1. The therapist places the cephalad hand on superior proximal humeral head and the caudad hand on the opposite shoulder 2. While the patient lifts the arm into shoulder abduction, the therapist performs an accessory glide to take up all of the tissue tension with the cephalad hand ina lateral and inferior direction at the humeral head 3. This is repeated and performed in a rhythmic format when the arm is brought into shoulder abduction Notes: This technique can be performed with the patient seated or standing as in Figure B.