1.The therapist places the cephalad hand at the sternoclavicular joint of the shoulder to be mobilized. The caudad hand is over the dlavicle for facilitating upward rotation 2. While the patient lifts the arm into shoulder flexion, the therapist places a force (accessory glide) at the prodimal clavicle in inferior direction with the cephalad hand 3. This is repeated until a greater amount of shoulder flexion is obtained Notes: This can also be performed on the acromiodavicular joint