In the heterarchy of treatment, I rarely do manual therapies as my first line of intervention.
Patients and clients always achieve more when they can create changes themselves and learn self-management. When a local influence is needed that the client cannot produce themselves, then manual therapy may be useful to create an opportunity to make the change easier for the client to accomplish.
The triangle formed by the clavicle and the scapula with the acromion as the apex (affectionately referred to as The Camporini Angle which we named after my current Padawan) can represent the degree of compressive strategy applied to the upper thorax by the superficial musculature.
If the dorsal-rostral thorax is compressed, this will limit the client’s ability to complete true shoulder flexion and to recapture lower cervical rotation. This is a very easy, gentle scapular mobilization that reduces the compressive strategy, expands The Camporini Angle and restores shoulder flexion as well as lower cervical rotation.
#scapularmobilization #manualtherapy #camporiniangle
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