ACJ Manipulation Dorsal Capsule

Position of the therapist:

• Standing next to the side to be manipulated

Position of the patient:

• Upright sitting position
• Patient’s shoulder at the height of therapist’s sternum
• Glenohumeral joint in internal rotation with a flexed elbow behind patient’s back

Hand placement:

• Thenar eminence of ipsilateral hand against the ventral side of the lateral clavicle
• Contralateral arm goes through patient’s fixated arm and the hand is placed on the scapula
• Optional: Intertwine fingers of both hands for more stability

Impuls:

• Clavicle dorsal, acromion ventral