Joint: Shoulder Shoulder Flexion Motion Limitation Type of Manipulation: Soft tissue manipulation Restricted Motion: Limited Shoulder Flexion Manual soft tissue manipulation Patient Position: Supine Therapist Position: Standing on the involved side of the patient 1. The patient lies supine 2. The therapist palpates the pectoralis, subscapularis, and latissimus dorsi muscles and holds deep pressure to relax the muscle 3. The therapist can perform soft tissue manipulation with gentle strumming and lateral mobilization of the muscles and tendons, and with circular strokes to increase circulation 4. This is repeated until the soft tissue relaxes