Joint: Shoulder Shoulder Fleion Motion LimitationType of Manipulation: Mobilization with movement Restricted Motion: Limited Shoulder Flexion Glenohumeral) Patient Position: Seated Therapist Position: Standing on the same side of tie patient's shoulder to be treated facing the shoulder 1. The therapist places the cephalad hand at the anterior proximal hunerus of the shoulder to be mobilized, The caudad hand holds the arm for stabilization and facilitating upward rotation. 2. While the patient lifts the arm into shoulder flexion, the therapist places a force (accessory glide) at the anterior proximal humerus in a posterior and inferior direction. 3. As the patient lifts further into shoulder flexion, the therapist uses the cephalad hand to perform an accessory glide to take up all of the tissue tension in a posterior and inferior direction of the shoulder capsule. The therapist uses the caudad hand to facilitate upward rotation of the scapula. 4. This is repeated until a greater amount of shoulder flexion is obtained Notes: The therapist can be standing behind the patient or in front of the patient gliding the humeral head posteriorly