The Vital Shoulder Complex by John Gibbons

Author:John Gibbons
Language: eng
Format: epub
Publisher: North Atlantic Books

Figure 11.11a & b: a: The patient horizontally extends against a resistance; b: the therapist takes both arms into thoracic rotation

TIP: Overactivity, with resultant shortening of the latissimus dorsi, can be a result of gluteus maximus weakness on the contralateral side, due to the relationship of the posterior oblique sling through the thoracolumbar fascia.

MET treatment of pectoralis major

The arm is taken away from the body into the scapular plane to induce a lengthening of the sternal fibers of the pectoralis major. And the therapist will be palpating the muscle for the point of bind before they perform an MET.

From the point of bind, the patient is asked to pull their arm across the body (horizontal flexion) to induce a contraction of the right pectoralis major (figure 11.12).

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