1. The patient lies supine (Figure A) 2 The therapist palpates the latissimus dorsi muscles, pectoralis major, and anterior ribs that have limited extensibility 3. The therapist uses a tissue tension technique to mobilize the fascia. 4. The therapist pal pates into the soft tissue and uses the caudad hand to grasp the humerus and flex the shoulder with upward traction 5. The therapist uses the cephalad hand on the latissimus dorsi or pectoralis major to engage the restrictive barrier with a light force in the direction of tensicn, sometimes up to 3 to 5 minutes. The therapist uses both hands in opposite directions 6. A light pressure on the barrier is held until the tissue barrier softens and relaxes and the myofascial unit elongates Notes: Depending on the specific musce identified, the fiber direction will change. In Figure B. the therapist utilizes their cephalad hand to raise the arm into shoulder flexion while the caudad hand grasps onto the scapula to engage the restrictive barrier in an inferior direction