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2.2.3B.

Therapy for the pectoralis major, clavicular part. Unilateral stretching.

Starting Position: P: Supine; knees and hips flexed to stabilize lumbar and thoracic regions and to prevent lumbar spine lordosis; smali, firm cushion may be placed between scapulae to permit maximum shoulder movement; thorax stabilized to couch with a belt; support under head and neck; chin tucked in to protect cervical spine; arm flexed above head. T: Standing facing P's right shoulder.

Grip: T’s right hand grips medial side of P’s upper arm just above the elbow. T holds P's arm flexed, fully laterally rotated and in less than 90° abduction in the position where maximally stretched. P’s forearm lies along T’s forearm with P's hand against the medial side of Ts upper arm. T's left hand is placed over P’s manubrium sternum and left clavicle to stabilize the thorax.

Fig. 6 a. Starting Position.

Procedurę: Using this grip, T gradually and fully abducts at P’s shoulder.

Stimulation of Antagonists: T reverses right-hand grip (to under P’s arm). T then asks P to move further in the direction of stretching, and resists that movement to stimulate P’s antagonists.

Notę: Stabilization of the thorax is easier if both sides are stretched simultaneously, see therapy 2.2.3A, p. 22.

Fig. 6 b. Finał Position.

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