Spinal Adjustment Program Lumbar Manipulations demonstration Patient position: Side lying with upper extremity rotated (Thoracic Rotation, right side Rotation in case of video) lower leg knee extension with hip flexed slightly... Upper leg flexed and placed ankle at popliteal fossa of lower leg.... Therapist on application side.... Left hand crossing elbow is patient and stabilize L5 or stabilized shoulder to avoid forward fall.... Right forearm (not elbow) over hip, and in first breath in bring