2.2. Ethics approval
subclavian muscle, Myofascial, scapulothoracic joints, GIRD, pectoralis muscle, sternocostoclavicular to acromioclavicular joints, Myofascial releases external rotators, adduction
MINOR
The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the Clínica Universitaria de Navarra (Project 2020.095 of June 18, 2020). Informed consent was obtained from all subjects and/or their legal guardian(s) for publication of identifying information/images in an online open-access publication.The patient photographed in Figure Manual therapy protocol for GIRD treatment. Digital superficial glides on the superficial deltoid fascia (A). Anteroposterior (B) and craniocaudal (C) mobilizations of the clavicle from sternocostoclavicular to acromioclavicular joints. Myofascial release using direct manual pressure of subclavian muscle (D), pectoralis muscle (E), pectoralis minor muscle (F), and subscapularis muscle (G). Myofascial releases of external rotators with glenohumeral decoaptation facilitating triangular space, quadrangular space and triceps hiatus (H–J). Myofascial releases external rotators with glenohumeral decoaptation (K). Myofascial releases of the scapular musculature: rhomboids, trapezius (L–N), subscapularis including mobilization with a scapulothoracic joints decoaptation, and angular of the scapula (O–S). The treatment finished with a technique of supine mobilization of the posterior capsule in 90º shoulder flexion and adduction (T, U) and circumductions (V). GIRD = glenohumeral internal rotation deficit.