Transcription of DISPLAY 7-2 Shoulder Joint Mobilization
1 8 Therapeutic Exercise: Moving Toward FunctionDISPLAY 7-2 Shoulder Joint MobilizationGlenohumeral Anterior GlidePurpose:to increase Shoulder external rotation and extensionPosition:patient is prone with Shoulder at edge of table andabducted to 90 degrees, elbow flexed to 90 degrees;mobilizing hand on posterior humeral head while stabilizinghand holds mid-humerusMobilization:anterior force applied by mobilizing hand tohumeral head while stabilizing hand applies gentle tractionGlenohumeral Posterior GlidePurpose:to increase Shoulder flexion and internal rotationPosition:patient is supine with the Shoulder at the edge of thetable, scapula stabilized by the table or towel roll; abductedto 45 degrees and elbow slightly flexed.
2 Mobilizing hand onanterior humeral head and stabilizing hand supporting elbowMobilization:posterior force applied by mobilizing hand tohumeral head while stabilizing hand applies gentle tractionGlenohumeral Inferior GlidePurpose:to increase Shoulder abduction and flexionPosition:patient is supine with the arm in 30 degrees to 45degrees abduction; stabilizing hand supports scapula in axillawhile mobilizing hand grasps distal humerusMobilization:inferior force applied by mobilizing hand whilestabilizing hand holds scapula steadyAcromioclavicular Joint Anterior GlidePurpose:to increase Joint mobilityPosition:patient is positioned sitting; stabilize the scapula withthumb along the scapular spine and fingers along acromion;mobilizing hand placed on posterior clavicle near Joint lineMobilization:mobilizing hand imposes an anterior force on theclavicleSternoclavicular Joint Superior/Inferior and Anterior/Posterior GlidesPurpose:superior glide increases depression, whereasinferior glide increases elevation.
3 Anterior glide increasesprotraction, whereas posterior glide increases retractionPosition:patient is supine with the stabilizing hand on thesternum and the mobilizing thumb or thumb and index fingeron the proximal clavicleMobilization:superior glide: the index finger applies a superiorforce to clavicleinferior glide: thumb applies an inferior force to clavicleanterior glide: thumb and index finger lift the clavicleposterior glide: thumb applies a posterior force to clavicleScapular MobilizationPurpose:to increase mobility at the scapulothoracic articulationPosition:patient is in prone; superior hand is along scapularspine while inferior hand grasps inferior angle of the scapulaMobilization:mobilize the scapula in elevation, depression,adduction, abduction, or rotation by pushing the appropriatedirectionHall & Brody: Therapeutic Exercise: Moving Toward Function, 2nd Edition 2005, Lippincott Williams and Wilkins0350 ch 07-BOX 10/11/04 03:43 PM Page 8
