Prior to my country placment i found the most challenging technique to be lumbar rotation- i found it so hard on my body. So I thought that I would like to alert everyone to a way of doing a lumbar rotation technique which I found to be far easier on my body than the one we have previously been taught at uni. Apparently this is the original Maitland way of doing lumber rotations:
Grade 1: patient side lying with both knees bent up (bend up more for low lumber or less for high lumbar), no rotation through trunk, therapist stands behind the patient in stride stance with both hands hooked over the iliac crest, line of push is down the femur, Grade 1= gentle movement, really good for acute disc/facet injuries!
Grade 2: same as above except the top hand is placed on the patients belly button (some trunk rotation) and the amplitude of movement is greater as it’s a grade 2. If done correctly the top shoulder and the pelvis should be moving in opposite directions with the oscillations.
Grade 3: same as above except the bottom leg is straightened and the therapist supports the top arm at the shoulder (fixates it)
Grade 4: same as grade 3 except the movement is just at the end of range
I found it to be a really useful technique from really acute injuries to chronic conditions. And if the patient find the technique too uncomfortable you can just drop down a grade or likewise you can go up a grade if the technique isn’t forceful enough.
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Sounds good jess...i found lumbar rotation hard to do also not only the doing the actual technique but also interpreting what you are feeling as i find all segments feel relatively similar with the usual technique. I'll give this way a go next time.
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