Shoulder Mobilization: Difference between revisions

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== Introduction ==
== Introduction ==
[[File:Shoulder horizontal abduction lower grades.png|right|frameless|370x370px]]
[[File:Shoulder horizontal abduction lower grades.png|right|frameless|370x370px]]
Manual therapy interventions for the shoulder have been associated with improvements in pain and function in individuals with shoulder impingement syndrome (SIS) and adhesive capsulitis (AC).  Often rotator cuff tendinopathy can also be diagnostically synonymous with shoulder impingement syndrome.<ref>medbridge [https://www.medbridgeeducation.com/techniques/evidence/2-Shoulder/ Manual Therapy] Available: https://www.medbridgeeducation.com/techniques/evidence/2-Shoulder/ (accessed 30.9.2021)</ref>
[[Manual Therapy|Manual therapy]] interventions for the shoulder have been associated with improvements in pain and function in individuals with eg


Below are some of the techniques at our diposal.
# [[Subacromial Pain Syndrome]],
# [[Adhesive Capsulitis|Adhesive capsulitis]]
# [[Rotator Cuff Tendinopathy|Rotator cuff tendinopathy]].<ref>medbridge [https://www.medbridgeeducation.com/techniques/evidence/2-Shoulder/ Manual Therapy] Available: https://www.medbridgeeducation.com/techniques/evidence/2-Shoulder/ (accessed 30.9.2021)</ref>
 
Below are some of the techniques at our disposal.


== Posterior Glenohumeral Mobilization ==
== Posterior Glenohumeral Mobilization ==
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# Patient Position: Supine  
# Patient Position: Supine  
# Therapist Position: Force Hand on Proximal Humerus  
# Therapist Position: Force Hand on Proximal [[Humerus]]
# Mobilization: A posteriorly directed force is directed perpendicular to the humerus  
# Mobilization: A posteriorly directed force is directed perpendicular to the humerus  


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== Scapulothoracic Mobilization    ==
== Scapulothoracic Mobilization    ==


'''Scapulothoracic mobilization'''<br> Scapulothoracic mobilization is performed when there is dysfunction of the scapulothoracic articulation (e.g. restriction of upward rotation or lateral glide). Mobilizations that are commonly used include medial/lateral glides, superior/inferior glides, upward and downward rotation, and diagonal patterns.
[[Scapulothoracic Joint|Scapulothoracic]] mobilization is performed when there is dysfunction of the scapulothoracic articulation (e.g. restriction of upward rotation or lateral glide). Mobilizations that are commonly used include medial/lateral glides, superior/inferior glides, upward and downward rotation, and diagonal patterns.
*Patient postition- typically, the patient is lying side-lying with the involved side up and the arm resting on the therapist's arm. The therapist stands in front of the patient, facing them. Hand contacts for these glides are the inferior angle of the scapula and the acromion. Direction and magnitude of force are dependent upon the technique being utilized and the amount of motion that is desired.<ref>Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. 4th ed. LW&amp;W, Philadephia, 2006.</ref>
*Patient postition- typically, the patient is lying side-lying with the involved side up and the arm resting on the therapist's arm. The therapist stands in front of the patient, facing them. Hand contacts for these glides are the inferior angle of the scapula and the acromion. Direction and magnitude of force are dependent upon the technique being utilized and the amount of motion that is desired.<ref>Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. 4th ed. LW&amp;W, Philadephia, 2006.</ref>



Revision as of 02:34, 30 September 2021

Introduction[edit | edit source]

Shoulder horizontal abduction lower grades.png

Manual therapy interventions for the shoulder have been associated with improvements in pain and function in individuals with eg

  1. Subacromial Pain Syndrome,
  2. Adhesive capsulitis
  3. Rotator cuff tendinopathy.[1]

Below are some of the techniques at our disposal.

Posterior Glenohumeral Mobilization[edit | edit source]

[2]

  1. Patient Position: Supine
  2. Therapist Position: Force Hand on Proximal Humerus
  3. Mobilization: A posteriorly directed force is directed perpendicular to the humerus

Inferior Glenohumeral Mobilization[edit | edit source]

[3]

Scapulothoracic Mobilization[edit | edit source]

Scapulothoracic mobilization is performed when there is dysfunction of the scapulothoracic articulation (e.g. restriction of upward rotation or lateral glide). Mobilizations that are commonly used include medial/lateral glides, superior/inferior glides, upward and downward rotation, and diagonal patterns.

  • Patient postition- typically, the patient is lying side-lying with the involved side up and the arm resting on the therapist's arm. The therapist stands in front of the patient, facing them. Hand contacts for these glides are the inferior angle of the scapula and the acromion. Direction and magnitude of force are dependent upon the technique being utilized and the amount of motion that is desired.[4]

References[edit | edit source]

  1. medbridge Manual Therapy Available: https://www.medbridgeeducation.com/techniques/evidence/2-Shoulder/ (accessed 30.9.2021)
  2. Posterior Glide to increase flexion and internal rotation. Available from: https://www.youtube.com/watch?v=At5YYf-LtjU
  3. Manual Therapy for the glenohumeral joint. Available from: https://www.youtube.com/watch?v=XnynTee7kak
  4. Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. 4th ed. LW&W, Philadephia, 2006.