Manual Techniques for the Shoulder

Original Editor - David Drinkard, Dana Tew.

Top Contributors - Dana Tew and David Drinkard  

Posterior Glenohumeral Mobilization

[1]

Patient Position: Supine

Therapist Position: Force Hand on Proximal Humerus

Mobilization: A posteriorally directed force is directed perpendicular to the humerus

Inferior Glenohumeral Mobilization

[2]

Lateral Glenohumeral Mobilization

[3]

Inferior Glenohumeral Manipulation

 

 Lateral Glenohumeral Manipulation

 



Scapulothoracic Mobilization

Scapulothoracic mobilization-


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]

Recent Related Research (from Pubmed)

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References

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  1. Online video, available at http://www.youtube.com/watch?v=At5YYf-LtjU&feature=player_embedded# (last accessed 3/23/10)
  2. Online video, accessible at http://www.youtube.com/watch?v=XnynTee7kak&feature=player_embedded . Last accessed 3/23/10
  3. Online video, accessible at http://www.youtube.com/watch?v=fQh2XnYuiHs&feature=player_embedded , last accessed 3/23/10
  4. Hertling D, Kessler RM. Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. 4th ed. LW&W, Philadephia, 2006.