Mobilization to Improve Abduction of the AC Joint

The AC joint can be a very stubborn (and stiff) joint that wreaks havoc in patients with shoulder limitations or pain.  There are many ways to mobilization or manipulate this joint to restore movement.  However, I haven't really seen any mobilizations that specifically work to improve congruency of the joint and/or abduction range of motion.  This video explains my thought process and how I've worked to improve these two things on a patient with previous history of grade II separation.

Do NOT manipulate these people!

In this post, I discuss some things I've picked up over the years to help us know when it is not a good idea to manipulate a patient. A lot of therapists are very interested in obtaining the skills of manipulation, and subsequently eager to practice those skills. However, we should always understand who NOT to manipulate in our attempts to do no harm.