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Treatment For Frozen Shoulder—External Rotation Mobilization
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(please excuse grammatical errors and the conversational nature of the transcription):
“Okay, so this is a lot of moving parts. You got to get your belts set up such that I like it where you don’t have to have your foot on the ground but to be able to have my foot stable on the ground. So this needs to be lock down the table height such that the arm can rest in your leg if necessary.
This is long enough to where it reaches down just almost to the ground there. You are setting it up right in anterior side of the humerus so that you can create a posterior guide. The idea is what kind of angle attraction and what kind of glides we do to make it pain free to go to ingrain external rotation with none of these but you gotta ingrain it hurts her and that’s probably just gonna flare up. So if we add the posterior kinda inferior glide a little inferior and a little bit angled towards me because we know that the point of the joint is not AP but it’s actually the escaption plain.
So we keep escaption plan in mind, you pull down, out toward yourself and a little bit and obviously posterior sometimes that alone you can take on the ingrain with little pain. What we found with her is that we need to add a little traction as well. So through the form with my right hand here and I’m holding this in place so then it doesn’t slide off the position. You add the traction and ingrain. Ask the patient about the pain.
And that now I can either decide to do progressive repetition stretches of the capsule or if you want to hold and just do a long hold, you need to keep monitoring, making sure that it remains pain free because of the long hold obviously or multiple repetitions where there is even smaller amount of pain as probably gonna flare them up. But there’s a great thing to do for really shoulder that stiff especially that hits but especially escapsulated shoulder.”