1. The patient lies prone. The therapist palpates the latissmus dorsi at the anterior aspect of the humenus below the bicipital groove. The therapist presses into the muscle of discomfort and finds the most hypertonic uncomfortable point. The therapist asks the patient to rate the discomfort at a 10/10 2. The therapist passively extends the shoulder to 30 degrees, internally rotates the shoulder and tractions the humerus distally 3. The therapist palpates the latissimus dorsi until the palpable point is down to a 2/10 discomfort level 4. The therapist holds the position for 90 seconds. The therapist does not need to place pressure on the point for the 90 seconds Oncethe 90 seconds are up, the therapist passively straightens out the arm and rechecks the point in the original position. If the point produces more than 2/10 discomfort the treatment is repeated Notes: This should decrease the hypertonicity allowing the shoulder to flex a greater distance. This can be repeated with the posterior deltoid muscle This is an indirect technique