distal Stabilizing Hand: holds distal
upper arm on humerus from anterior side humerus against table
table, elbow
off table Mobilizing Hand: grips proximal Mobilizing Hand: moves proximal
ulna from anterior side ulna perpendicular to ulnar joint
surface
Medial Supine Stabilizing Hand: grip distal Stabilizing Hand: holds humerus in
Glide humerus from medial side position

Mobilizing Hand: grips proximal Mobilizing Hand: glides proximal

radius from lateral side ulna in a medial direction + Grade 1
traction
Lateral Supine Stabilizing Hand: grips distal Stabilizing Hand: holds humerus in
Glide humerus from lateral side position

Mobilizing Hand: grips proximal Mobilizing Hand: glides proximal

ulna form medial side ulna in a lateral direction + grade 1
traction
Medial Gap Supine with Stabilizing Hand: supports Stabilizing Hand: holds forearm in Motion
humeroulnar forearm from ulnar side position may be
joint slightly hypermobile.
flexed Mobilizing Hand: lateral side of Mobilizing Hand: moves elbow at
elbow at joint line lateral joint line in medial direction
Lateral Gap Supine with Stabilizing Hand: supports Stabilizing Hand: holds forearm in Motion
humeroulnar forearm from radial side position may be
joint slightly hypermobile.
flexed Mobilizing Hand: medial side of Mobilizing Hand: moves elbow at
elbow at joint line medial joint line in lateral direction

5
 HUMERORADIAL JOINT MOBILIZATIONS
Resting Position: full extension and supination
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine Stabilizing Hand: grips distal Stabilizing Hand: holds May correct
humerus from anterior side humerus in position humeroradial
joint
Mobilizing Hand: grips distal Mobilizing Hand: moves radial compression
radius head distally perpendicular to positional fault
joint surface
Compression Supine with Stabilizing Hand: supports Stabilizing Hand: holds Screen for wrist
elbow joint distal humerus humerus in position impairments.
in 90
degrees of Mobilizing Hand: grips patient’s Mobilizing Hand: moves shaft May correct
flexion and hand of radius downward toward the humeroradial
full humerus joint distraction
supination positional faults
Posterior Supine with Stabilizing Hand: grips distal Stabilizing Hand: holds Motion may be
Glide shoulder humerus from posterior side humerus in position hypermobile.
medially
rotated Mobilizing Hand: grips proximal Mobilizing Hand: glides May increase
radius from anterior side proximal proximal radius in a elbow
posterior direction + Grade 1 extension
traction

Anterior Supine with Stabilizing Hand: grips distal Stabilizing Hand: holds Motion may be
Glide shoulder humerus from anterior side humerus in position hypermobile.
medially
rotated Mobilizing Hand: grips proximal Mobilizing Hand: glides May increase
radius from posterior side proximal radius in anterior elbow flexion.
direction + Grade 1 traction

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 PROXIMAL RADIOULNAR JOINT MOBILIZATIONS
Resting Position: 35 degrees of flexion, 70 degrees of supination
Mobilization Patient Hand Placement Movement Particulars
Position
Posterior Sitting with Stabilizing Hand: grips the Stabilizing hand: holds ulna in May increase
Glide of forearm proximal ulna from the posterior position pronation.
Proximal resting on surface
Radius table
Mobilizing Hand: grips the radial Mobilizing hand: glides radial
head anteriorly head in a posterior direction

Anterior Sitting with Stabilizing Hand: grips proximal Stabilizing hand: holds ulna May increase
Glide of forearm ulna from anterior surface in position supination
Proximal resting on
Radius table Mobilizing Hand: grips radial Mobilizing hand: glides radial
head posteriorly head in anterior direction

DISTAL RADIOULNAR JOINT MOBILIZATIONS

Resting Position: 10 degrees of supination
Mobilization Hand Placement Movement Particulars
Posterior Stabilizing Hand: grips the distal ulna Stabilizing Hand: holds ulna in May increase
Glide of from the posterior surface position supination.
Distal Radius
Mobilizing Hand: grips distal radius Mobilizing Hand: glides distal radius
anteriorly in a posterior direction
Anterior Stabilizing Hand: grips distal ulna from Stabilizing Hand: holds ulna in May increase
Glide of anterior surface position pronation.
Distal Radius
Mobilizing Hand: grips distal radius Mobilizing Hand: glides distal radius
posteriorly in anterior direction

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 RADIOCARPAL & ULNOCARPAL JOINT MOBILIZATIONS
Resting Position: Slight flexion and ulnar deviation
Mobilization Hand Placement Movement Particulars
Distraction Stabilizing Hand: grips distal radius Stabilizing Hand: holds radius and ulna
and ulna from posterior side on table

Mobilizing Hand: grips proximal row of Mobilizing Hand: moves proximal row of
carpals from posterior side carpals distally perpendicular to joint
surface
Posterior Stabilizing Hand: grips distal radius Stabilizing Hand: holds radius and ulna May increase
Glide and ulna from posterior side on table flexion

Mobilizing Hand: grips proximal row of Mobilizing Hand: moves proximal row of
carpals from posterior side carpals in a posterior direction + Grade 1
Traction
Anterior Stabilizing Hand: grips distal radius Stabilizing Hand: holds radius and ulna May increase
Glide and ulna from posterior side on table extension

Mobilizing Hand: grips the proximal Mobilizing Hand: glides proximal row of
row of carpal from posterior side carpals in an anterior direction + Grade 1
traction
Radial Stabilizing Hand: grips distal radius Stabilizing Hand: holds radius and ulna May increase
Glide and ulna from posterior side on table ulnar
deviation
Mobilizing Hand: grips the proximal Mobilizing Hand: glides proximal row of
row of carpal from ulnar side carpals in a lateral/ radial direction +
Grade 1 traction
Ulnar Stabilizing Hand: grips distal radius Stabilizing Hand: holds radius and ulna May increase
Glide and ulna from anterior side on table radial
deviation
Mobilizing Hand: grips proximal row of Mobilizing Hand: glides proximal row of
carpal from radial side carpals in a medial/ulnar direction +
Grade 1 traction

8
Specific Stabilizing Hand: grips distal radius or Stabilizing Hand: holds radius or ulna in Motion
Radiocarpal ulna position may be
and hypermobile.
Ulnocarpal Mobilizing Hand: grips proximal row Mobilizing Hand: glides scaphoid in
Joint carpal bone posterior direction to radius, lunate in May increase
Posterior posterior direction to radius, triquetrum in flexion.
Glide a posterior direction to ulna
Specific Stabilizing Hand: grips distal radius or Stabilizing Hand: holds radius or ulna in Motion
Radiocarpal ulna position may be
and hypermobile.
Ulnocarpal Mobilizing Hand: grips the proximal Mobilizing Hand: glides scaphoid in
Joint row carpal bone anterior direction to radius, lunate in May increase
Anterior anterior direction to radius, triquetrum in extension.
Glide anterior direction to ulna
Specific Stabilizing Hand: grips 1 carpal bone Stabilizing Hand: holds the 1 carpal Motions
Proximal bone in position may be
Row Carpal Mobilizing Hand: grips other carpal hypermobile.
Joint bone Mobilizing hand: glides the scaphoid in
Posterior posterior direction to lunate, triquetrum in
Glide posterior direction to lunate
Specific Stabilizing Hand: grips 1 carpal bone Stabilizing Hand: holds the 1 carpal Motions
Proximal bone in position may be
Row Carpal Mobilizing Hand: grips other carpal hypermobile.
Joint bone Mobilizing Hand: glides the scaphoid in
Anterior anterior direction to lunate, triquetrum in
Glide an anterior direction to lunate
Specific Stabilizing Hand: grips ulnar and radial Stabilizing Hand: holds scaphoid, lunate Motion may
Triquetrum- surfaces of wrist and triquetrum in position be
Pisiform Mobilizing hand: grips radial and ulnar hypermobile.
Joint Radial surfaces of pisiform Mobilizing hand: glides the pisiform in a
and Ulnar radial direction to triquetrum, and
Glide pisiform in an ulnar direction to triquetrum

9
 MIDCARPAL JOINT MOBILIZATIONS
Resting Position: Slight flexion and ulnar deviation
Mobilization Hand Placement Movement Particulars
Distraction Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row of
of carpals from posterior side carpals to treatment table

Mobilizing Hand: grips distal row of Mobilizing Hand: moves distal row of
carpals from posterior side carpals distally perpendicular to proximal
carpal row surface
Posterior Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row of
Glide of carpals from posterior side carpals to table

Mobilizing Hand: grips distal row of Mobilizing Hand: glides distal row of
carpals from posterior side carpals in posterior direction + Grade 1
traction
Anterior Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row to
Glide of carpals from posterior side table

Mobilizing Hand: grips distal row of Mobilizing Hand: glides distal row of
carpals from posterior side carpals in an anterior direction + Grade 1
traction
Radial Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row of May increase
Glide of carpal from posterior side carpals to table ulnar
deviation
Mobilizing Hand: grips distal row of Mobilizing Hand: glides distal row of
carpals from ulnar side carpals in radial direction + Grade 1
traction

Ulnar Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row of May increase
Glide of carpals from anterior side carpals to table radial
deviation
Mobilizing Hand: grips distal row of Mobilizing Hand: glides distal row of
carpals from radial side carpals in ulnar direction + Grade 1 traction

10
Specific Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row Motions
Midcarpal carpal bone carpal bone in position may be
Posterior hypermobile.
Glide Mobilizing Hand: grips the distal row Mobilizing Hand: glides trapezium and
carpal bone trapezoid in posterior direction to scaphoid,
capitate in posterior direction to lunate,
hamate in posterior direction to triquetrum
Specific Stabilizing Hand: grips proximal row Stabilizing Hand: holds proximal row Motions
Midcarpal carpal bone carpal bone in position may be
Anterior hypermobile.
Glide Mobilizing Hand: grips the distal row Mobilizing Hand: glides trapezium and
carpal bone trapezoid in anterior direction to scaphoid,
capitate in anterior direction to lunate,
hamate in anterior direction to triquetrum
Specific Stabilizing Hand: grips 1 carpal bone Stabilizing Hand: holds the 1 carpal bone Motions
Distal Row in position may be
Carpal Joint Mobilizing Hand: grips other carpal hypermobile.
Posterior bone Mobilizing Hand: glides the trapezoid in
Glide posterior direction to capitate, hamate in a
posterior direction to capitate
Specific Stabilizing Hand: grips 1 carpal bone Stabilizing Hand: holds the 1 carpal bone Motions
Distal Row in position may be
Carpal Joint Mobilizing Hand: grips other carpal Mobilizing hand: glides the trapezoid in hypermobile.
Anterior bone anterior direction to capitate, hamate in an
Glide anterior direction to capitate

11
 1st CARPOMETACARPAL JOINT MOBILIZATIONS
Resting Position: Midway between flexion and extension & abduction and adduction
Mobilization Hand Placement Movement Particulars
Distraction Stabilizing Hand: grips the trapezium Stabilizing Hand: holds the trapezium in
position
st
Mobilizing Hand: grips proximal 1
MC Mobilizing Hand: moves the 1st MC
distally perpendicular to joint surface
Posterior Stabilizing Hand: grips the trapezium Stabilizing Hand: holds the trapezium in May increase
Glide position abduction
Mobilizing Hand: grips anterior and
posterior surfaces of proximal 1st MC Mobilizing Hand: glides the 1st MC in a
posterior direction + Grade 1 traction
Anterior Stabilizing Hand: grips anterior and Stabilizing Hand: holds the trapezium in May increase
Glide posterior surfaces of trapezium position adduction

Mobilizing Hand: grips anterior and Mobilizing Hand: glides the 1st MC in
posterior surfaces of proximal 1st MC anterior direction + Grade 1 traction
Radial Stabilizing Hand: grips the radial and Stabilizing Hand: holds the trapezium in May increase
Glide ulnar sides of trapezium position extension

Mobilizing Hand: grips radial and Mobilizing Hand: glides the 1st MC in
ulnar surfaces of proximal 1st MC radial direction + Grade 1 traction
Ulnar Stabilizing Hand: grips the radial and Stabilizing Hand: holds the trapezium in May increase
Glide ulnar sides of trapezium position flexion

Mobilizing Hand: grips radial and Mobilizing Hand: glides the 1st MC in
ulnar sides of proximal metacarpal ulnar direction + Grade 1 traction

12
 INTERMETACARPAL JOINT MOBILIZATIONS
Mobilization Hand Placement Movement Particulars
Posterior Stabilizing Hand: grips the Stabilizing Hand: holds one MC in position May decrease
Glide midshaft of one MC arch of hand
Mobilizing Hand: Grade 1 traction + glides 2nd MC
Mobilizing Hand: grips the in posterior direction to 3rd MC, 4th MC in posterior
midshaft of other MC direction to 3rd MC, 5th MC posterior to 4th MC
Anterior Stabilizing Hand: grips the Stabilizing Hand: holds one MC in position May increase
Glide midshaft of one MC arch of hand
Mobilizing Hand: Grade 1 traction + glides 2nd MC
Mobilizing Hand: grips the in anterior direction to 3rdMC, 4th MC in anterior
midshaft of other MC direction to 3rd MC, 5th to 4th MC

1st METACARPOPHALANGEAL JOINT MOBILIZATIONS

Resting Position: Slight flexion
Mobilization Hand Placement Movement Particulars
st
Distraction Stabilizing Hand: Grips head of 1 Stabilizing Hand: holds 1st MC in position
MC
Mobilizing Hand: moves 1st proximal
Mobilizing Hand: grips proximal end phalanx distally perpendicular to joint
of 1st proximal phalanx surface
st
Radial Stabilizing Hand: grips head of 1 Stabilizing Hand: 1st MC in position May increase
Glide MC extension
Mobilizing Hand: Grade 1 traction + glides
Mobilizing Hand: grips proximal end proximal phalanx in radial direction
of 1st proximal phalanx
Ulnar Glide Stabilizing Hand: grips head of 1st Stabilizing Hand: holds MC in position May increase
MC flexion
Mobilizing Hand: Grade 1 traction + glides
Mobilizing Hand: grips proximal end proximal phalanx in medial direction
of 1st proximal phalanx

13
 METACARPOPHALANGEAL (2-5) JOINT MOBILIZATIONS
Resting Position: Slight flexion and slight ulnar deviaiton
Mobilization Hand Placement Movement Particulars
Distraction Stabilizing Hand: grips head of MC Stabilizing Hand: holds MC in position

Mobilizing Hand: grips proximal end of Mobilizing Hand: moves proximal

proximal phalanx phalanx distally perpendicular to joint
surface
Posterior Stabilizing Hand: grips head of MC Stabilizing Hand: holds MC in position May
Glide increase
Mobilizing Hand: grips proximal end of Mobilizing Hand: Grade 1 traction + extension
proximal phalanx glides proximal phalanx in posterior
direction
Anterior Stabilizing Hand: grips head of MC Stabilizing Hand: holds MC in position May
Glide Mobilizing Hand: grips proximal end of increase
proximal phalanx Mobilizing Hand: Grade 1 traction + flexion
glides proximal phalanx in anterior
direction
Radial Stabilizing Hand: grips head of MC Stabilizing Hand: holds MC in position May
Glide increase
Mobilizing Hand: grips proximal end of Mobilizing Hand: Grade 1 traction + radial
proximal phalanx glides proximal phalanx in lateral deviation
direction
Ulnar Glide Stabilizing Hand: grips head of MC Stabilizing Hand: holds MC in position May
increase
Mobilizing Hand: grips proximal end of Mobilizing Hand: Grade 1 traction + ulnar
proximal phalanx glides proximal phalanx in medial deviation
direction

14
 INTERPHALANGEAL JOINT MOBILIZATIONS
Resting Position: Slight flexion
Mobilization Hand Placement Movement Particulars
Distraction Stabilizing Hand: Grips distal end of Stabilizing Hand: holds proximal Can wear gloves to
more proximal phalanx phalanx in position reduce slippage

Mobilizing Hand: Grips proximal end Mobilizing Hand: moves distal

of more distal phalanx phalanx distally perpendicular to
joint surface
Posterior Stabilizing Hand: grips distal end of Stabilizing Hand: holds proximal Can wear gloves to
Glide more proximal phalanx phalanx in position reduce slippage.

Mobilizing Hand: grips proximal end of Mobilizing Hand: Grade 1 traction Effective in
more distal phalanx + glides distal phalanx in posterior increasing extension
direction
Anterior Stabilizing Hand: grips distal end of Stabilizing Hand: holds proximal Can wear gloves to
Glide more proximal phalanx phalanx in position reduce slippage.

Mobilizing Hand: grips proximal end of Mobilizing Hand: Grade 1 traction Effective in
more distal phalanx + glides distal phalanx in anterior increasing flexion
direction

15
 HIP JOINT MOBILIZATIONS
Resting Position: 30 degrees flexion, 30 degrees abduction and slight lateral rotation
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine with leg Both hands positioned Move femoral head
over clinician’s on medial surface of inferior, lateral and
shoulder proximal thigh anterior – perpendicular
to joint surface
Inferior Glide Supine Both hands grip distal Grade 1 traction + glide Screen for SI joint
thigh femur in inferior direction dysfunction.

Aka. long axis traction

May increase abduction

Posterior Supine Mobilizing hand: Grade 1 traction + glide Screen for SI joint
Glide anterior surface proximal femur in posterior dysfunction.
thigh direction
May increase flexion and
Guiding hand: posterior medial rotation
surface of distal thigh
Anterior Prone with 1 or Mobilizing hand: over Grade 1 traction + May increase extension
Glide more pillows guiding hand mobilizing hand glides and lateral rotation
under trunk femur in anterior
and hip in Guiding hand: direction
abduction and posterolateral surface of
lateral rotation proximal thigh
Posterolateral Prone with Stabilizing hand: grips Stabilizing hand: holds Screen for SI joint
Glide knee flexed to ankle and controls hip leg in position dysfunction.
90 degree rotation
Mobilizing hand: glides May increase flexion and
Mobilizing hand: over pelvis in anteromedial medial rotation
midpoint of posterior direction
surface of ilium

16
Lateral Glide Supine with leg Both hands on medial Grade 1 traction + hands May increase adduction
over clinician’s surface of proximal thigh glide femur in lateral and medial rotation
shoulder direction

TIBIOFEMORAL MOBILIZATIONS
Resting Position: 25-40 degrees of flexion
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Sitting Both hands grips distal tibia from Hands move tibia distally
with knee medial and lateral sides perpendicular to joint surface
off edge
of table
Posterior Supine Stabilizing Hand: supports Stabilizing Hand: holds femur in May
Glide femur from posterior side position increase
flexion
Mobilizing Hand: glides tibia Mobilizing Hand: Grade 1 traction +
from anterior side glides tibia in posterior direction
Anterior Supine Both hands grip proximal tibia Both hands glide tibia in anterior May
Glide from posterior side with fingers direction while stabilizing femur increase
(2 other while positioning thumbs over extension
versions) anterior surface of distal femur
Medial Glide Supine Stabilizing hand: grips distal Stabilizing hand: holds femur in
femur from medial side position

Mobilizing hand: grips proximal Mobilizing hand: Grade 1 traction +

tibia and fibula from lateral side glides proximal tibia in a medial
direction
Lateral Supine Stabilizing hand: grips distal Stabilizing hand: holds femur in
Glide femur from lateral side position

Mobilizing hand: grips proximal Mobilizing hand: glides proximal

tibia and fibula from medial side tibia in lateral direction

17
Medial Gap Supine Stabilizing hand: supports distal Stabilizing hand: holds lower leg in
lower leg from medial side position
Mobilizing hand: grips lateral Mobilizing hand: moves knee at
side of knee at joint line lateral joint line in medial direction
Lateral Gap Supine Stabilizing hand: supports distal Stabilizing hand: holds lower leg in
lower leg from lateral side position
Mobilizing hand: grips medial Mobilizing hand: moves knee at
side of knee at joint line medial joint line in lateral direction

PATELLOFEMORAL JOINT
Mobilization Patient Hand Placement Movement Particulars
Position
Superior Supine Mobilizing Hand: inferior Mobilizing Hand: glides patella in Avoid
Glide with towel surface of patella superior direction compressing
roll under patella into
knee Guiding Hand: over mobilizing Guiding Hand: controls mobilizing femur
hand hand
Posterior Supine Mobilizing Hand: superior Mobilizing Hand: glides patella in Effective in
Glide with towel surface of patella inferior direction increasing
roll under flexion
knee Guiding Hand: over mobilizing Guiding Hand: controls mobilizing
hand hand
Medial Glide Supine Stabilizing hand: fingers on Stabilizing hand: holds femur in Avoid
with towel medial surface of distal femur position compressing
roll under patella into
knee Mobilizing hand: lateral surface Mobilizing hand: glides patella in a femur
of patella medial direction
Lateral Glide Supine Stabilizing hand: fingers on Stabilizing hand: holds femur in Avoid
with towel lateral surface of distal femur position compressing
roll under patella into
knee Mobilizing hand: anteromedial Mobilizing hand: glides patella in a femur
surface of patella lateral direction

18
Medial Tilt Supine Stabilizing hand: fingers on Stabilizing hand: holds femur in
with towel medial surface of distal femur position
roll under
knee Mobilizing hand: medial surface Mobilizing hand: glides patella in a
of patella posterior direction tilting patella
toward midline of body
Lateral Tilt Supine Stabilizing hand: fingers on Stabilizing hand: holds femur in
with towel medial surface of distal femur position
roll under
knee Mobilizing hand: anterolateral Mobilizing hand: glides patella in a
surface of patella posterior direction tilting patella away
from midline of body

PROXIMAL TBIOFIBULAR JOINT MOBILIZATIONS

Resting Position: 0 degrees of plantar flexion
Mobilization Patient Hand Placement Movement Particulars
Position
Posterior Supine Stabilizing hand: grips proximal Stabilizing hand: hold tibia in Avoid
glide of with small tibia from medial and posterior position common
proximal towel roll side fibular
fibula Mobilizing hand: glide proximal nerve.
Mobilizing hand: heel of hand fibula in posterior direction
on anterior surface of fibular head May correct
positional
faults
Anterior Prone Stabilizing hand: grips proximal Stabilizing hand: hold tibia in Motion may
Glide of with foot tibia from medial and anterior side position be
Proximal supported hypermobile.
Fibula by pillow Mobilizing hand: posterior Mobilizing hand: glide proximal
and towel surface of fibular head fibula in anterior direction Effective in
roll under correcting
thigh positional
fault

19
 DISTAL TBIOFIBULAR JOINT MOBILIZATIONS
Mobilization Patient Hand Placement Movement Particulars
Position
Posterior Supine Stabilizing hand: grips distal Stabilizing hand: hold tibia in position Motion
glide of tibia may be
distal fibula Mobilizing hand: glides lateral hypermobile.
Mobilizing hand: anterior malleolus in posterior direction
surface of lateral malleolus May correct
positional
fault.
Anterior Prone Stabilizing hand: grips distal Stabilizing hand: hold tibia in position Motion
Glide of tibia may be
Distal Fibula Mobilizing hand: glides lateral hypermobile.
Mobilizing hand: posterior malleolus in anterior direction
surface of lateral malleolus May correct
positional
fault
Superior Supine Stabilizing hand: grips distal Stabilizing hand: hold tibia in position
glide of tibia
fibula Mobilizing hand: glides fibula in
Mobilizing hand: inferior superior direction
surface of lateral malleolus

Inferior Supine Stabilizing hand: grips distal Stabilizing hand: hold tibia in position
Glide of tibia
Fibula Mobilizing hand: glides lateral
Mobilizing hand: superior malleolus in inferior direction
surface of lateral malleolus

20
 TALOCRURAL JOINT MOBILIZATIONS
Resting Position: 10 degrees plantarflexion and midway between inversion and eversion
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine Both hands grip the proximal Hands move talus in direction Screen for
with knee talus with fingers intertwined perpendicular to joint surfaces knee
extended impairments.
Posterior Supine Stabilizing hand: grips Stabilizing hand: holds distal lower May increase
Glide with foot posterior surface of distal lower leg in position dorsiflexion
over edge leg
of table Mobilizing hand: Grade 1 traction +
Mobilizing hand: grips glides talus in posterior direction
anterior surface of talus
Anterior Supine Stabilizing hand: grips Stabilizing hand: holds talus in May increase
Glide posterior aspect of talus position plantarflexion

Mobilizing hand: grips Mobilizing hand: Grade 1 traction +

anterior surface of distal lower glides tibia and fibula in a posterior
leg direction

SUBTALAR JOINT MOBILIZATIONS

Resting Position: 10 degrees plantarflexion and midway between inversion and eversion
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Prone Stabilizing Hand: grips talus at Stabilizing hand: holds talus in
with foot anterior surface position
off table
Mobilizing Hand: web space on Mobilizing hand: moves calcaneus
posterior and superior surface of inferiorly in direction perpendicular to
calcaneus and thumb and index joint surfaces
on medial and lateral surface of
calcaneus
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Medial Glide Prone Stabilizing Hand: grips talus at Stabilizing hand: holds talus in
with foot anterior and medial surface with position
off table web space
Mobilizing hand: Grade 1 traction +
Mobilizing hand: grips glides calcaneus in medial direction
calcaneus on lateral surface
Lateral Prone Stabilizing hand: grips talus Stabilizing hand: holds talus in
Glide with foot anterior and lateral surface position
off table
Mobilizing hand: grips Mobilizing hand: Grade 1 traction +
calcaneus on medial surface glides calcaneus in lateral direction
Medial Gap Prone Stabilizing hand: grips talus at Stabilizing hand: holds talus in May increase
with foot anterior and lateral surface with position eversion
off table web space
Mobilizing hand: grips Mobilizing hand: tilts calcaneus in
calcaneus on medial surface valgus direction
Lateral Prone Stabilizing hand: grips talus Stabilizing hand: holds talus in May increase
Gap with foot anterior and medial surface position inversion
off table Mobilizing hand: Grade 1 traction +
Mobilizing hand: grips tilts calcaneus in varus direction
calcaneus on lateral surface

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 MIDTARSAL JOINT MOBILIZATIONS
Resting Position: 10 degrees plantarflexion and midway between inversion and eversion
Mobilization Patient Hand Placement Movement Particulars
Position
Dorsal Glide Prone with Stabilizing Hand: grips talus Stabilizing Hand: holds talus in May be
of Navicular knee at dorsal surface position hypermobile.
flexed to
90 degrees Mobilizing Hand: grips Mobilizing Hand: Grade 1 traction +
navicular glides navicular in dorsal direction
Plantar Supine Stabilizing Hand: grips talus Stabilizing Hand: holds talus in May be
Glide of at plantar surface position hypermobile.
Navicular
Mobilizing Hand: grips Mobilizing Hand: Grade 1 traction +
navicular glides navicular in plantar direction
Dorsal Glide Prone with Stabilizing Hand: grips talus Stabilizing Hand: holds calcaneus in May correct
of Cuboid knee at dorsal surface position positional
flexed to faults
90 degrees Mobilizing Hand: grips Mobilizing Hand: Grade 1 traction +
cuboid glides cuboid in dorsal direction
Plantar Supine Stabilizing Hand: grips Stabilizing hand: holds calcaneus in May be
Glide of calcaneus at plantar surface position hypermobile
Cuboid
Mobilizing hand: grips Mobilizing hand: glides cuboid in
cuboid plantar direction

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 INTERMETATARSAL (1-5) JOINT MOBILIZATIONS
Mobilization Patient Hand Placement Movement Particulars
Position
Dorsal Glide Supine Stabilizing Hand: grips Stabilizing hand: holds one May flatten
midshaft of one metatarsal metatarsal position transverse arch

Mobilizing Hand: grips midshaft Mobilizing hand: Grade 1

of other metatarsal traction + glides other metatarsals
in dorsal direction
Plantar Supine Stabilizing Hand: grips Stabilizing hand: holds one May increase
Glide midshaft of one metatarsal metatarsal position transverse arch

Mobilizing Hand: grips midshaft Mobilizing hand: Grade 1

of other metatarsal traction + glides other metatarsals
in plantar direction

METATARSOPHALANGEAL JOINT MOBILIZATIONS

Resting Position: 10 degrees of extension
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine Stabilizing Hand: grips head of Stabilizing Hand: holds Can wear gloves
metatarsal metatarsal in position to prevent slippage

Mobilizing Hand: grips proximal Mobilizing Hand: moves

end of proximal phalanx proximal phalanx distally in
direction perpendicular to joint
surface
Dorsal Glide Supine Stabilizing Hand: grips head of Stabilizing Hand: holds Can wear gloves
metatarsal metatarsal in position to prevent
slippage.
Mobilizing hand: grips proximal Mobilizing Hand: Grade 1
end of proximal phalanx traction + glides proximal phalanx May increase
in dorsal direction extension.

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Plantar Supine Stabilizing Hand: grips head of Stabilizing Hand: holds May increase
Glide metatarsal metatarsal in position flexion.

Mobilizing Hand: grips proximal Mobilizing Hand: Grade 1

end of proximal phalanx traction + glides proximal phalanx
in plantar direction
Medial Glide Supine Stabilizing Hand: grips head of Stabilizing Hand: holds Can wear gloves
metatarsal metatarsal in position to prevent
slippage.
Mobilizing Hand: grips proximal Mobilizing Hand: Grade 1
end of proximal phalanx traction + glides proximal phalanx May increase
in medial direction movement toward
midline of body.
Lateral Supine Stabilizing hand: grips head of Stabilizing Hand: holds May increase
Glide metatarsal metatarsal in position movement away
from midline.
Mobilizing hand: grips proximal Mobilizing Hand: Grade 1
end of proximal phalanx traction + glides proximal phalanx
in lateral direction

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 INTERPHALANGEAL JOINT MOBILIZATIONS
Resting Position: slight flexion
Mobilization Patient Hand Placement Movement Particulars
Position
Distraction Supine Stabilizing Hand: grips distal Stabilizing Hand: holds more Can wear gloves
end of more proximal phalanx proximal phalanx in position to prevent slippage

Mobilizing Hand: grips proximal Mobilizing Hand: moves more

end of more distal phalanx distal phalanx distally in direction
perpendicular to joint surface
Dorsal Glide Supine Stabilizing Hand: grips distal Stabilizing Hand: holds more Can wear gloves
end of more proximal phalanx proximal phalanx in position to prevent
slippage.
Mobilizing Hand: grips proximal Mobilizing Hand: Grade 1
end of more distal phalanx traction + glides more distal May increase
phalanx distally in dorsal direction extension.
Plantar Supine Stabilizing Hand: grips distal Stabilizing hand: holds more May increase
Glide end of more proximal phalanx proximal phalanx in position flexion.

Mobilizing Hand: grips proximal Mobilizing hand: Grade 1

end of more distal phalanx traction + glides more distal
phalanx distally in plantar
direction

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