2.5. Treatment
scapular adduction, decubitus, abduction
DECUBITUS
The treatment here is applied to the patients and is based on a manual therapy aimed at increasing the IR of a painful shoulder and reducing, at the same time, the GIRD. This kind of treatment has traditionally been used to improve the range of motion in situations of mobility deficits of the shoulder joint complex, such as GIRD.Exercises to be performed by treated patients. Gold standard therapeutic subscapular exercise (A). It is important to note that a towel should be used for this exercise. The sleeper stretch: shoulder 90-degrees abduction and shoulder retropulsion with scapular adduction (B), elbow 90-degrees flexion without losing shoulder 90-degrees abduction (C), and passive internal glenohumeral rotation is performed until the point of tension, gradually gaining joint balance for 2 minutes at a time (D). It is essential that a middle position between lateral decubitus homolateral to the side be treated and prone decubitus is achieved from the pure lateral decubitus position.