Dear Martin
Like many of his techniques, Mulligan describes it, but many others have
done this maneourve prior to his observations.
If the likes of the Kendalls and Comerford are to be believed the maximum
rotation element in the scalene group is 20-30 degrees in the opposite
direction to the rib side, ie right rotation in a left first rib.
This technique rotates much further than this in the prone position then
takes the rib into a very strong stretch. This is a very delicate, highly
provocative part of the body. I would suggest the AP Supine approach as the
rotation element is more controlled and less severe. Regards kevin Reese
PT UK
----- Original Message -----
From: Martin Kidd <[log in to unmask]>
To: <[log in to unmask]>
Sent: 16 June 2000 23:12
Subject: Re: Scalene Pain
> Paul, the 4th edition contains the MWM for sh abdn with pressure on C4 SP
> away from the side of pain. Try to get hold of the latest book. The All
> Blacks are our national rugby team who beat Tonga 102-0 last night! A
> slightly better result than the England Soccer team's last outing vs
> Portugal. Martin
>
> ----------
> > From: Paul Sumner <[log in to unmask]>
> > To: [log in to unmask]
> > Subject: Re: Scalene Pain
> > Date: Friday, 16 June 2000 21:27
> >
> > Martin, I have got mulligans book manual therapy v3rd edition but have
> not come across the 1st rib technique and C4 sh. abdn MWM. Could you
> describe these techniques further or clarify them.
> >
> > Who are the all blacks???!! we're into Euro 2000 soccer over 'ere.
> >
> > >>> "Martin Kidd" <[log in to unmask]> 06/15/00 09:09PM >>>
> > This could be first rib stiffness, which would be irritated with
shoulder
> > abdn, or may be C3,4 dysfunction. Try Mulligan 1st rib mobn in sitting
> with
> > sh. abdn MWM, or C4 sh. abdn MWM. I assume all cervical movements are
> > normal. The MWMs must be painfree.
> > Go the All Blacks!
> >
> > ----------
> > > From: [log in to unmask]
> > > To: [log in to unmask]
> > > Subject: Scalene Pain
> > > Date: Friday, 16 June 2000 06:23
> > >
> > > Patient with scalene pain and SCM insertion pain. No history of
> trauma,
> > pain
> > > increases with shoulder abduction. Patient describes pain as being
> behind
> > the
> > > SC joint. Came back today after home program of mild scalene
stretches
> > with
> > > increased complaints of pain. I am having trouble figureing etiology
> of
> > pain.
> > >
> > > Steve Marcum PT, CSCS
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