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2.12.2B.

Therapy for the levator scapulae.

Alternative grip for patients with good shoulder flexion.

Starting Position: P: Supine; head and neck in fuli ventral and left lateral flexion and left rotation; shoulders at edge of head of couch; right arm fully flexed aboveheadand abductedtowardshead;elbow flexed approximately 90°.

T: Standing at head of couch with chest supporting right side of P’s head.

Grip: T's left hand grips dorsal side of P's neck. P’s head and neck are stabilized between Ts left arm and thorax. T’s right hand stabilizes P’s chin.

Fig. 30 a. Starting Position.

Procedurę: Using this grip, T applies traction to P's neck with both hands, while leaning abdomen against P’s elbow and moving P’s shoulder gradually and maximally in a caudal and dorsal direction.

Stimulation of Antagonists: T moves right hand to P’s upper right arm. T then asks P to move right shoulder further in the direction of stretching, and resists that movement with right hand to stimulate P's antagonists.

Notę: Avoid any movements of P’s head and neck other than the prescribed traction applied.

Fig. 30 b. Finał Position.

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