1. The therapist places the cephalad hand on the anterior chest wall and clavicle and the caudal hand on the posterior portion of the humeral head 2. While the patient lifts the arm into shoulder extension, the therapist uses the caudal hand to perform an accessory glide of the humeral 3. The therapist takes up all of the tissue tension in an anterior direction to facilitate an anterior glide of the humeral head 4. This is repeated until a great amount of shoulder extension is obtained Notes: The patient can also be sidelying with the involved shoulder up and elbow bent, see Figure B Notes: Caution should be taken as the anterior capsule can stretch quickly