1. The therapist places the cephalad hand on the superior medial humerus up into the arm pit and the caudal hand on the distal humerus by the elbow. 2. The therapist steps or leans back to create a distal pull at the shoulder joint. 3. The therapist performs a lateral glide on the humerus with the cephalad hand. At the tissue barrier, the therapist can create a progressive oscillation or a sustained distraction to manipulate the shoulder capsule