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Joint Mobilization: Glenohumeral, Acromioclavicular and Sternoclavicular Joints Audio

Joint mobilizations for the shoulder joint, acromioclavicular joint, and sternoclavicular joint. Types of mobilizations, self-administered mobilizations, and interventions for the glenohumeral joint, AC joint, and SC joint. Optimal intervention for upper body dysfunction (UBD), shoulders elevate, and arms fall. The risk of adverse events, validity, efficacy, screening, and reliability of shoulder, AC, and SC joint mobs.

Joint Mobilization: Glenohumeral, Acromioclavicular and Sternoclavicular Joints

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I have my personal trainer certificate through here and am almost finished my human movement specialist certification. Overall, the education that Brookbush has packaged together for clinicians and trainers is invaluable. I am a physio assistant so coming from more of a rehab background I appreciate that this education has been beneficial both as a trainer and in a rehab setting. I love that I have been able to do all learning at my own pace and able to work around my schedule. Thank you for setting up this platform! Highly recommend :)

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Having courses count towards different certifications makes it so users can transition seamlessly from one certification to another. In my case, going from earning the BI CPT to earning the BI HMS was an easy decision and I am proud to have earned both certifications. I have also had the pleasure of going to a Live HMS workshop that was well taught by Instructor Boettcher and that was excellent to see how the methods and techniques are implemented.



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Integrated Manual Therapist

This course describes joint mobilizations for the shoulder joint, acromioclavicular (AC) joint, and sternoclavicular (SC) joint. Several terms and definitions have been used to describe the "mobilizations" (e.g. mobilisations) that are taught in this course. The Brookbush Institute uses a conventional definition of "mobilization" that includes low amplitude, low-velocity, oscillatory techniques intended to reduce the stiffness of joints exhibiting a decrease in passive accessory range of motion (a.k.a. arthrokinematic motion and specifically glide or slide). Note, the term "manipulation" is reserved for high-velocity techniques taught in a separate set of courses.

This course includes mobilization techniques that intend to improve excessive stiffness of the shoulder joint, AC joint, and SC joint, reduce scapular dyskinesis (altered shoulder blade motion), improve shoulder range of motion (ROM), and reduce upper extremity dysfunction. For example, alterations in scapular motion have been correlated with shoulder impingement syndrome (SIS), mobilization of scapular joints has been correlated with improvement in shoulder ROM, and improvements in shoulder ROM have been correlated with a reduction in pain, improvements in function, and performance enhancement. These techniques may also be used in an integrated approach for 

 including sternocostal pain, upper thoracic pain, AC joint pain, frozen shoulder (post-acute phase), lateral epicondylitis (tennis elbow), and postural dysfunctions including rounded shoulder posture. Several studies even demonstrate that adding these mobilizations to conventional medical and therapeutic interventions may have a significant positive influence on short-term and long-term outcomes.

The techniques in this course are recommended for all clinical human movement professionals (physical therapists, physical therapy assistants, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) with the intent of developing an evidence-based, systematic, integrated, patient-centered, and outcome-driven approach.

Acromioclavicular (AC) Joint Mobilization

Sample Intervention (Shoulder Impingement Syndrome Pain)

Shoulder External Rotator Kinesiology Taping

Joint Mobilizations: Ankle and Tibiofibular Joints

Joint Mobilizations: Lumbar Spine and Sacroiliac Joints

Joint Mobilizations: Cervical and Thoracic Spine

Joint Mobilizations: Shoulder, Sternoclavicular, and Acromioclavicular Joints

Joint Mobilizations: Elbow and Proximal Radioulnar Joints

For an introduction to joint mobilizations and manipulations:

Joint Mobilization and Manipulation: Introduction

Joint Mobilization and Manipulation: Reliability

Joint Mobilizations and Manipulations: Effects

Joint Mobilization and Manipulation: Risk of Adverse Effects

Joint Mobilizations and Manipulations: Evidence-based Teaching and Learning

Course Description: Shoulder Joint, Acromioclavicular Joint and Sternoclavicular Joint Mobilizations

: Weak or With Compensation (shoulder abduction)

: Weak or With Compensation (scapular protraction or elevation)

Introduction

Research Corner Summary

Efficacy

Comparing Interventions

Combining Techniques

Combining and Comparing Mobilization Techniques

Systemic Response to Shoulder Mobilizations

Research Corner: Glenohumeral Joint

Unfortunately, there is a lack of research on SC and AC joint mobilizations. The only studies that could be located were a case study, and a research study discussed earlier that included SC and AC joint mobilizations along with shoulder mobilizations. The case study by Mischke et al. discussed additional benefits achieved by adding SC joint mobilization on the 7th session, following a plateau in pain, function, and ROM for conservative treatment of an inoperable full-thickness 

 tear. The patient did achieve respectable outcomes considering the severity of the injury and the patient's comorbidities (72). The RCT by Yiasemides et al. discussed earlier, demonstrated that the addition of shoulder girdle mobilizations to exercise and advice did not improve pain, function, or pain-free range of motion in patients with shoulder pain (32); however, this study only assessed outcomes at 3 months, missing any earlier benefits that may have been achieved by either group. Although these studies are insufficient to refine practice, clinical outcomes suggest that SC and AC joint mobilizations can be helpful for optimizing scapular motion and achieving the last few degrees of shoulder ROM.

Note: The lack of research on these fairly common techniques is puzzling. If you know of any original research on these techniques please let us know by leaving the citation in the comments box below.

Research Corner: Sternoclavicular (SC) and Acromioclavicular (AC) Joint

Shoulder Mobilization

Sternoclavicular (SC) Joint Mobilization

Video Demonstration

Ajit, D., & Shika, S. (2016). Effects of Mobilization with Movement (MWM) in Shoulder Impingement Syndrome Patients on Acromiohumeral Distance using Ultrasonography. 

Journal of Exercise Science & Physiotherapy

Guimarães, J. F., Salvini, T. F., Siqueira Jr, A. L., Ribeiro, I. L., Camargo, P. R., & Alburquerque-Sendín, F. (2016). Immediate effects of mobilization with movement vs sham technique on range of motion, strength, and function in patients with shoulder impingement syndrome: randomized clinical trial. 

Journal of manipulative and physiological therapeutics

Teys, P., Bisset, L., & Vicenzino, B. (2008). The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. 

Delgado-Gil, J. A., Prado-Robles, E., Rodrigues-de-Souza, D. P., Cleland, J. A., Fernández-de-las-Peñas, C., & Alburquerque-Sendín, F. (2015). Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized controlled trial. 

Lluch, E., Pecos-Martin, D., Domenech-Garcia, V., Herrero, P., & Gallego-Izquierdo, T. (2018). Effects of an anteroposterior mobilization of the glenohumeral joint in overhead athletes with chronic shoulder pain: A randomized controlled trial. 

Hsu, A. T., Ho, L., Ho, S., & Hedman, T. (2000). Joint position during anterior-posterior glide mobilization: its effect on glenohumeral abduction range of motion. 

Archives of physical medicine and rehabilitation

Hsu, A. T., Ho, L., Ho, S., & Hedman, T. (2000). Immediate response of glenohumeral abduction range of motion to a caudally directed translational mobilization: a fresh cadaver simulation. 

Hsu, A. T., Hedman, T., Chang, J. H., Vo, C., Ho, L., Ho, S., & Chang, G. L. (2002). Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. 

Yeole, U. L., Dighe, P. D., Gharote, G. M., Panse, R. S., Shweta, A., & Pawar, P. A. (2017). Effectiveness of movement with mobilization in adhesive capsulitis of shoulder: Randomized controlled trial. 

Indian Journal of Medical Research and Pharmaceutical Sciences

Neelapala, Y. R., Reddy, Y. R. S., & Danait, R. (2016). Effect of mulligan’s posterolateral glide on shoulder rotator strength, scapular upward rotation in shoulder pain subjects–a randomized controlled trial. 

Çitaker, S., Taşkiran, H., Akdur, H., Arabaci, Ü. Ö., & Ekici, G. (2005). Comparison of the mobilization and proprioceptive neuromuscular facilitation methods in the treatment of shoulder impingement syndrome. 

de la Rosa Díaz, I., Lacomba, M. T., Téllez, E. C., del Campo Gómez-Rico, C. D., & Ortega, C. G. (2017). Accessory Joint and Neural Mobilizations for Shoulder Range of Motion Restriction After Breast Cancer Surgery: A Pilot Randomized Clinical Trial. 

Djordjevic, O. C., Vukicevic, D., Katunac, L., & Jovic, S. (2012). Mobilization with movement and kinesiotaping compared with a supervised exercise program for painful shoulder: results of a clinical trial. 

Panchal, D. N., & Eapen, C. (2015). Effectiveness of end-range mobilization and interferential current or stretching exercise and moist heat in treatment of frozen shoulder-a randomized clinical trial. 

International Journal of Current Research and Review

Doner, G., Guven, Z., Atalay, A., & Celiker, R. (2013). Evaluation of Mulligan's technique for adhesive capsulitis of the shoulder. 

Ansari, S. N., Lourdhuraj, I., Shah, S., & Patel, N. (2012). Effect of ultrasound therapy with end range mobilization over cryotherapy with capsular stretching on pain in frozen shoulder-a comparative study. 

Tanaka, K., Saura, R., Takahashi, N., Hiura, Y., & Hashimoto, R. (2010). Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation. 

Diercks, R. L., & Stevens, M. (2004). Gentle thawing of the frozen shoulder: a prospective study of supervised neglect versus intensive physical therapy in seventy-seven patients with frozen shoulder syndrome followed up for two years. 

Satpute, K. H., Bhandari, P., & Hall, T. (2015). Efficacy of hand behind back mobilization with movement for acute shoulder pain and movement impairment: a randomized controlled trial. 

Nicholson, G. G. (1985). The effects of passive joint mobilization on pain and hypomobility associated with adhesive capsulitis of the shoulder. 

Journal of Orthopaedic & Sports Physical Therapy

Choo, Y. (2019). Effects of Mobilization with Movement Combined with Exercise (EMWM) on ADH, ROM and Functional Performance in Patients with Impingement Syndrome of the Shoulder. 

Journal of The Korean Society of Integrative Medicine

(2), 153-163. Land, H., Gordon, S., & Watt, K. (2019). Effect of manual physiotherapy in homogeneous individuals with subacromial shoulder impingement: A randomized controlled trial. 

Çelik, D., & Kaya Mutlu, E. (2016). Does adding mobilization to stretching improve outcomes for people with frozen shoulder? A randomized controlled clinical trial. 

Manske, R. C., Meschke, M., Porter, A., Smith, B., & Reiman, M. (2010). A randomized controlled single-blinded comparison of stretching versus stretching and joint mobilization for posterior shoulder tightness measured by internal rotation motion loss. 

Tyler, T. F., Nicholas, S. J., Lee, S. J., Mullaney, M., & McHugh, M. P. (2010). Correction of posterior shoulder tightness is associated with symptom resolution in patients with internal impingement. 

Bang, M. D., & Deyle, G. D. (2000). Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. 

Mobilization, exercise, stretching, and….

Senbursa, G., Baltacı, G., & Atay, A. (2007). Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. 

Knee surgery, sports traumatology, arthroscopy

Patel, S., Nagrale, S., Dabadghav, R., Bedekar, N., & Shyam, A. (2016). The effect of mulligan mobilization with movement technique on internal rotation range of motion of glenohumeral joint in patient with adhesive capsuilites. 

Sharad, K. S. "A Comparitive Study on the Efficacy of End Range Mobilization Techniques in Treatment of Adhesive Capsulitis of Shoulder." Indian Journal of Physiotherapy and Occupational Therapy-An International Journal 5, no. 3 (2011): 28-31.

Land, H., Gordon, S., & Watt, K. (2019). Effect of manual physiotherapy in homogeneous individuals with subacromial shoulder impingement: A randomized controlled trial. 

Conroy, D. E., & Hayes, K. W. (1998). The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. 

Wong, C. K., Strang, B. L., Schram, G. A., Mercer, E. A., Kesting, R. S., & Deo, K. S. (2018). A pragmatic regional interdependence approach to primary frozen shoulder: a retrospective case series. 

Yiasemides, R., Halaki, M., Cathers, I., & Ginn, K. A. (2011). Does passive mobilization of shoulder region joints provide additional benefit over advice and exercise alone for people who have shoulder pain and minimal movement restriction? A randomized controlled trial. 

Chen, J. F., Ginn, K. A., & Herbert, R. D. (2009). Passive mobilisation of shoulder region joints plus advice and exercise does not reduce pain and disability more than advice and exercise alone: a randomised trial. 

Romero, C. L., Lacomba, M. T., Montoro, Y. C., Merino, D. P., da Costa, S. P., Marchante, M. J. V., & Pardo, G. B. (2015). Mobilization with movement for shoulder dysfunction in older adults: a pilot trial. 

Ali, S. A., & Khan, M. (2015). Comparison for efficacy of general exercises with and without mobilization therapy for the management of adhesive capsulitis of shoulder-An interventional study. 

Mobilization and Manual Therapy, Tape and US

Deshmukh, S. S., Salian, S. C., & Yardi, S. (2014). A comparative study to assess the effectiveness of Soft Tissue Mobilization preceding joint mobilization technique in the management of Adhesive Capsulitis. 

Indian Journal of physiotherapy and occupational therapy

Kuwiboonsilp, W., Sakulsriprasert, P., Pichaiyongwongdee, S., Adisaiphaopan, R., & Mingsoongnern, S. (2015). Immediate Effect of Muscle Energy Technique and Mobilization on External Rotation Angle in Individuals with Shoulder Adhesive Capsulitis. 

Indian Journal of Physiotherapy and Occupational Therapy-An International Journal

Kanase, Smita Bhimrao, and S. Shanmugam. "Effect of kinesiotaping with Maitland mobilization and Maitland mobilization in management of frozen shoulder." 

Park, S. E., Kim, Y. R., & San Wang, J. (2017). Immediate Effects of Maitland Joint Mobilization with Kinematic Taping on Shoulder Pain, ROM, and Muscle Tone in Subacromial Impingement Syndrome. 

Journal of International Academy of Physical Therapy Research

Ebadi, S., Forogh, B., Fallah, E., & Ghazani, A. B. (2017). Does ultrasound therapy add to the effects of exercise and mobilization in frozen shoulder? A pilot randomized double-blind clinical trial. 

Journal of bodywork and movement therapies

Bergman, G. J., Winters, J. C., Groenier, K. H., Pool, J. J., Meyboom-de Jong, B., Postema, K., & van der Heijden, G. J. (2004). Manipulative therapy in addition to usual medical care for patients with shoulder dysfunction and pain: a randomized, controlled trial. 

Tao, R., Wang, J., Haiqin, L. I., & Xia, L. (2017). The efficacy of buprenorphine combined with joint mobilization in treating periarthritis of the shoulder. 

Chinese Journal of Physical Medicine and Rehabilitation

Park, G. Y., Kwon, D. R., Kwon, D. G., & Rim, J. H. (2018). Comparison of Therapeutic Effectiveness Between Shoulder Distention Arthrography With Translation Mobilization and Distention Arthrography Alone in Patients With Frozen Shoulder. 

Park, S. W., Lee, H. S., & Kim, J. H. (2014). The effectiveness of intensive mobilization techniques combined with capsular distension for adhesive capsulitis of the shoulder. 

Sreenivasu, K., Subramanian, M. B., & Sajeevan, T. (2016). Effectiveness of end range mobilization with scapular mobilization in frozen shoulder. 

Yang, J. L., Jan, M. H., Chang, C. W., & Lin, J. J. (2012). Effectiveness of the end-range mobilization and scapular mobilization approach in a subgroup of subjects with frozen shoulder syndrome: a randomized control trial. 

Rainbow, D. M., Weston, J. P., Brantingham, J. W., Globe, G., & Lee, F. (2008). A Prospective Clinical Trial Comparing Chiropractic Manipulation and Exercise Therapy vs. Chiropractic Mobilization and Exercise Therapy for Treatment of Patients Suffering from Adhesive Capsulitis/Frozen Shoulder. 

Journal of the American Chiropractic Association

Goyal, M., Bhattacharjee, S., & Goyal, K. (2013). Combined effect of end range mobilization (ERM) and mobilization with movement (MWM) techniques on range of motion and disability in frozen shoulder patients: A randomized clinical trial. 

Journal of Exercise Science and Physiotherapy

Do Moon, G., Lim, J. Y., Da, Y. K., & Kim, T. H. (2015). Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders. 

Naik, S., Metgud, S., & Heggannavar, A. (2017). Effect of McKenzie method of mechanical diagnosis and therapy (MDT) versus Maitland mobilization in individuals with stage II adhesive capsulitis: A randomized clinical trial. 

Kumar, A. (2015). A Comparative Study on the Efficacy of Maitland’s Mobilization and Muscle Energy Technique on Frozen Shoulder. 

Suri, S. A., & Anand, M. (2013). Comparative study on the effectiveness of Maitland mobilization technique versus muscle energy technique in treatment of shoulder adhesive capsulitis. 

Indian Journal of Physiotherapy and Occupational Therapy

Hussein, Z. A. (2019). Efficacy of mobilization techniques and range of motion in patients with adhesive capsulitis of the shoulder pain. 

International Journal of Research in Pharmaceutical Sciences

Sahay, P., Banerjee, D., Bhushan, V., & Equebal, A. (2016). Long Term Efficacy of Maitland Mobilization Versus Mulligan Mobilization in Idiopathic Adhesive Capsulitis of Shoulder: A Randomized Controlled Trial. 

Shrivastava, A., Shyam, A. K., Sabnis, S., & Sancheti, P. (2011). Randomised controlled study of Mulligan's vs. Maitland's mobilization technique in adhesive capsulitis of shoulder joint. 

Indian journal of physiotherapy and occupational therapy-An international journal

Arshad, H. S., Shah, I. H., & Nasir, R. H. (2015). Comparison of Mulligan Mobilization with Movement and End-Range Mobilization Following Maitland Techniques in Patients with Frozen Shoulder in Improving Range of Motion. 

Yang, J. L., Chang, C. W., Chen, S. Y., Wang, S. F., & Lin, J. J. (2007). Mobilization techniques in subjects with frozen shoulder syndrome: randomized multiple-treatment trial. 

Johnson, A. J., Godges, J. J., Zimmerman, G. J., & Ounanian, L. L. (2007). The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis. 

journal of orthopaedic & sports physical therapy

Vermeulen, H. M., Rozing, P. M., Obermann, W. R., Le Cessie, S., & Vliet Vlieland, T. P. (2006). Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. 

Talbott, N., & Witt, D. (2016). Sonographic Measurements of Humeral Head Displacement During Posterior Shoulder Mobilizations. 

Hsu, A. T., Ho, L., Chang, J. H., Chang, G. L., & Hedman, T. (2002). Characterization of tissue resistance during a dorsally directed translational mobilization of the glenohumeral joint. 

Muraki, T., Yamamoto, N., Berglund, L. J., Sperling, J. W., Steinmann, S. P., Cofield, R. H., & An, K. N. (2011). The effect of cyclic loading simulating oscillatory joint mobilization on the posterior capsule of the glenohumeral joint: a cadaveric study. 

Agarwal, S., Raza, S., Moiz, J. A., Anwer, S., & Alghadir, A. H. (2016). Effects of two different mobilization techniques on pain, range of motion and functional disability in patients with adhesive capsulitis: a comparative study. 

Gong, W., Lee, H., & Lee, Y. (2011). Effects of Gong's Mobilization Applied to Shoulder Joint on Shoulder Abduction. 

Gong, W., Jeong, H., & Kim, E. (2012). The Effects of Gongrsquo; s Mobilization Applied to the Shoulder Joint on Shoulder Medial Rotation. 

Gong, W., Park, G., & Kim, C. (2012). Effects of Gong’s mobilization in the side-lying position on shoulder abduction. 

Yu, I. Y., Jung, I. G., Kang, M. H., Lee, D. K., & Oh, J. S. (2015). Immediate effects of an end-range mobilization technique on shoulder range of motion and skin temperature in individuals with posterior shoulder tightness. 

Simon, R., Vicenzino, B., & Wright, A. (1997). The influence of an anteroposterior accessory glide of the glenohumeral joint on measures of peripheral sympathetic nervous system function in the upper limb. 

Ribeiro, D. C., Sole, G., Venkat, R., & Shemmell, J. (2017). Differences between clinician-and self-administered shoulder sustained mobilization on scapular and shoulder muscle activity during shoulder abduction: A repeated-measures study on asymptomatic individuals. 

Ribeiro, D. C., Day, A., & Dickerson, C. R. (2017). Grade-IV inferior glenohumeral mobilization does not immediately alter shoulder and scapular muscle activity: a repeated-measures study in asymptomatic individuals. 

Swanson, B. T., Holst, B., Infante, J., Poenitzsch, J., & Ortiz, A. (2016). EMG activity of selected rotator cuff musculature during grade III distraction and posterior glide glenohumeral mobilization: results of a pilot trial comparing painful and non-painful shoulders. 

Mischke, J. J., Emerson Kavchak, A. J., & Courtney, C. A. (2016). Effect of sternoclavicular joint mobilization on pain and function in a patient with massive supraspinatus tear. 

Makwana, D., & Shah, N. (2016). Immediate effect of end range mobilization on shoulder range of motion and pain in patients with adhesive capsulitis. 

International Journal of Therapies and Rehabilitation Research

Guler-Uysal, F., & Kozanoglu, E. (2004). Comparison of the early response to two methods of rehabilitation in adhesive capsulitis. 

Kumar, A., Kumar, S., Aggarwal, A., Kumar, R., & Das, P. G. (2012). Effectiveness of Maitland Techniques in idiopathic shoulder adhesive capsulitis. 

Buchbinder, R., Youd, J. M., Green, S., Stein, A., Forbes, A., Harris, A., … & Wright, W. J. (2007). Efficacy and cost‐effectiveness of physiotherapy following glenohumeral joint distension for adhesive capsulitis: A randomized trial. 

Bibliography

Questions, comments, and criticisms are welcomed and encouraged

Joint Mobilization: Glenohumeral, Acromioclavicular and Sternoclavicular Joints

Related Courses:

Course Description: Shoulder Joint, Acromioclavicular Joint and Sternoclavicular Joint Mobilizations

Introduction

Research Corner Summary

Research Corner: Glenohumeral Joint
5 Sub Sections

Research Corner: Sternoclavicular (SC) and Acromioclavicular (AC) Joint

Video Demonstration
3 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Joint Mobilization: Glenohumeral, Acromioclavicular and Sternoclavicular Joints

Related Courses:

Course Description: Shoulder Joint, Acromioclavicular Joint and Sternoclavicular Joint Mobilizations

Introduction

Research Corner Summary

Research Corner: Glenohumeral Joint5 Sub Sections

Research Corner: Sternoclavicular (SC) and Acromioclavicular (AC) Joint

Video Demonstration3 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Research Corner: Glenohumeral Joint
5 Sub Sections

Video Demonstration
3 Sub Sections