The Efficacy of Manipulation with Distension Arthrography to Treat Adhesive Capsulitis: A Multicenter, Randomized, Single-Blind, Controlled Trial

Figure 2

The detailed manipulation steps of Three-step and Nine-therapy manipulative therapy, which involves kneading, drawing, and rubbing the shoulder. (1a–1c) Soothing tendon step: the therapist kneaded the patient’s lateral trapezius muscle, the superior muscle, and the deltoid muscle. (2a–2c) Osteopathic step: the therapist draws the patient’s shoulder out of the exhibition position, the range from small to large, lifts the affected limb from the elbow and extends it then draws out the internal and external rotation of the affected shoulder to the back. (3a–3c) Dredging collateral step: the therapist rub shoulders with palms, buckle the wrist to rotate the shoulder on the outside booth then hold the wrist with both hands and shake shoulders.