The patients lay supine on a treatment table, with their fingers interlocked behind their head. The therapist stood contralateral to the side to be manipulated and moved the patient onto his or her side, then leaned toward the dysfunction side, rotated the patient, and exerted a quick thrust to the anterior superior iliac spine in the posterior and inferior directions [18, 19] (Fig. 2).Fig. 2Sacroiliac joint manipulation