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Activator Method

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Kin Yat Luk
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10 views3 pages

Activator Method

Uploaded by

Kin Yat Luk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Activator method

Position 1 = patient in supine position

Position 2 = patient in supine position with bent knees (no more than 90 degrees)

PD leg = shorter leg in position 1

Possibility 1 = PD leg becomes longer in position 2 (knee and foot)

Possibility 2 = PD leg becomes even shorter in position 2 (L4)

Possibility 3 = No PD leg or leg difference in position 2 but patient feels uncomfortable on pelvic or
lumbar (pubic bone)

Procedures (knee and foot)

Medial knee pressure test

- Apply inferior and lateral force on medial knee ligament


- Positive = if PD leg becomes longer in position 1, then adjust talus and medial knee

Talus adjustment

- CP = medial and inferior side of talus


- LOD = posterior, superior and lateral

Medial knee adjustment

- CP = medial and superior side of tibial plateau


- LOD = lateral and inferior

If negative in medial knee pressure test or no improvements in talus and medial knee adjustment,
then perform lateral knee pressure test

Lateral knee pressure test

- Apply medial and inferior force on lateral knee ligament (avoid contacting fibula)
- Positive = if PD leg becomes longer in position 1, then adjust cuboid and lateral knee

Cuboid adjustment

- CP = inferior and lateral side of cuboid


- LOD = posterior, superior and medial

Lateral knee adjustment

- CP = lateral and superior side of tibial plateau


- LOD = medial and inferior

Procedures (pelvis)

If the knee and foot adjustments do not have a desired outcome, process pelvic pressure test

AS ilium pressure test

- Apply inferior and medial force on the iliac crest opposite to PD leg
- Positive = if PD leg becomes longer in position 1, then adjust the AS ilium

AS ilium adjustment

- 1st CP = lateral 0.5 inch from S1 tubercle at sacrum base


- 1st LOD = anterior and inferior
- 2nd CP = superior 1 inch from PSIS
- 2nd LOD = inferior and medial
- 3rd CP = ischial tuberosity
- 3rd LOD = anterior and inferior

PI ilium pressure test

- Apply posterior, superior and lateral force on the sacrotuberous ligament same side to PD
leg
- Positive = if PD leg becomes longer in position 1, then adjust the PI ilium

PI ilium adjustment

- 1st CP = spine of the ischium


- 1st LOD = posterior, superior and lateral
- 2nd CP = inferior to sacrotuberous ligament
- 2nd LOD = posterior, superior and lateral
- 3rd CP = lateral side of ala
- 3rd LOD = anterior and superior

Procedures (symphysis pubis)

Isolation test of symphysis pubis


- Patient’s knees move towards each other
- 1st positive = if PD leg becomes shorter in position 1 and become longer in position 2, pubis
subluxated superiorly
- 2nd positive = if PD leg becomes shorter in position 1 and become shorter in position 2, pubis
subluxated inferiorly

Subluxated superiorly pubis adjustment

- CP = superior side of pubis tubercle


- LOD = inferior

Subluxated inferiorly pubis adjustment

- CP= inferior side of pubis


- LOD = superior

Procedures (lumbar)

Isolation test of L5

- Put patient’s elbow at the back same side of PD leg

If PD leg becomes shorter in position 1, adjust the lumbar

If PD leg becomes longer in position 2, adjust the side of PD leg

If PD leg becomes shorter in position 2, adjust the opposite side of PD leg

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