LAB SESSION I. SCAPULAR MOBS EXTERNAL ROTATION POSTERIOR TILT UPWARD ROTATION COMBINED -POST TILT/ UR = SCAPULAR ASSISTANCE TEST II. GLENO-HUMERAL MOBS POSTERIOR POSTERO-INFERIO ANTERIOR
EXTERNAL ROTATION PUSH TECHNIQUE PULL 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 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
POSTERIOR TILT PUSH TECHNIQUE PULL 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 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
UPWARD ROTATION FORCE - COUNTEROTATION TECHNIQUE POSITION - SIDE OR PRONE - Scapula retracted HAND POSITION- ( R ) WEB SPACE CUPPING SUPERIOR ANGLE/ (L) WEB SPACE CUPPING INFERIOR ANGLE FORCE - COUNTEROTATION
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
MANUAL TECHNIQUES FOR THE HYPOMOBILE SHOULDER INCORPORATION OF : SOFT TISSUE RELEASE (MUSCLE-CAPSULE) VIA CONTRACTION OF ANTAGONIST AGONIST ACTIVE MOVEMENT STRETCH
PRINCIPLES OF RX APPLY MANUAL PRESSURE MAINTAIN PRESSURE - ADD IDENTIFY RESTRICTED TISSUE APPLY MANUAL PRESSURE MAINTAIN PRESSURE - ADD REPEATED CONTRACTIONS STRETCH INTO RESTRICTED RANGE
ANTERIOR-SUPERIOR CAPSULE MOTION AFFECTED ER ( IN 0-45˚ OF ABD) MANUAL PRESSURE TO: SUPRASPINATUS TECHNIQUE SUPINE RESISTED ER/IR
ANTERIOR CAPSULE MOTION AFFECTED ER ( IN 45˚-90˚ OF ABD) MANUAL PRESSURE: SUBSCAPULARIS TECHNIQUE SUPINE RESISTED ER/IR
POSTERIOR CAPSULE MOTION AFFECTED IR ( IN 90˚ OF ABD) MANUAL PRESSURE: TERES MINOR INFRASPINATUS TECHNIQUE SEATED /SUPINE RESISTED ER/IR
POSTERIOR-INFERIOR CAPSULE MOTION AFFECTED Horizontal Abduction MUSCLES AFFECTED TERES MINOR INFRASPINATUS TECHNIQUE Sidelying RESISTED HORIZ. ADD (ROWING MOTION)
POSTERIOR-INFERIOR CAPSULE MOTION AFFECTED ELEVATION (FLEX) Horiz add. MANUAL PRESSURE: TERES MAJOR LATISSIMUS DORSI TECHNIQUE SUPINE RESISTED FLEX/EXT
MANUAL TECHNIQUES FOR THE DYSFUNCTIONAL SCAPULA RESTORING POST. TILT/UPWARD ROTATION RELEASE / STRETCH UPPER TRAP. RELEASE / STRETCH PEC. MINOR APPLY MOBILIZATION- DURING MVMT Scapular Elevation Maintain Retraction ! Tape Lower Trap