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PHYSIOPEDIA
Soft Tissue

Posterior rotator cuff mobilisation

Reduce pain and tension in the back of the shoulder.

CompleteAlso called: infraspinatus release, back of shoulder ball massage

Why it is used in rehab

Posterior cuff tension commonly accompanies cuff and instability problems; massage gives a novel, calming input and improves blood flow (Ch 5).

Starting position

Lie on your side (or stand against a wall) with a small ball just below the back of the shoulder, under the shoulder blade's outer edge.

Step-by-step

  1. Lean into the ball to increase pressure; roll slightly away to ease it.
  2. Pause on tender spots for 10–20 seconds and breathe out to relax.
  3. Use the other hand to gently turn the treated arm inward (internal rotation) to add movement.

Movement mechanics: Pressure plus movement of the underlying muscle; aim for a "good hurt", not sharp pain.

📖 Rehab Science instructions paraphrased from the book’s exercise description

Coaching notes

Common mistakes
  • Pressing so hard that pain becomes sharp or tingly
  • Rolling directly on the bony spine of the shoulder blade
Easier variation
  • Use the wall instead of the floor for lighter pressure
Advanced variation
  • Add active internal and external rotation while on the ball
ℹ Additional explanation

Precautions

AMBER — get assessed before starting rehab
  • Stop with sharp
  • travelling pain
  • numbness or tingling (Ch 5
  • PDF p. 85)
  • Stop or modify if your familiar pain exceeds 3/10 or your resting pain is worse the next day (PDF pp. 210–212).

Where it appears in Rehab Science

ProtocolPhaseGroupPrescriptionPDF
Shoulder Pain1Soft Tissue MobilizationsSpend 1–2 minutes on each area · Perform in any order on both sides · Stop on tender points for 10–20 seconds · Avoid exercises and arm movements that flare up your symptoms371
Shoulder Instability1Soft Tissue MobilizationsSpend 1–2 minutes on each area · Perform in any order on both sides · Stop on tender points for 10–20 seconds402
Source: Rehab Science · Ch 16 · PDF pp. 371, 402, 403show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.