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THE ROTATOR CUFF Frozen Shoulder, Part 2 In this article, we will continue the discussion of ways to alleviate movement restrictions of the rotator cuff and glenohumeral joint (GHJ),1 using techniques from the Advanced Myofascial Techniques seminar series. In the first part of this article (November/December 2009, page 118), we looked at ways to assess and restore the important movement of inferior glide of the humerus (in a healthy shoulder, the humerus drops inferiorly as it begins abduction). The two new techniques described in this article will give you more ways to regain lost inferior humeral glide. Additionally, since these techniques work with front/back balance of key structures around the GHJ, they are also indicated when you see a tendency toward either internal or external arm rotation at the GHJ.2 POSTERIOR ROTATOR CUFF TECHNIQUE Working with the posterior side of the rotator cuff is indicated when you see a tendency toward external rotation of the arm, or when arm abduction is limited (as in Image 6, page 113). Position your client so that his or her arm hangs off Axial (horizontal) cross section MRI of the head of the humerus and rotator cuff. The subscapularis (outlined in green) on the anterior side of the shoulder, and the infraspinatus (orange) on the posterior side, work together to coordinate rotation of the humerus in relation to the scapula. Original image courtesy of Primal Pictures. Used with permission. connect with your colleagues on massageprofessionals.com 109