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Scapular Assistance Test Intra-rater reliability Intra-rater reliability.76 - scapular elev.76 - scapular elev.84 – flexion.84 – flexion Limitation – Limitation.

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Presentation on theme: "Scapular Assistance Test Intra-rater reliability Intra-rater reliability.76 - scapular elev.76 - scapular elev.84 – flexion.84 – flexion Limitation – Limitation."— Presentation transcript:

1 Scapular Assistance Test Intra-rater reliability Intra-rater reliability.76 - scapular elev.76 - scapular elev.84 – flexion.84 – flexion Limitation – Limitation – Non-specific w/ dx./shoulder pathology Non-specific w/ dx./shoulder pathology

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3 EXTERNAL ROTATION PUSH TECHNIQUE POSITION - SIDE - Scapula retracted HAND POSITION- R PALM ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER FORCE - ( R ) HAND APPLIES POSTERO- MEDIAL FORCE ALTERNATE : ( R ) HAND ON AXILLARY BORDER PULL TECHNIQUE PULL TECHNIQUE POSITION - SIDE/ PRONE Scapula retracted HAND POSITION- (R ) fingers ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER FORCE - ( R ) HAND APPLIES POSTERO- MEDIAL FORCE ALTERNATE : ( R ) HAND ON AXILLARY BORDER

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6 POSTERIOR TILT PUSH TECHNIQUE POSITION - SIDE OR UPRIGHT - Scapula retracted HAND POSITION- ®PALM ON CORACOID/ (L) PALM ON INFERIOR ½ OF SCAPULA FORCE - ( R ) HAND APPLIES SUPERO- POSTERIOR FORCE head of patient PULL TECHNIQUE PULL TECHNIQUE POSITION - SIDE/ PRONE/UPRIGHT - Scapula retracted HAND POSITION- ®HAND GRIPS SUPERIOR BORDER /(L) PALM ON INFERIOR ½ OF SCAPULA FORCE - ( R ) HAND PULLS INTO POSTERO- INFERIOR DIRECTION

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9 UPWARD ROTATION TECHNIQUE POSITION - SIDE OR PRONE - Scapula retracted HAND POSITION- ( L ) WEB SPACE CUPS SUPERIOR ANGLE/ (R) WEB SPACE CUPPING INFERIOR ANGLE FORCE - COUNTEROTATION

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12 COMBINED- UR/ POST TILT SCAPULAR ASSISTANCE TEST HAND POSITION- (L) HAND GRIPS SUPERIOR BORDER / R WEB SPACE CUPS INFERIOR ANGLE FORCE - ( L ) HAND PULLS INTO POSTERO-INFERIOR DIRECTION ( R ) HAND - PROMOTES UPWARD ROTATION

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14 G-H MOBILIZATIONS POSTERIOR Scapular Plane Scapular Plane Horizontal Adduction Horizontal AdductionINFERIOR Scaption (90-120˚) Scaption (90-120˚)

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18 G-H MOBILIZATIONS ANTERIOR Extension Extension Horizontal Abduction Horizontal AbductionLATERAL Fulcrum Technique Fulcrum Technique

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20 MANUAL TECHNIQUES FOR THE HYPOMOBILE SHOULDER INCORPORATION OF : SOFT TISSUE RELEASE (MUSCLE-CAPSULE) VIA CONTRACTION OF SOFT TISSUE RELEASE (MUSCLE-CAPSULE) VIA CONTRACTION OF ANTAGONIST ANTAGONIST AGONIST AGONIST ACTIVE MOVEMENT ACTIVE MOVEMENT STRETCH STRETCH

21 PRINCIPLES OF RX IDENTIFY RESTRICTED TISSUE IDENTIFY RESTRICTED TISSUE APPLY MANUAL PRESSURE APPLY MANUAL PRESSURE MAINTAIN PRESSURE - ADD MAINTAIN PRESSURE - ADD REPEATED CONTRACTIONS REPEATED CONTRACTIONS STRETCH INTO RESTRICTED RANGE STRETCH INTO RESTRICTED RANGE

22 ANTERIOR-SUPERIOR CAPSULE MOTION AFFECTED MOTION AFFECTED ER ( IN 0-45˚ OF ABD) ER ( IN 0-45˚ OF ABD) MANUAL PRESSURE TO: MANUAL PRESSURE TO: SUPRASPINATUS SUPRASPINATUS TECHNIQUE TECHNIQUE SUPINE SUPINE RESISTED ER/IR RESISTED ER/IR

23 ANTERIOR CAPSULE MOTION AFFECTED MOTION AFFECTED ER ( IN 45˚-90˚ OF ABD) ER ( IN 45˚-90˚ OF ABD) MANUAL PRESSURE: MANUAL PRESSURE: SUBSCAPULARIS SUBSCAPULARIS TECHNIQUE TECHNIQUE SUPINE SUPINE RESISTED ER/IR RESISTED ER/IR

24 POSTERIOR CAPSULE MOTION AFFECTED MOTION AFFECTED IR ( IN 90˚ OF ABD) IR ( IN 90˚ OF ABD) MANUAL PRESSURE: MANUAL PRESSURE: TERES MINOR TERES MINOR INFRASPINATUS INFRASPINATUS TECHNIQUE TECHNIQUE SEATED /SUPINE SEATED /SUPINE RESISTED ER/IR RESISTED ER/IR

25 POSTERIOR-INFERIOR CAPSULE MOTION AFFECTED MOTION AFFECTED Horizontal Abduction Horizontal Abduction MUSCLES AFFECTED MUSCLES AFFECTED TERES MINOR TERES MINOR INFRASPINATUS INFRASPINATUS TECHNIQUE TECHNIQUE Sidelying Sidelying RESISTED HORIZ. ADD RESISTED HORIZ. ADD ( ROWING MOTION ) ( ROWING MOTION )

26 POSTERIOR-INFERIOR CAPSULE MOTION AFFECTED MOTION AFFECTED ELEVATION (FLEX) ELEVATION (FLEX) Horiz add. Horiz add. MANUAL PRESSURE: MANUAL PRESSURE: TERES MAJOR TERES MAJOR LATISSIMUS DORSI LATISSIMUS DORSI TECHNIQUE TECHNIQUE SUPINE SUPINE RESISTED FLEX/EXT RESISTED FLEX/EXT


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