The first step was the assessment of the shoulder girdle in every patient, to identify the “clinical situation.” • Inspection: identification of the position of the scapula (up/low/upward rotation/downward rotation/protraction/anterior or posterior tilt) • Active range of motion with digital inclinometer: flexion and abduction rotation measured with functional assessment from Constant-Murley score subscale (0-10)We used the techniques of manual therapy to obtain the objectives after evaluation. The objectives were (1) to recover the range of motion by restoring joint gliding in the glenohumeral (manual therapy 1 [MT1]) and scapulothoracic joints (manual therapy 2 [MT2]) and by stretching muscles in a shortened position (manual therapy 3 [MT3]), (2) to improve motor control by proprioception and stabilization exercises (manual therapy 4 [MT4]), and (3) to avoid recurrences by teaching the patient the previous exercises (manual therapy 5 [MT5]).