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place hand in axila, place
thumb just distal to the margin
General mobility, with the hand in axilla,
supine, with arm in resting anteriorly and finger
Joint Traction intial treatment, pain move the arm latero ventro
position posteriorly, other hand
control cranially
supports the humerus from
lateral
one hand in patient axilla, the
Increase abduction,
G to reposition humeral web space your other hand is glide the humerus in an
Caudal Glide supine lying
l head if superiorly placed distal to the acromiom inferior direction
e positioned
process
n
stand facing patient feet,
o
stabilize patient arm against
h supine,with arm abducted with the hand on the
Increase abduction your trunk, place the web
u Caudal Glide - in available range, less proximal humerus, glide the
when range space of your other hand just
m progression external rotation of the humerus in an inferior
approches 90 degree distal to the acromiom
e humerus mus be added direction
1 process on the proximal
r
humerus
a
Supine , with arm
l
abducted and elevated to with the hand on yhe
Increase elevation
Elevation the end of its available same as caudal glide proximal humerus, glide the
J beyond 90 degree of
Progression range, then humerus progression humerus in a progresivelly
o abduction
extrenally rotated to its anterior direction.
i
limit
n
t
Place padding under the
Increase posterior
scapula for stabilization. Glide the humerus
Posterior gliding when flexion Supine with arm flexedto
Place one hand across the posteriorly by pushing down
Glide approches 90 90 degree, internally
proximal surface of the at the elbow through the
Progression degree, increase rotated, with elbow flexed.
humerus. Place your other long axis of the humerus
horizontal adduction
hand over the patient's elbow

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stand with your back to the


patient, between the patient
G
trunk and arm, support his
l
arm against your trunk, glide the humeral head
e Increase flexion,
Posterior Supine, with arm in resting grasping the distal humerus posteriorly by moving the
n increse internal
Glide position with your lateral hand. Place entire arm as you bend your
o rotation
the lateral border of your top knees
h
hand just distal to the anterior
u
margin of the joint, with your
m
fingers pointing superiorly.
e
r
Stand facing the top of the Apply in an anterior and
a
table with the leg closeset to slightly medial direction,
l
the table in a forward stride bend both knees so the
Prone, with arm in resting
position. Support the patient entire arm moves anterior.
J position over the edge of
Increse extension; arm against your thigh with Precaution; do not lift the
o the tretment plane.
Anterior Glide increase external your outside hand. Place the arm at the elbow and therby
i Supported on your thigh.
rotation ulnar border of your other cause an angulation of the
n Stabilize the acromiom
hand just distal to the humerus; such angulation
t with padding
posterior angle of the could lead to an anterior
acromiom process, with your subluxation of the humeral
fingers pointing superiorly. head

Fixate the scapula at the


acromiom process. Stand
behind him and stabilize the
acromiom process with the
Acromioclavic Increase mobility of Your thumb pushes the
2 Anterior Glide Sitting or prone fingers of your lateral hand.
ular Joint the joint clavicle anteriorly
The thumb of your other hand
is placed superiorly on the
clavicle, just medial to the
joint space.

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S
t Place your thumb on the
e anterior surface of the
r proximal end of the clavicle.
n Posterior Flex your index finger and Push with your thumb in a
Incresce retraction Supine
o Glide place the middle phalanx posterior direction
c along the caudal surface of
l the clavicle to support the
a thumb
v
i Your fingers are placed
3 The fingers and thumb lift
c Anterior Glide Increase Protraction Supine superiorly and thumb
u the clavicle anterioly
inferiorly around the clavicle
l
a Your fingers are placed
r Your fingers pull the
Inferior Glide Increase elevation Supine superiorly and thumb
proximal clavicle caudally
inferiorly around the clavicle
J
o
Your fingers are placed
i Your index finger forces in a
Superior Glide Increase depression Supine superiorly and thumb
n superior direction
inferiorly around the clavicle
t
Side lying, with the patient
facing you, the pateint arm
is draped over your inferior
This is not a
Increase scapular arm and allowed to hang Your superior hand is placed
true joint, but
motion of elevation, so that the muscle are across the acromiom process The scapula is moved in the
the soft tissue relaxed. Winging is an to control the direction of desired direction by lifting
depression,
Scapulothoraci is stretched in accesory motion that motion. The fingers of your from the inferior angle or by
4 elevation,
c Articulation order to obtain occurs when a person inferior hand scoop under the pushing on the acromiom
protarction,
normal
retraction, rotation attempts to place the hand medial border and inferior process.
shoulder girdle behind the back, angle of the scapula
and winging
mobility accopanying shoulder
internal rotation and
scapular downward
rotation
           

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