Joint: Shoulder Shoulder Flexion Motion LimitationType of Manipulation: Muscle energy technique Restricted Motion: Limited Shoulder Flexion Patient Position: Supine Therapist Position: Standing on the involved side of the patient 1. The therapist places the cephalad hand at the posterior distal humerus and the caudal hand under the scapula to maintain proper Scapular downward glide position. 2. The therapist lifts the humerus to the restrictive barrier of shoulder flexion 3. The patient isometrically contracts the latissimus dorsi muscle (away from the restrictive barrier) into shoulderextension for 3 to 5 seconds, meeting the therapist's force with approximately 5 lbs of pressure, and then the patient completely relaxes 4. Upon relaxation, the therapist takes up the additional tissue slack and pushes the shoulder to the new restrictive barrier of shoulder flexion This is repeated until no further relaxation or improvement of range of motion into shoulder flexion accurs