lab session i. scapular mobs i. scapular mobs external rotation external rotation posterior tilt...

LAB SESSIONLAB SESSION I. I. SCAPULAR MOBSSCAPULAR MOBS EXTERNAL ROTATIONEXTERNAL ROTATION POSTERIOR TILTPOSTERIOR TILT UPWARD ROTATIONUPWARD ROTATION COMBINED -POST TILT/ URCOMBINED -POST TILT/ UR = SCAPULAR ASSISTANCE TEST

II. II. GLENO-HUMERAL MOBSGLENO-HUMERAL MOBSPOSTERIOR POSTERIOR POSTERO-INFERIO POSTERO-INFERIO ANTERIORANTERIOR

EXTERNAL ROTATIONEXTERNAL ROTATIONPUSH

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 STABILIZESALTERNATE : ( R ) HAND ON

AXILLARY BORDER

PULL TECHNIQUEPULL 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 STABILIZESALTERNATE : ( R ) HAND ON

AXILLARY BORDER

POSTERIOR TILTPOSTERIOR TILTPUSH

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 TECHNIQUEPULL 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 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

COMBINED- UR/ POST TILTCOMBINED- UR/ POST TILTSCAPULAR

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 MANUAL TECHNIQUES FOR THE HYPOMOBILE SHOULDERTHE HYPOMOBILE SHOULDER

INCORPORATION OFINCORPORATION OF : :

SOFT TISSUE RELEASESOFT TISSUE RELEASE (MUSCLE-CAPSULE)(MUSCLE-CAPSULE) VIA CONTRACTION OFVIA CONTRACTION OF

ANTAGONISTANTAGONIST AGONISTAGONIST

ACTIVE MOVEMENTACTIVE MOVEMENT

STRETCHSTRETCH

PRINCIPLES OF RXPRINCIPLES OF RX

IDENTIFY RESTRICTED TISSUEIDENTIFY RESTRICTED TISSUE

APPLY MANUAL PRESSUREAPPLY MANUAL PRESSURE

MAINTAIN PRESSURE - ADDMAINTAIN PRESSURE - ADD

REPEATED CONTRACTIONSREPEATED CONTRACTIONS

STRETCH INTO RESTRICTED STRETCH INTO RESTRICTED RANGERANGE

ANTERIOR-SUPERIOR ANTERIOR-SUPERIOR CAPSULECAPSULE

MOTION AFFECTEDMOTION AFFECTED

ER ( IN 0-45˚ OF ABD)ER ( IN 0-45˚ OF ABD)

MANUAL PRESSURE TO:MANUAL PRESSURE TO:

SUPRASPINATUSSUPRASPINATUS

TECHNIQUETECHNIQUE

SUPINESUPINE

RESISTED ER/IRRESISTED ER/IR

ANTERIOR CAPSULEANTERIOR CAPSULE MOTION AFFECTEDMOTION AFFECTED ER ( IN 45˚-90˚ OF ER ( IN 45˚-90˚ OF

ABD)ABD)

MANUAL PRESSURE:MANUAL PRESSURE: SUBSCAPULARISSUBSCAPULARIS TECHNIQUETECHNIQUE SUPINESUPINE RESISTED ER/IRRESISTED ER/IR

POSTERIOR CAPSULEPOSTERIOR CAPSULE

MOTION AFFECTEDMOTION AFFECTED IR ( IN 90˚ OF ABD)IR ( IN 90˚ OF ABD)

MANUAL PRESSURE:MANUAL PRESSURE: TERES MINORTERES MINOR INFRASPINATUSINFRASPINATUS

TECHNIQUETECHNIQUE SEATED /SUPINESEATED /SUPINE RESISTED ER/IRRESISTED ER/IR

POSTERIOR-INFERIOR POSTERIOR-INFERIOR CAPSULECAPSULE

MOTION AFFECTEDMOTION AFFECTED

Horizontal AbductionHorizontal Abduction

MUSCLES AFFECTEDMUSCLES AFFECTED

TERES MINORTERES MINOR

INFRASPINATUSINFRASPINATUS

TECHNIQUETECHNIQUE

SidelyingSidelying

RESISTED HORIZ. ADDRESISTED HORIZ. ADD

((ROWING MOTIONROWING MOTION))

POSTERIOR-INFERIOR POSTERIOR-INFERIOR CAPSULECAPSULE

MOTION AFFECTEDMOTION AFFECTED ELEVATION (FLEX)ELEVATION (FLEX) Horiz add.Horiz add.

MANUAL PRESSURE:MANUAL PRESSURE: TERES MAJORTERES MAJOR LATISSIMUS DORSILATISSIMUS DORSI

TECHNIQUETECHNIQUE SUPINESUPINE RESISTED FLEX/EXT RESISTED FLEX/EXT

MANUAL TECHNIQUES FOR THE MANUAL TECHNIQUES FOR THE DYSFUNCTIONAL SCAPULADYSFUNCTIONAL SCAPULA

RESTORING POST. RESTORING POST. TILT/UPWARD TILT/UPWARD ROTATIONROTATION

RELEASE / STRETCH UPPER RELEASE / STRETCH UPPER TRAP.TRAP.

RELEASE / STRETCH PEC. RELEASE / STRETCH PEC. MINORMINOR

APPLY MOBILIZATION- APPLY MOBILIZATION- DURING MVMTDURING MVMT

Scapular ElevationScapular Elevation

Maintain Retraction !Maintain Retraction !

Tape Lower TrapTape Lower Trap