Pectoralis Major Muscles Stretch

                                                            

Manual Stretch 

Patient position - treatment table or mat position sitting

procedure with the hands behind the head. place both hand over occipital region and grasp the patient's elbows

Have the patient breathe in she and he the elbows out to the side (scapular adduction ,horizontal abduction and ).  hold  elbows at this end-point as the  Patient exhale . No forceful stretch is needed against the elbows, because the rib cage is elongating the proximal attachment of the pectoralis major muscles bilaterally. 

As the patient repeats the inhalation, again move the elbows up and out to the end of the available range and hold as the patient breathes out. Repeat only three times in succession to avoid hyperventilation.

Active stretching of the pectoralis major The therapist gently falls the elbows posteriorly while the patient 

breathes in and then holds the elbows at the end point as the patient breathes out

PRECAUTION: Hyperventilation should not occur, because the breathing is slow and comfortable. If the patient does become dizzy, allow time to rest, then reinstruct for proper technique. Be sure the patient maintains the head and neck in the neutral position, not forward.

Self-Stretch 

Patient position: Standing, facing a corner or open door,  

procedure- with the arms in a reverse T or a V against the wall.  patient  forword movement from the ankles (knees slightly flexed).  Degree of stretch can be adjusted by the amount of forward movement.

= Patient position : Sitting or standing 

 procedure -grasping the wand with the forearms pronated and elbows flexed 90°. Have the patient at that point lift the shoulders and bring the wand behind the head and shoulders

The scapula are adducted, and the elbow is brought out to the side. Combine with breathing by having the patient inhale as he or she brings the wand into position behind the shoulders; then exhale while holding this stretched position.

   

 Set stretching the pectoralis major muscle with the arms in a reverse-T position to stretch

 (A) the clavicular portion Boston to stretch 

 (B) the sternal abortion V shape

Wand exercises to stretch the pectoralis major muscle