Hip & PelvisManual Traction & Joint DistractionGeneral regional overview
PNA Regional Principles · Overview
Hip & Pelvis — Traction / Distraction
What changes when Manual Traction & Joint Distraction meets the hip & pelvis? Start with the patient's movement, assess safely, and see what the re-test reveals.
1 specific variationsClinical re-test built in
Important: this is a clinical framework, not a complete technique protocol.
This page was generated from broader regional principles. It can help you frame assessment, patient comfort, safety and reassessment, but its generic positioning, contact and dosage text must not be treated as technique-specific hands-on instruction. Study a detailed, individually authored procedure and use supervised practical training.
Each variation below is written so you can follow patient setup, contact, direction, dose and the re-test that decides whether the technique earned a place in the plan.
01
Hip & PelvisHip joint
Hip Long-Axis Distraction
One question matters more than the name of this variation: will the patient notice a useful change in Hip ROM and gait? The careful re-test gets the final word.
The change we are looking for
Reduce compression sensitivity and prepare mobility
Primary target
Hip joint
The movement that tells us
Hip ROM and gait
Patient focus
Reduce compression sensitivity and prepare mobility
Therapist verifies
Hip ROM and gait
Success signal
Keep the technique only if the re-test shows a meaningful improvement in hip rom and gait without symptom worsening.
Full clinical application
1
Position the patient
Supine, prone or side-lying with pelvis stabilized.
2
Set the contact
Region-specific contact over Hip joint using the parent technique principles.
3
Apply the technique
Long-axis distraction
4
Dose & re-test
Use a conservative response-guided trial and reassess before repeating. Re-test: Hip ROM and gait
Safety / do not apply when…
Screen fracture, severe OA irritability, postoperative restrictions, acute inflammatory pathology and red-flag pelvic symptoms.
Stop or modify if symptoms peripheralize, neurological status worsens, the response is disproportionate or the patient asks to stop.
Clinical rule
A technically correct technique is not automatically a useful technique. Keep it only when the patient's pain, range or function improves in a clinically meaningful way, then transfer that gain into active movement, loading or self-management.
