Hip & PelvisKaltenborn–Evjenth MobilizationTechnique-specific guide
PNA Clinical Application Guide
Hip Long-Axis / Lateral Traction
What changes when Kaltenborn–Evjenth Mobilization meets the hip & pelvis? Start with the patient's movement, assess safely, and see what the re-test reveals.
2 specific variationsClinical re-test built in
Specific variations
How this technique is applied in the hip & pelvis
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 & PelvisFemoral head in acetabulum
Hip Lateral Traction
One question matters more than the name of this variation: will the patient notice a useful change in Hip flexion/internal rotation, squat and walking.? The careful re-test gets the final word.
The change we are looking for
Reduce joint compression and improve flexion/rotation tolerance in selected stiff/painful hips.
Primary target
Femoral head in acetabulum
The movement that tells us
Hip flexion/internal rotation, squat and walking.
Patient focus
Reduce joint compression and improve flexion/rotation tolerance in selected stiff/painful hips.
Therapist verifies
Hip flexion/internal rotation, squat and walking.
Success signal
Keep the technique only if the re-test shows a meaningful improvement in hip flexion/internal rotation, squat and walking. without symptom worsening.
Full clinical application
1
Position the patient
Supine with the hip flexed slightly into a comfortable resting position.
2
Set the contact
Stabilize the pelvis. Use a belt or broad proximal-thigh contact to control the femur close to the joint.
3
Apply the technique
Distract the femoral head laterally, perpendicular to the acetabular treatment plane.
4
Dose & re-test
10–30 second sustained holds × 3–5. Re-test: Hip flexion/internal rotation, squat and walking.
Clinical pearl
A belt can reduce therapist effort but does not replace precise pelvic stabilization.
Safety / avoid
Respect hip replacement precautions and fracture risk.
02
Hip & PelvisFemoral head
Posterior Hip Translatoric Glide
One question matters more than the name of this variation: will the patient notice a useful change in Hip flexion/internal rotation and squat.? The careful re-test gets the final word.
Keep the technique only if the re-test shows a meaningful improvement in hip flexion/internal rotation and squat. without symptom worsening.
Full clinical application
1
Position the patient
Supine with the hip flexed to the treatment position and pelvis stabilized.
2
Set the contact
Broad contact through the proximal femur/knee line while preventing pelvic rotation.
3
Apply the technique
Apply a sustained posterior glide parallel to the treatment plane after taking up slack.
4
Dose & re-test
10–30 second holds × 3–5. Re-test: Hip flexion/internal rotation and squat.
Clinical pearl
If the pelvis rotates backward, the movement is no longer isolated at the hip.
Safety / avoid
Avoid in acute hip injury or unstable postoperative state.
Safety / do not apply when…
Avoid fracture, dislocation, severe osteoporosis or acute postoperative restrictions.
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.
