Soft tissue massage |
6 mins each position |
Anterior and posterior shoulder tissues performed in supine and sidelying respectively |
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Glenohumeral joint mobilisation |
4 × 30 seconds each position |
Anteroposterior and inferior joint glides in supine with shoulder at 45° and 90° abduction respectively |
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Thoracic spine mobilisation (T1-8) |
Grade IV on each level – 4 mins in total |
Performed in prone using a central posteroanterior technique |
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Cervical spine mobilisation (C5-7) |
Grade IV on each level – 4 mins in total |
Performed in prone using unilateral posteroanterior technique on both sides |
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Scapular retraining |
Weeks 1 and 2 only |
In sidelying, therapist passively moves shoulder through range from elevation/protraction to retraction/depression then assisted by participant then independently. Isometric holds in retraction/depression |
15 reps × 5 reps with 10 sec holds |
Postural taping |
Continuous (day and night) for two weeks |
Taping of the shoulders and scapula to encourage scapular retraction and depression and thoracic extension |
Re-applied after one week by the therapist |
Exercises |
Home program: |
Supervised and performed as home program |
Twice daily in first two weeks |
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Once a day thereafter |