47 (397)

Starting Position: P: Supine; head and neck in fuli ventral and left lateral flexion and left rotation: on couch and not beyond edge; right arm abducted and fully laterally rotated at shoulder with upper arm restingon couch. T: Standing at head of couch, chest supporting right side of P's head.

Grip: Ts left hand grips dorsal side of P’s neck. P’s head and neck are stabilized between T's left arm and chest. T’s right hand is on the dorsal side of P’s scapula with the thenar eminence against P’s supraspinous fossa.

Procedurę: Using this grip, T applies traction to P's neck while gradually and maximally pushing P's scapula in a caudal and dorsal direction.

Stimulation of Antagonists: T moves right hand to P’s axilla. T then asks P to move right shoulder further in the direction of stretching, and resists that movement with right hand to stimulate P’s antagonists.

Notes: This procedurę should be used if flexing is constrained at P’s shoulder and/or if stretching causes pain at the shoulder.

Avoid any movements of P's head and neck other than the traction applied.

47

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