Compensatory breathing strategies may result in an increase in the muscular concentric orientation that compresses the dorsal-rostral thorax.
Common findings include limited ipsilateral lower cervical rotation, ipsilateral shoulder flexion, and limited horizontal shoulder abduction. In many cases, a diagnosis of shoulder or rotator cuff impingement may be associated as well.
If your client is unable to achieve normal muscular orientation to allow dorsal-rostral expansion and normal scapular upward and downward rotation for active shoulder, this manual technique may be beneficial to provide a window of opportunity via manually acquiring eccentric orientation of the dorsal-rostral musculature.
This technique should not be painful at any time. In cases of positioning issues, this technique may also be performed in prone.
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