Joint: Shoulder Shoulder Flexion Motion Limitation Type of Manipulation: Joint manipulation, thrust Restricted Motion: Limited Shoulder Flexion Patient Position: Supine with the shoulder off the edge at the side of the table Therapist Position: Standing on the same side of the patient's shoulder to be treated 1. The therapist places the caudad hand on the distal humerus. The therapist places the cephalad hand on the anterior surface of the humeral head 2. The therapist lifts the humerus into the limitation of shoulder flexion 3. The therapist qlides the humeral head in a posterior and inferior direction to take up tissue tension 4. A high velocity-low amplitude (HVLA) thrust is performed at the end of tissue tension. This is an anterior to posterior/inferior direction of force