1 The therapist places the cephalad hand on superior proximal humeral head and the caudad hand around the midshaft of the humerus being pulled against the thigh of the therapist 2 While the arm is lifted into abduction, the humerus is distracted by rotating the therapist's hip away 3. The mobilization force is performed with the cephalad hand. The force is directed inferiorly 4. At the tissue barier, the therapist can create a progressive oscillation or a sustained distraction to manipulate the shoulder capsule Notes: This technique can be performed while sitting using a mobilization belt around the patient's proximal humenus and the therapist's foot to create an inferior glenohumeral glide