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LAB SESSION I. SCAPULAR MOBS  EXTERNAL ROTATION  POSTERIOR TILT

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

1 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

2 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

3 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

4 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

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 ANTAGONIST AGONIST  ACTIVE MOVEMENT  STRETCH

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

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

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

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

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

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

13 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


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