Transcript Slides scap mobs and GH mobs - Summit Professional Education

LAB SESSION
I. SCAPULAR MOBS
 EXTERNAL ROTATION
 POSTERIOR TILT
 UPWARD ROTATION
 COMBINED -POST TILT/ UR
= SCAPULAR ASSISTANCE TEST
II. GLENO-HUMERAL
POSTERIOR
POSTERO-INFERIO
ANTERIOR
MOBS
EXTERNAL ROTATION
PUSH TECHNIQUE
 POSITION - SIDE OR
PRONE - Scapula
retracted
 HAND POSITION®PALM ON CORACOID/
(L) PALM ON MEDIAL
SCAPULAR BORDER
 FORCE - ( R ) HAND
APPLIES POSTEROMEDIAL FORCE
 (L) HAND STABILIZES
ALTERNATE : ( R ) HAND ON
AXILLARY BORDER
PULL TECHNIQUE
 POSITION - SIDE OR
PRONES -Scapula
retracted
 HAND POSITION- ®PALM
ON CORACOID/ (L)
PALM ON MEDIAL
SCAPULAR BORDER
 FORCE - ( R ) HAND
APPLIES POSTEROMEDIAL FORCE
 (L) HAND STABILIZES
ALTERNATE : ( R ) HAND ON
AXILLARY BORDER
POSTERIOR TILT
PUSH TECHNIQUE
 POSITION - SIDE OR
UPRIGHT - Scapula
retracted
 HAND POSITION®PALM ON CORACOID/
(L) PALM ON INFERIOR
½ OF SCAPULA
 FORCE - ( R ) HAND
APPLIES SUPEROPOSTERIOR FORCE
 (L) HAND STABILIZES
PULL 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 POSTEROINFERIOR DIRECTION
 (L) HAND STABILIZES
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 TILT
 SCAPULAR
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 THE
HYPOMOBILE SHOULDER
INCORPORATION OF :
 SOFT TISSUE RELEASE (MUSCLE-CAPSULE)
VIA CONTRACTION OF


ANTAGONIST
AGONIST
 ACTIVE MOVEMENT
 STRETCH
PRINCIPLES OF RX
 IDENTIFY RESTRICTED TISSUE
 APPLY MANUAL PRESSURE
 MAINTAIN PRESSURE - ADD
REPEATED CONTRACTIONS
 STRETCH INTO RESTRICTED
RANGE
ANTERIOR-SUPERIOR CAPSULE
 MOTION AFFECTED
 ER ( IN 0-45˚ OF ABD)
 MANUAL PRESSURE TO:
 SUPRASPINATUS
TECHNIQUE
 SUPINE
 RESISTED ER/IR
ANTERIOR CAPSULE
 MOTION AFFECTED
 ER ( IN 45˚-90˚ OF
ABD)
 MANUAL PRESSURE:
 SUBSCAPULARIS
TECHNIQUE
 SUPINE
 RESISTED ER/IR
POSTERIOR CAPSULE
 MOTION AFFECTED
 IR ( IN 90˚ OF ABD)
 MANUAL PRESSURE:
 TERES MINOR
 INFRASPINATUS
TECHNIQUE
 SEATED /SUPINE
 RESISTED ER/IR
POSTERIOR-INFERIOR CAPSULE
 MOTION AFFECTED
 Horizontal Abduction
 MUSCLES AFFECTED
 TERES MINOR
 INFRASPINATUS
TECHNIQUE
 Sidelying
RESISTED HORIZ. ADD
(ROWING MOTION)
POSTERIOR-INFERIOR CAPSULE
 MOTION AFFECTED
 ELEVATION (FLEX)
 Horiz add.
 MANUAL PRESSURE:
 TERES MAJOR
 LATISSIMUS DORSI
TECHNIQUE
 SUPINE
 RESISTED FLEX/EXT
MANUAL TECHNIQUES FOR THE
DYSFUNCTIONAL SCAPULA
RESTORING POST.
TILT/UPWARD
ROTATION
RELEASE / STRETCH UPPER
TRAP.
 RELEASE / STRETCH PEC.
MINOR
 APPLY MOBILIZATIONDURING MVMT
 Scapular Elevation
Maintain Retraction !
Tape Lower Trap