People who don't bother reading my blog regularly, or are just too high and mighty for their own good, stick to their bickering forums, etc... don't realize that I preach modern manual therapy. - Thanks for the extra traffic!
Yes... absolutely like most manual therapists, I have caused a fair share of pain and discomfort at my hands in the name of tissue deformation. I have not believed in that for about 3 years now. Here is my updated Pec Minor Release.
PT: standing on the involved shoulder side
Test-retest: posteriorly tip the scapula to assess for loss of shoulder IR, make sure you push the scapula into a set position as the involved side is often anteriorly tipped.
- lightly place your fist or a ball into the pec major under the coracoid
- no you don't need to go underneath it or anything ridiculously painful
- have the patient move actively into elevation until extra tension or discomfort is felt, then have them resist into elevation to activate the scapular stabilizers
- this will reciprocally inhibit the pec minor and they (or you) should be able to elevate the shoulder into the next barrier
- continue until the shoulder is at full elevation if possible
- re-test shoulder IR, if they are a rapid responder, this should change after 4-5 reps
- if done correctly, this should not hurt at all, unlike most other passive or movement based "releases"
Give the repeated shoulder extension reset for HEP
Keeping it Eclectic...