Shoulder Joint mobz

Question 1

Shoulder

Anterior Glide

Answer 1

Effect: Decrease pain and increase extension
Precautions: Be careful not to overmobilize in anterior direction as it is a more lax portion of the joint capsule. (slight traction on humerus.
Stabalizing hand: rolled towel under scapula/clavicle; stabalize distal arm under the humerus
Mobilizing hand: the head of the humerus in the anterior direction.

Question 2

Shoulder

Long axis traction

not on PBA

Answer 2

Effect: inrease overall range of motion, decrease pain
Precautions: do not allow the shoulder girdle to compress the brachial plexus b/w the clavvicle and first rib.
Stabalizing hand: start with the shoulder girdle in an inferior position, plaace the proximal hand on the coracoid process and AC joint.
Mobilizing hand: grasp the distal humerus proximal to the epicondyles and distractt inferiorly through the long axis of the humerus.

Question 3

Shoulder

Posterior Glide

Answer 3

Effect: increase range of motion for internal rotation/flexion; decrease pain; reduce an anteriorly positioned humeral head.
Precautions: do not allow the humerus to externally rotate.
Stabalizing hand: spine of scapula and block arm with hip to prevent external rotation.
Mobilizing hand: head of humerus is moved posteriorly and slightly lateral.

Question 4

Shoulder

Inferior glide at 90 degrees of abduction

Answer 4

Effect: increase abduction and flexion decrease pain
Precautions: with inferior joint instability it may provoke pain.
Stabalizing hand: proximal to medial epicondyle of humerus
Mobilizing hand: gently pull the humerus then mobilize the head inferiorly

Question 5

Shoulder

Inferior glide at 90 degrees of flexion

not on pba

Answer 5

effect: increase flexion and abduction
precautions: do not lever the joint as this may damage the capsule. take caution for inferior joint instability.

Stabilizing Hand: distal humerus on therapists shoulder

Mobilizing Hand: head of the humerus in the inferior direction

Question 6

Shoulder

Lateral Distraction

Answer 6

Effect: Decompress the joint, increase range of motion overall decrease pain.
Precautions: be mindful of breast tissue if present and do not compress ribs

Stabilizing Hand: distal humerus at lateral supracondylar crest

Mobilizing Hand: grasp proximal humerus near the axilla and mobilize laterally

Question 7

Shoulder

Scapulothoracic Joint Mobilizations

Answer 7

Effect: increase shoulder elevation decrease pain
Precautions: Use a soft touch and light pressure to prevent muscle guarding

Superior hand: on acromion and upper trapezius

Inferior Hand: the inferior angle of the scapula is between your thumb and index finger
Mobilize the scapula superiorly between your hands using both hands.

Question 8

Shoulder

Superior glide / shoulder elevations

Answer 8

effect: increase shoulder depression and mobility
Precautions: if brachial plexus is stretched or compressed, it may cause symptoms during this mobilization.

Superior Hand: on acromion and upper trapezius

Inferior Hand: the inferior angle of the scapula is between your thumb and index finger.
Mobilize the scapula inferiorly between your hands, using both hands.

Question 8

Shoulder

Lateral rotatiotn/ Upward glide

Answer 8

Effect: Increase lateral rotation and elevation
Precautions: use a broad and soft contact for numerous bony prominences

Superior Hand: acromion process and supraspinous fossa

Inferior Hand: inferior angle of the scapula
Mobilize the scapula in a superior lateral (rotational) direction by the inferior angle, while the opposing hand directs the mobilization superiorly and medially

Question 9

Shoulder

Medial Rotation

Answer 9

Effect: increase medial rotaion and depression
Precautions: Use broad soft contact for numerous bony prominences

Superior Hand: acromion process and the deltoids

Inferior Hand: inferior angle between thumb and index finger
Mobilize the scapula by pulling the inferior angle of the scapula medially with the inferior hand, the superior hand pulls downward and laterally.

Question 9

Shoulder

Distraction

Not on PBA

Answer 9

Effect: increase overall range of motion; decrease pain
Precautions: do not perform if patient has a winged scapula

Retract the scapula with your fingers, lift off the thoracic cage

Question 9

Shoulder

Commpression to Subscapularis muscle

Not on PBA

Answer 9

Effect: Increase scapulothoracic mobility and to indirectly compres the subscapularis muscle.
Precautions: If Painful, Discontiue.

Superior Hand: on the scapula

Inferior Hand: grasping just proximal to the elbow
Apply pressure to the scapula while pulling on the humerus. Repeat 5-10 times