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LAB SESSION I. SCAPULAR MOBS I. SCAPULAR MOBS EXTERNAL ROTATION EXTERNAL ROTATION POSTERIOR TILT POSTERIOR TILT UPWARD ROTATION UPWARD ROTATION COMBINED.

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Presentation on theme: "LAB SESSION I. SCAPULAR MOBS I. SCAPULAR MOBS EXTERNAL ROTATION EXTERNAL ROTATION POSTERIOR TILT POSTERIOR TILT UPWARD ROTATION UPWARD ROTATION COMBINED."— Presentation transcript:

1 LAB SESSION I. SCAPULAR MOBS I. SCAPULAR MOBS EXTERNAL ROTATION EXTERNAL ROTATION POSTERIOR TILT POSTERIOR TILT UPWARD ROTATION UPWARD ROTATION COMBINED -POST TILT/ UR COMBINED -POST TILT/ UR = SCAPULAR ASSISTANCE TEST II. GLENO-HUMERAL MOBS II. GLENO-HUMERAL MOBS POSTERIOR POSTERIOR POSTERO-INFERIO POSTERO-INFERIO ANTERIOR ANTERIOR

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

3 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 (L) HAND STABILIZES 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 (L) HAND STABILIZES

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

5 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

6 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

7 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

8 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

9 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

10 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

11 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 )

12 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

13 MANUAL TECHNIQUES FOR THE DYSFUNCTIONAL SCAPULA RESTORING POST. TILT/UPWARD ROTATION RELEASE / STRETCH UPPER TRAP. RELEASE / STRETCH UPPER TRAP. RELEASE / STRETCH PEC. MINOR RELEASE / STRETCH PEC. MINOR APPLY MOBILIZATION- DURING MVMT APPLY MOBILIZATION- DURING MVMT Scapular Elevation Scapular Elevation Maintain Retraction ! Maintain Retraction ! Tape Lower Trap Tape Lower Trap


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