When you are looking to progress your patient from fully supported and passive manual therapy techniques to help lateral flexion you can move them into a sitting position. You can use an external support to such as a gym ball to help provide assistance as the patient begins active assisted functional movements. You can then progressively take away the external support as the patient becomes increasingly capable of the movement.
As you progress the patient to remove the external support it is important you give the patient visual cues to help functional motor patterning of the limb and trunk.
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