OPTIM Manual Therapy

OPTIM MANUAL THERAPY FEllowship
Manipulation, Pain Science, Movement, Exercise Prescription

  • Home
  • About OPTIM
    • Blog >
      • The Movement Corner >
        • Picture Movement Analysis
        • Video Movement Analysis
    • Instructors
    • Staff
    • Student Testimonials
  • Programs
    • PTA OMTS
    • AOMTS (HYBRID)
    • COMT
    • FAAOMPT
    • FAQs
  • Schedules
  • Store
  • OCS Prep Course
  • OPTIM Registration
  • Contact

6/11/2017

Indications for a Shoulder Distraction Manipulation

0 Comments

Read Now
 

IS it Clinically Appropriate to manipulate the Glenohumeral Joint?

The glenohumeral joint is the most mobile joint in the body. Typically, joints that are very mobile do not require significant mobilization or manipulation; however, there are indications for a glenohumeral joint manipulation.

The lateral manipulation (shown below) is a safe and effective technique to get improve GHJ mobility. Since it is a general lateral distraction manipulation, it can help improve mobility in multiple planes of motion. From a purely biomechanical standpoint, the examiner should expect improvements in horizontal adduction. 
​

Who is appropriate for this technique?

Clinically, I have found the most success with lateral manipulations in patients who have adhesive capsulitis. ​These patients often have restrictions is multiple planes of motion and joint mobility is a primary impairment. Additionally, individuals with shoulder osteoarthritis, hypomobility, or end-range of motion restrictions are typically good candidates.

Be sure to ask about past shoulder injuries prior to performing the lateral shoulder manipulation. If the client has any history of shoulder dislocations or subluxations, DO NOT perform this technique.  Finally, be sure to address all of the causes of shoulder range of motion deficits as well. This includes assessing the thoracic spine, ribcage, scapulohumeral rhythm, and more! 

​-Jim Heafner PT, DPT, OCS

About OPTIM Manual Therapy?

Picture
The current model of clinical education is insufficient. Unwarranted practice variation in our field is widespread and has enormous consequences. Our goal is to train the next generation of physical therapists to be expert clinicians in manual physical therapy. We strive to change the practice of physical therapy, develop leaders, and facilitate ongoing growth in physical therapist practice. 

OPTIM currently offers two programs, Certification in Orthopedic Manual Therapy (COMT), and a Fellowship in Orthopedic Manual Therapy (FAAOMPT). 

​Click here to see a list of our course locations! ​​

Share

0 Comments



Leave a Reply.

Details

    Contact

    Email
    dana@optimfellowship.com
    Voicemail
    832-444-3898
    Fax 
    713-456-2880

    Good reads

    The Student Physical Therapist

    Categories

    All
    Foot And Ankle
    Manipulation
    Thoracic Spine

    RSS Feed

Photos used under Creative Commons from abodftyh, sportEX journals
  • Home
  • About OPTIM
    • Blog >
      • The Movement Corner >
        • Picture Movement Analysis
        • Video Movement Analysis
    • Instructors
    • Staff
    • Student Testimonials
  • Programs
    • PTA OMTS
    • AOMTS (HYBRID)
    • COMT
    • FAAOMPT
    • FAQs
  • Schedules
  • Store
  • OCS Prep Course
  • OPTIM Registration
  • Contact