Manual Contacts: Hand over hand with the heel of the bottom of the hand over the posterior superior portion of the acromion process, keep elbows in close together
Desired Movement: The arc of movement of the scapula is from a position down and forward to a location of up and back.
Verbal Command: “Push Up”
Manual Contacts: The coracoid process anteriorly and the proximal superior humerus posteriorly. If the humerus is positioned in the diagonal, you can use a distal manual contact at the elbow
Desired Movement: From a position of up and back to a position of down and forward in a narrow diagonal
Verbal Command: “Pull Down”
Manual Contacts: A lumbrical grip on the anterior superior acromion process with the therapist’s forearms and fingers pointing in the diagonal. Tuck elbows in and stand close.
Desired Movement: The arc of movement from a position of down and back to a position of up and forward
Verbal Command: “Pull Up”
Manual Contacts: One hand with a lumbrical grip cupping the inferior angle of the scapula and the second hand on the posterior humeral head. If the elbow is in the diagonal, the manual contact for the second hand can be on the elbow.
Desired Movement: Arc of movement from a position of up and forward to down and back.
Verbal Command : “Push Down”
Manual Contacts: One hand with a lumbrical grip cupping the inferior angle of the scapula and the second hand on the posterior humeral head. If the elbow is in the diagonal, the manual contact for the second hand can be on the elbow.
Desired Movement: Arc of movement from a position of up and forward to down and back.
Verbal Command: “Push Down”
Manual Contacts: Hand over hand, lumbrical grip on the transition space between the iliac crest and the ASIS. Fingers and forearms in the diagonal.
Desired Movement: Pelvis moves from position of down and back to one of up and forward in a narrow diagonal.
Verbal Command: “Pull Up”
