1 / 26

Scapular Assistance Test

Scapular Assistance Test. Intra-rater reliability .76 - scapular elev .84 – flexion Limitation – Non-specific w/ dx./shoulder pathology. EXTERNAL ROTATION.  PUSH TECHNIQUE  POSITION - SIDE - Scapula retracted  HAND POSITION- R PALM ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER

wyatt
Download Presentation

Scapular Assistance Test

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Scapular Assistance Test • Intra-rater reliability .76 - scapular elev .84 – flexion • Limitation – Non-specific w/ dx./shoulder pathology

  2. EXTERNAL ROTATION PUSH TECHNIQUE  POSITION - SIDE - Scapula retracted  HAND POSITION- R PALM ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER  FORCE - ( R ) HAND APPLIES POSTERO-MEDIAL FORCE ALTERNATE : ( R ) HAND ON AXILLARY BORDER PULL TECHNIQUE  POSITION - SIDE/ PRONE Scapula retracted  HAND POSITION- (R ) fingers ON CORACOID/ (L) PALM ON MEDIAL SCAPULAR BORDER  FORCE - ( R ) HAND APPLIES POSTERO-MEDIAL FORCE ALTERNATE : ( R ) HAND ON AXILLARY BORDER

  3. POSTERIOR TILT PUSH TECHNIQUE  POSITION - SIDE OR UPRIGHT - Scapula retracted  HAND POSITION- ®PALM ON CORACOID/ (L) PALM ON INFERIOR ½ OF SCAPULA  FORCE - ( R ) HAND APPLIES SUPERO-POSTERIOR FORCE • Stand @ head of patient PULL TECHNIQUE  POSITION - SIDE/ PRONE/UPRIGHT -Scapula retracted • HAND POSITION- ®HAND GRIPS SUPERIOR BORDER /(L) PALM ON INFERIOR ½ OF SCAPULA • FORCE - ( R ) HAND PULLS INTO POSTERO-INFERIOR DIRECTION

  4. UPWARD ROTATION  TECHNIQUE  POSITION - SIDE OR PRONE - Scapula retracted • HAND POSITION-( L ) WEB SPACE CUPS SUPERIOR ANGLE/ (R) WEB SPACE CUPPING INFERIOR ANGLE • FORCE - COUNTEROTATION

  5. COMBINED- UR/ POST TILT • SCAPULAR ASSISTANCE TEST • HAND POSITION- (L) HAND GRIPS SUPERIOR BORDER / R WEB SPACE CUPS INFERIOR ANGLE • FORCE - ( L ) HAND PULLS INTO POSTERO-INFERIOR DIRECTION • ( R ) HAND - PROMOTES UPWARD ROTATION

  6. G-H MOBILIZATIONS POSTERIOR Scapular Plane Horizontal Adduction INFERIOR  Scaption (90-120˚)

  7. G-H MOBILIZATIONS ANTERIOR  Extension  Horizontal Abduction LATERAL  “Fulcrum” Technique

  8. MANUAL TECHNIQUES FOR THE HYPOMOBILE SHOULDER INCORPORATION OF :  SOFT TISSUE RELEASE(MUSCLE-CAPSULE)VIA CONTRACTION OF • ANTAGONIST • AGONIST  ACTIVE MOVEMENT  STRETCH

  9. PRINCIPLES OF RX  IDENTIFY RESTRICTED TISSUE  APPLY MANUAL PRESSURE  MAINTAIN PRESSURE - ADD REPEATED CONTRACTIONS  STRETCH INTO RESTRICTED RANGE

  10. ANTERIOR-SUPERIOR CAPSULE  MOTION AFFECTED  ER ( IN 0-45˚ OF ABD)  MANUAL PRESSURE TO:  SUPRASPINATUS TECHNIQUE  SUPINE  RESISTED ER/IR

  11. ANTERIOR CAPSULE  MOTION AFFECTED  ER ( IN 45˚-90˚ OF ABD)  MANUAL PRESSURE:  SUBSCAPULARIS TECHNIQUE  SUPINE  RESISTED ER/IR

  12. POSTERIOR CAPSULE  MOTION AFFECTED  IR ( IN 90˚ OF ABD)  MANUAL PRESSURE: TERES MINOR  INFRASPINATUS TECHNIQUE  SEATED /SUPINE  RESISTED ER/IR

  13. POSTERIOR-INFERIOR CAPSULE  MOTION AFFECTED  Horizontal Abduction  MUSCLES AFFECTED  TERES MINOR  INFRASPINATUS TECHNIQUE  Sidelying RESISTED HORIZ. ADD (ROWING MOTION)

  14. POSTERIOR-INFERIOR CAPSULE  MOTION AFFECTED  ELEVATION (FLEX)  Horiz add.  MANUAL PRESSURE:  TERES MAJOR  LATISSIMUS DORSI TECHNIQUE  SUPINE  RESISTED FLEX/EXT

More Related