ACJ Manipulation Caudal Capsule

Position of the therapist:

• Standing at the long edge of the bench at the height of the patient’s shoulders

Position of the patient:

• Side-lying position on contralateral side with hips and knees bent
• Faces the therapist
• Shoulder in maximal elevation supported on therapist’s forearm

Hand placement:

• Ipsilateral hand fixates the distal end of the clavicle with a key grip into caudal direction
• Contralateral hand on patient’s scapula

Direction of the manipulation:

• Ipsilateral hand on clavicle moves caudally
• Contralateral hand on scapula moves dorsocranially