Shoulder Mobilization: Difference between revisions
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# [[Subacromial Pain Syndrome]], | # [[Subacromial Pain Syndrome]], | ||
# [[Adhesive Capsulitis|Adhesive capsulitis]] | # [[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> | # [[Rotator Cuff Tendinopathy|Rotator cuff tendinopathy]]. | ||
# Postoperative cases of humerus/clavicle fracture | |||
# Post-traumatic cases of humerus/clavicle fractures <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. | Below are some of the techniques at our disposal. | ||
== | == Glenohumeral mobilization == | ||
The head of the humerus is convex and the glenoid fossa is concave. | |||
=== Loose pack position === | |||
Shoulder abduction 55 degrees and horizontal adduction of 30 degrees. | |||
=== Treatment plane === | |||
The treatment plane is along the glenoid fossa and moves with the scapula as it moves in rotation. | |||
=== Glenohumeral distraction === | |||
==== Indications ==== | |||
Distraction is usually applied during initial treatment, for reduction of pain and general mobility. | |||
==== Position of the patient ==== | |||
The patient is in a supine lying position and the shoulder is in a resting position. | |||
==== Hand placement ==== | |||
The therapist's hand is placed in the axilla with the thumb distal to the joint margin anteriorly and fingers posteriorly. | |||
The other hand supports the lateral part of the humerus. | |||
=== Mobilizing hand === | |||
The therapist moves the hand in the axilla laterally to distract the humerus. | |||
{{#ev:youtube|At5YYf-LtjU|300}}<ref>Posterior Glide to increase flexion and internal rotation. Available from: https://www.youtube.com/watch?v=At5YYf-LtjU</ref> | {{#ev:youtube|At5YYf-LtjU|300}}<ref>Posterior Glide to increase flexion and internal rotation. Available from: https://www.youtube.com/watch?v=At5YYf-LtjU</ref> | ||
Revision as of 07:45, 20 January 2022
Original Editor - David Drinkard, Dana Tew.
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Introduction[edit | edit source]
Shoulder mobilization is commonly used in clinical practice. It is applied in cases where the ROM is restricted. Shoulder mobilization (Maitland technique) is described on this page.
Manual therapy interventions for the shoulder have been associated with improvements in pain and function in individuals with :
- Subacromial Pain Syndrome,
- Adhesive capsulitis
- Rotator cuff tendinopathy.
- Postoperative cases of humerus/clavicle fracture
- Post-traumatic cases of humerus/clavicle fractures [1]
Below are some of the techniques at our disposal.
Glenohumeral mobilization[edit | edit source]
The head of the humerus is convex and the glenoid fossa is concave.
Loose pack position[edit | edit source]
Shoulder abduction 55 degrees and horizontal adduction of 30 degrees.
Treatment plane[edit | edit source]
The treatment plane is along the glenoid fossa and moves with the scapula as it moves in rotation.
Glenohumeral distraction[edit | edit source]
Indications[edit | edit source]
Distraction is usually applied during initial treatment, for reduction of pain and general mobility.
Position of the patient[edit | edit source]
The patient is in a supine lying position and the shoulder is in a resting position.
Hand placement[edit | edit source]
The therapist's hand is placed in the axilla with the thumb distal to the joint margin anteriorly and fingers posteriorly.
The other hand supports the lateral part of the humerus.
Mobilizing hand[edit | edit source]
The therapist moves the hand in the axilla laterally to distract the humerus.
- Patient Position: Supine
- Therapist Position: Force Hand on Proximal Humerus
- Mobilization: A posteriorly directed force is directed perpendicular to the humerus
Inferior Glenohumeral Mobilization[edit | edit source]
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 position- 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]
- ↑ medbridge Manual Therapy Available: https://www.medbridgeeducation.com/techniques/evidence/2-Shoulder/ (accessed 30.9.2021)
- ↑ Posterior Glide to increase flexion and internal rotation. Available from: https://www.youtube.com/watch?v=At5YYf-LtjU
- ↑ Manual Therapy for the glenohumeral joint. Available from: https://www.youtube.com/watch?v=XnynTee7kak
- ↑ Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. 4th ed. LW&W, Philadephia, 2006.
