The shoulder girdle

Brian MULLIGAN:
“The shoulder girdle, wonderful to treat with scapular MWMS.”

“After injuries etc. scapular positional faults can occur, may of which can be seen and measured. When these are manually corrected, and offending movements are undertaken, the outcomes can be astonishing. Acute shoulder injuries or chronic can respond. The corrections require skill and usually an assistant is needed. The positional faults seem to follow a regular pattern. Four changes occur. The shoulder girdle is elevated (the outer end of the scapula is raised). The scapula is rotated (the inferior angle moves laterally). The scapula translates laterally on the chest wall. There appears to be some winging of the scapula. These positional changes would most certainly have a mechanical effect of the acromio and sterno-clavicular joints, not to mention the shoulder joint”.


“Just for you interest, elevate you scapula slightly, hold it there and try and raise your arm. You will find your movement is markedly restricted. Because of this fact I cannot believe we did not give the scapula more attention when patients presented with shoulder problems”.

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