What changes when Manual Traction & Joint Distraction meets the knee? 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
KneeKnee joint
Tibiofemoral Distraction
One question matters more than the name of this variation: will the patient notice a useful change in Knee ROM and weight-bearing? The careful re-test gets the final word.
The change we are looking for
Pain modulation and joint-play preparation
Primary target
Knee joint
The movement that tells us
Knee ROM and weight-bearing
Patient focus
Pain modulation and joint-play preparation
Therapist verifies
Knee ROM and weight-bearing
Success signal
Keep the technique only if the re-test shows a meaningful improvement in knee rom and weight-bearing without symptom worsening.
Full clinical application
1
Position the patient
Supine, prone or sitting with the knee comfortably supported.
2
Set the contact
Region-specific contact over Knee 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: Knee ROM and weight-bearing
Safety / do not apply when…
Avoid routine manual therapy with suspected DVT, fracture, acute instability, infection or uncleared postoperative restriction.
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.
