43 (435)

43 (435)



2.11.3.


Therapy for the subscapularis.



Starting Position: P: Supine; upper arm on couch with elbow flexed 90°; thorax may be stabilized to couch with a belt. T: Standing obliąuely facing P's right side.

Grip: T’s left hand stabilizes P's upper arm against the couch. T's right hand grips medial side of P's forearm just above the wrist.


Fig. 26 a. Starting Position.


Procedurę: Using this grip, T gradually rotates P's shoulder until fuli lateral rotation is attained.

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

Notes: Stretching may also be performed with P’s upper arm held in various degrees of abduction.

A firm cushion placed under P’s right scapula will push his shoulder girdle ventrally, thus preventing undue strain on the pectoralis major.

Fig. 26 b. Finał Position.


43

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