Hip Joint Mobs / InterventionsCFJ Txn (Indirect) MLPP

CFJ Txn (Indirect) MLPP

• Purpose: Provides pain relief and warms up the hip joint in preparation for other mobilizations.

• How: Patient supine with the hip in the MLPP (30° flexion, 30° abduction, 10° external rotation). Apply long-axis traction by pulling at the malleoli.

• Indication/Positive: Decreased pain and improved hip mobility with traction, suggesting the hip joint responds well to distraction.

CFJ Traction (Indirect) – Extension (<0°)

• Purpose: Restore hip extension.

  How: Patient supine. Preposition the hip into extension (may progress to extension + adduction + ER) and apply long-axis traction.

  Positive/Indication: Increased hip extension and decreased pain.

CFJ Traction (Indirect) – Extension (>0°)

Purpose: Restore hip extension beyond neutral.

How: Patient prone with the hip positioned past 0° extension, then apply long-axis traction. Finish with an isometric hip extension.

Positive/Indication: Increased hip extension ROM and decreased pain.

CFJ Traction (Direct) – Extension

Purpose: Restore hip extension when indirect traction is not tolerated (e.g., knee pain).

How: Patient prone with the hip supported in extension. Apply a 45° anterior-caudal-lateral traction through the proximal femur.

Positive/Indication: Increased hip extension and decreased pain.

CFJ Traction (Direct) – Resting Position

Purpose: Pain relief and to warm up the hip joint.

How: Patient supine with the hip in 30° flexion, 30° abduction, 10° ER. Apply 45° anterior-caudal-lateral traction through the proximal femur.

Positive/Indication: Decreased pain and improved joint mobility.

CFJ Traction (Direct) – Flexion

Purpose: Restore hip flexion.

How: Position the hip in flexion → flexion + abduction → flexion + abduction + ER, then apply 45° anterior-caudal-lateral traction. Finish with an isometric hip flexion.

Positive/Indication: Increased hip flexion ROM and decreased pain.

CFJ Curved Glide – Restoration of Abduction

Purpose: Restore hip abduction.

How: Patient side-lying. Apply caudal-ventral traction while moving the hip into flexion-abduction-ER, simultaneously providing a curved glide at the greater trochanter.

Positive/Indication: Increased hip abduction ROM and decreased pain

CFJ Curved Glide – Restoration of External Rotation

Purpose: Restore hip external rotation.

How: Patient prone with the knee flexed to 90°. Bring the hip into available ER, then apply a cranial-ventral-lateral curved glide at the PSIS.

Positive/Indication: Increased hip external rotation ROM and decreased pain.

CFJ Curved Glide – Restoration of Internal Rotation

Purpose: Restore hip internal rotation.

How: Patient prone with the knee flexed to 90°. Bring the hip into available IR, then apply a caudal-dorsal-medial curved glide at the PIIS.

Positive/Indication: Increased hip internal rotation ROM and decreased pain