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Therapy for the deltoid, clavicular part and the coracobrachialis. Bi-

lateral 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; support under head and neck; chin tucked in to protect cervical spine. T: Standing at head of couch.

Grip: Using both hands, T grips the medial sides of P’s elbows, forearms against P's forearms. P's arms are abducted approximately 90° and rotated laterally. (Notę: fuli abduction combined with fuli lateral rotation produces the undesirable “close packed position” at P’s shoulder.)

Fig. 24 a. Starting Position.

Procedurę: Using this grip, T gradually and maximally moves P's arms in a dorsal direction.

Stimulation of Antagonists: T reverses grip to under P’s arms. T then asks P to move further in the direction of stretching, and resists that movement to stimulate P's antagonists.

Notes: This procedurę may also be performed with P sitting.

The pectoralis major and subscapularis are also stretched in this procedurę.

Fig. 24 b. Finał Position.

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