Execution:
- The painful shoulder movement is performed by the patient
- The examiner applies techniques to influence thoracic kyphosis (taping, manual therapy, finger-on-sternum technique) and reassesses the painful movement
- The examiner places the scapula in a different starting position (with manual techniques or taping) an reassesses the painful movement
- The examiner uses strategies to alter the position of the humeral head in the glenoid fossa (with a neoprene sling, manual AP/PA pressure or contracture of rotator cuff muscles against resistance e.g. a theraband) and the painful movement is reassessed
- If the first 3 stages do not alleviate the pain, the examiner uses techniques to achieve symptom modulation like soft tissue techniques and manual therapy techniques targeted at joints throughout the thoracic, cervical and shoulder region.
Positive Outcome: If any of the 4 modification strategies (alone or combined) remove the pain by 100% the procedure is stopped and treatment starts with the strategies that positively influenced the pain
|
Study |
Reliability | Sn | Sp | LR+ |
LR- |
| Meakins et al. (2018) |
Inter ะบ= 0.47 |
NA | NA | NA |
NA |
