AP Mobilization of the L Sternochondral Joints with IR and ER of the Shoulder

  • Once the therapist has located the restricted rib(s) further specificity for mobilization can be made by having the patient IR and ER their arm while the therapist maintains AP pressure on the superior border of the rib at the sternochondral joint
  • Since ER of the arm promotes ER rotation of the rib, the therapist follows the rib during ER and blocks the rib from moving into IR when the patient IR their arm
  • The patient is instructed to ER/IR their arm repeatedly 7-8 times while the therapist maintains steady AP pressure to the superior border of the rib
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