ページ3:

"
Assessment
• Arm across body with humeral post. glide.
if s/s V
perform with
Stabilizing his
Scapula
5/59
↓
Ant. glide syndrome④
+
Thoracic left rot. (AROM)
Post. capsule/cuff
Putting on the
Seatbelt.
If it is potentially from
Outcome
Ⓡ85-90 (5cm)
85-87(2cm).
10° of Brot.
his scoliosis
Let's assess!
→
Reromion
Tape
measure
BASIS
Scoliosis.
already
Brot
Brot. V
00
rotation
measure
the distance.
③

ページ4:

Assessment (cont.)
Arm across body
NRS
-Stabilized the scapula
6/10
↓
0/10.
8/52
-released the scapula
↓
posterior glide of the humeral head → %/10
Subjective Findings
• arm across body
Carrying meals
O
foam rolling
•humeral ant. glide
Syndrome
L__• biceps tendinopathy
?
Hx
Scoliosis
(4)

ページ5:

a
.
•
•
Objective Findings
Tyler test
humeral post.glide
VIR
Pn & with post, glide
and arm cross body
Pn with scapular add
and arm cross body
Speed's test.
Pn with biceps MMT.
•® convex scoliosis.
(rotation)
humeral ant glide
Syndrome
• biceps tendinopathy
Could it be from
?
a humeral ant.
glide pushing on
the biceps tendon?
- foam rolling → / V
-convex scoliosis
- trunk rot.
all tell us...
Target the Tspine
mobility (particular
in rot.)
This is what he needs
to put on his seatbelt.
5

ページ6:

1
Reassessment.
6/10
Reach across body @ 90°
Interventions D
Drelax the
shoulders &
Towel keep the shoulder
coll
from ant-glide.
bring them
back just
engage the core,
slightly.
③ come up nice & tall
Assisted
Active
Rotation
add some
pressure
here
Trunk rotation.
Creating
T-spine
rotation.
(6)

ページ7:

Intervention 2
Neuromuscular reeducation
CKC GH post.glide with humeral add.
Pull the chin
backwards
③Lean toward ®
Engage the
Core
feel a stretch
in the back
→
of the shoulder
also you can oscillate
back & forth
"
Using CKC stretching
There are greater changes
in GHjt. IR.
G
"
providing better humeral
posterior glide during a
posterior cutt/capsule.
Stretch.
Post. interventions i
-arm cross body 90° -1050
- NRS 6/1073/10

ページ8:

.
Reviewing the interventions
from the mentee
Soft-tissue mobi. (prox. biceps) No
※
Don't rub the area that hurts.
GH
Post.
mobilization.
Yes
matching with a
objective assessment?
•GH inf. mobilization.
Scapular elevation/depression PROM No
☑
irrelevant to this case.
• ER with resistance band Yes
b
b
'
Sleeper Stretch Yes
Pec Stretch No ←
it's not an objective test
Scoption raises (4 lbs - 1.8kg) Yes (but not relevant now)
GH ext. with resistance band No
☑
more ext, more ant glide
Scop. retraction No
°
ECC biceps curl Yes
We don't test mid, trapezius..
So we don't know if it's needed.
target biceps tendinopathy
•Soft-tissue mobi (post. cuff) Yes < a stiff post cuff can glide
the humerus forward
Now, we need to get more specific.
> P@
8

ページ9:

What does he
really need?
Intervention-Hypothesis
Tinking
•Biceps tendinopathy
-Those are what we need
•Ant. glide
To address
- GH post. mobilization.
- ER with resistance band
• ER ECC with weight
-
don't cause a tight post.
Cutt
Of
Sleeper stretch.
more resistance to the
muscle in its most
Shortened position.
So
more ant. glide of
the humerus.
Soft tissue mobilization (post. cuff)
-ECC biceps curl
Ant. glide of the humerus
↓
〃
Hypothesis
Pressing on the biceps tendon"
V
↓
Biceps tendinopathy"
⑨