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Video – Soft Tissue Technique – Shoulder

Shoulder – Assessment:
It is anticipated that you will already know how to test range of motion of the shoulder, but are unsure how to eliminate if the cervical spine is contributing to shoulder pain. The first section shows basic muscle strength and nerve tension tests. The goal would be to then treat the neck and redo these tests as part of your assessment and treatment of the shoulder.

Demonstrated techniques:

01. Range of Motion & Muscle Testing

02. Nerve Tension Tests
Shoulder – Supine:This section covers how to do a myofascial or soft tissue release of Pectoralis major and minor and subscapularis. There is also a demonstration of a capsular glide which is effective for improving overall shoulder stiffness and mobility.

Caution: Do not do this capsular glide if your patient has posterior capsule instability and always compare left and right sides, so you have an indicator of what is normal mobility of the capsule, for this person.

Demonstrated techniques:

03. Pectoralis Major

04. Pectoralis Minor

05. Capsular Glide

06. Subscapularis
Shoulder – Side Lying:This section shows how to do a soft tissue technique for the external rotators. It is a very effective for improving inner range internal rotation (hand behind back test) or for an athlete if you are trying to improve internal rotation at 90 degrees abduction.

Demonstrated techniques:

07. External Rotators

08. Latissimus Dorsi

Shoulder Prone: An effective way of assessing and treating a stiff acromioclavicular joint is demonstrated. Often it is too painful to release the biceps long head with your patient supine, so this soft tissue technique release of the biceps is not only less painful but can give your patient a lot of relief, if this is the source of their pain.

Caution: Do not do this technique if the A/C joint has been subluxed.

Demonstarted techniques:

09. Acromioclavicular Joint

10. Biceps Long Head

11. Levator Scapular
Basic Rib Mobilisation & Cervical Spine:Many of the muscles of the cervical spine have attachments at both C5/C6 and O1/C1 or C1/C2. This section demonstrates how to do a modified version of a Maitland technique to work at both levels to isolate if the neck is contributing to the shoulder pain, or simply to relieve neck pain. If you have positive nerve tests or weakness of shoulder strength tests, doing these mobilisations are often sufficient by themselves, then repeat these tests. You will then be able to evaluate if the neck is contributing to the shoulder pain if the tests have altered or improved.

Caution: This section not recommended for massage therapists to do.

Demonstrated techniques:

12. Basic Rib Mobilisation & Cervical Spine

Duration: 20.49 mins

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