Thoracic Manipulation for Shoulder Patterns

In this 11 min instructional video I go over
  • Test-retest for trunk rotation and shoulder patterns
  • thoracic supine thrust manipulation - my preferred variation with minimal fulcrum
Possible needed treatments to use in this case
  • IASTM to involved side thoracic paraspinals, scapular borders
  • alternating manual resistance to reinforce new range and test for weakness in trunk rotation
  • reset - repeated thoracic whips hourly, repeated shoulder extension/IR hourly
  • stabilize - weighted trunk rotation, 90-90 shoulder ER/abduction and ipsilateral trunk rotation - band resisting trunk rotation