This skeletal description makes one understand the direction of pressure to check for the integrity of the antero-inferior capsule Instability. As a treatment method the same technique is used for the treatment of the frozen shoulder.

The Glenohumeral Joint Inferior glide is useful for the reduction of pain associated with the abduction or to reduce the stiffness associated with the abduction.

This technique is useful for the treatment of the shoulder complex problem. The A-P glide is given to increase the flexion range of motion or to decrease the pain associated with the flexion and Internal rotation.

The technique is useful in case of sacral nutation correction

This technique is useful for the patients complaining of pain in the lateral( outer) aspect of the knee joint. The pain may be due to the superior tibio-fibular joint involvement.
In this technique the hip is taken for 90 degrees of flexion and adduction at the same time the therapist places four fingers at posterior aspect of the knee joint. The knee is taken for the flexion, at the same time tibia is taken for external rotation. Once the physiological barrier is reached thrust is applied towards flexion. This technique releases the restriction of the superior tibio-fibular joint.

At the lumbar region independent physiological movements are not possible and always there are combination of movements. These movements are called as coupling movements. More appropriately it is defined by Panjabi et al,1992 as follows. Coupled motion is the rotation or translation of a vertebral body about or along one axis that is consistently associated with the main rotation or translation about another axis (Panjabi et al., 1992). During movement, translation occurs when movement is such that all particles within that segment move in the same direction with the same velocity (Panjabi et al., 1992). With movement, rotation occurs as a spinning or angular displacement ofth e vertebral body around some axis. Several researchers have commented about it (Lovett (1905), Fryette (1954) ,Stoddard (1959),Kapandji (1974) and Rolander (1966) )and they have described about it. There is a saying " seeing is believing" and at MTFI being the forefront contributor to the research in manual therapy we took this video fluoroscopy of lumbar region at the operation theatre of the orthopedic dept, Datta meghe institute of medical sciences,Wardha. The study was done by Prof.Mohanty, President,MTFI and Dr.Shamla Pazare of Ravi Nair Physiotherapy College, Wardha. You can see in the video clearly the rotation of the lumbar region associated with the side flexion.

The vertebral artery screening test is performed before the cervical spine manipulations. The vertebral artery gets compromised during the cervical rotations.The opinion of the researchers varies i.e some say the vertebral artery is compromised in opposite side rotation and some say in same side rotation. We did the real time transcranial doppler insonating the vertebral artery near the mastoid process to check for the compromise of the haemodynamics in ipsilateral and contralateral rotations. As this is real time we could measure the haemodynamics as it is without any assumptions. We found more compromise in same side rotation.

This technique is useful for the persons with the shoulder pain.In shoulder pain the scapular retractors(rhomboideus minor and major) become weak and affects the motor control of scapulothoracic joint.The athletes and sports persons whose activity demands overhead shoulder movements(badminton, lawn tennis, cricket bowlers, volleyball players and swimmers can augment and bump up the performance. The subject is in prone lying position. The scapula is pulled towards the midline and the position is maintained for 6-10 seconds. In one session the treatment is repeated for 10-15times. The concept of control is low-load and more repetition. The techniques are performed at 30degrees,90degrees and 110 degrees of abduction.

This manipulation technique is useful for treatment of mechanical pain at the thoracic region. This opens up the zygapophyseal joints and also releases the periarticular structures. This is also useful as an additional treatment in case of shoulder pain as shoulder pain is also associated with mechanical dysfunction of the thoracic region

This manipulation technique is used to release the stiffness in the thoracic region. In the thoracic region the stiffness is very common and produce pain for computer professionals, dentists,drivers and assembly line workers.

This technique is useful for correction of anterior rotation of innominate.The clinician applies thrust from inferior aspect of ASIS with a force directed posterior,superior and lateral.

This test is used to identify if there is any compromise to the spinal cord or sciatic nerve.