Increasing the range of shoulder flexion, abduction, and external rotation.
— The patient moves the arm to the end of the range of flexion-abduction-external rotation. "Open your hand and lift your arm up as high as you can."
— Resist an isotonic contraction of the pattern of extension-adduction-internal rotation. "Squeeze my hand and pull your arm down and across. Keep turning your hand down."
— Allow enough motion to occur for both you and the patient to know that all the muscles in the pattern, particularly the rotators, are contracting. "Keep pulling your arm down."
— After resisting the contraction (for a sufficient amount of time), both you and the patient relax. "Relax, let everything go loose."
— Now, resist the patient's motion into the newly gained range. "Open your hand and lift your arm up farther."
— When no more range is gained, exercise the agonistic and antagonistic patterns, either in the new range or throughout the entire range
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