🔥Grooving Trunk Rotation with Manual Resistance🔥
In this case, the PT in the course had moderate limitation in shoulder mobility, particular overhead and IR/extension. It improved after thoracic whips to the limited side as well as cervical retraction and SB to the right. In the video, I’m “grooving” the new trunk rotation with light manual resistance. This is one of my favorite and easy manual techniques to start working the newly restored range. Just because range is restored passively, doesn’t mean the patient can use it actively. With manual resistance, you get a feeling for how well the patient can work the pattern as well as recruit the muscles needed for the motion. Once it’s been in CNS lockdown for a while, trunk rotation in particular is often difficult, even for very fit/strong patients! In this case the sequence was
🔵patient fit the Clinical Practice Patterns of limited cervical retraction and SB and trunk rotation to the same side as limited shoulder mobility
🔵cervical retraction and SB toward the limited shoulder side
🔵thoracic whips to the limited shoulder side
🔵groove the rotation with alternating manual resistance
🔵Recovery Plan of thoracic whips hourly and stabilize the motion with resisted rotation exercises
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