1. Scapular Assistance Test
Intra-rater reliability
.76 - scapular elev
.84 – flexion
Limitation –
Non-specific w/ dx./shoulder pathology

3. EXTERNAL ROTATION PUSH TECHNIQUE PULL TECHNIQUE
 POSITION - SIDE - Scapula retracted
 HAND POSITION- R PALM ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER
 FORCE - ( R ) HAND APPLIES POSTERO-MEDIAL FORCE
ALTERNATE : ( R ) HAND ON AXILLARY BORDER
PULL TECHNIQUE
 POSITION - SIDE/ PRONE Scapula retracted
 HAND POSITION- (R ) fingers ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER
 FORCE - ( R ) HAND APPLIES POSTERO-MEDIAL FORCE
ALTERNATE : ( R ) HAND ON AXILLARY BORDER

6. POSTERIOR TILT PUSH TECHNIQUE PULL TECHNIQUE
 POSITION - SIDE OR UPRIGHT - Scapula retracted
 HAND POSITION- ®PALM ON CORACOID/ (L) PALM ON INFERIOR ½ OF SCAPULA
 FORCE - ( R ) HAND APPLIES SUPERO-POSTERIOR FORCE
head of patient
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 POSTERO-INFERIOR DIRECTION

9. UPWARD ROTATION FORCE - COUNTEROTATION  TECHNIQUE
 POSITION - SIDE OR PRONE - Scapula retracted
HAND POSITION- ( L ) WEB SPACE CUPS SUPERIOR ANGLE/ (R) WEB SPACE CUPPING INFERIOR ANGLE
FORCE - COUNTEROTATION

12. 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

14. G-H MOBILIZATIONS POSTERIOR Scapular Plane Horizontal Adduction
INFERIOR
 Scaption (90-120˚)

18. G-H MOBILIZATIONS ANTERIOR  Extension  Horizontal Abduction LATERAL
 “Fulcrum” Technique

20. MANUAL TECHNIQUES FOR THE HYPOMOBILE SHOULDER
INCORPORATION OF :
 SOFT TISSUE RELEASE (MUSCLE-CAPSULE) VIA CONTRACTION OF
ANTAGONIST
AGONIST
 ACTIVE MOVEMENT
 STRETCH

21. PRINCIPLES OF RX  APPLY MANUAL PRESSURE  MAINTAIN PRESSURE - ADD
 IDENTIFY RESTRICTED TISSUE
 APPLY MANUAL PRESSURE
 MAINTAIN PRESSURE - ADD
REPEATED CONTRACTIONS
 STRETCH INTO RESTRICTED RANGE

22. ANTERIOR-SUPERIOR CAPSULE
 MOTION AFFECTED
 ER ( IN 0-45˚ OF ABD)
 MANUAL PRESSURE TO:
 SUPRASPINATUS
TECHNIQUE
 SUPINE
 RESISTED ER/IR

23. ANTERIOR CAPSULE  MOTION AFFECTED  ER ( IN 45˚-90˚ OF ABD)
 MANUAL PRESSURE:
 SUBSCAPULARIS
TECHNIQUE
 SUPINE
 RESISTED ER/IR

24. POSTERIOR CAPSULE  MOTION AFFECTED  IR ( IN 90˚ OF ABD)
 MANUAL PRESSURE:
 TERES MINOR
 INFRASPINATUS
TECHNIQUE
 SEATED /SUPINE
 RESISTED ER/IR

25. POSTERIOR-INFERIOR CAPSULE
 MOTION AFFECTED
 Horizontal Abduction
 MUSCLES AFFECTED
 TERES MINOR
 INFRASPINATUS
TECHNIQUE
 Sidelying
RESISTED HORIZ. ADD
(ROWING MOTION)

26. POSTERIOR-INFERIOR CAPSULE
 MOTION AFFECTED
 ELEVATION (FLEX)
 Horiz add.
 MANUAL PRESSURE:
 TERES MAJOR
 LATISSIMUS DORSI
TECHNIQUE
 SUPINE
 RESISTED FLEX/EXT