top of page
Dr. Brian Abelson

Optimizing the Shoulder to Hand Kinetic Chain: MSR Maintenance Care

Updated: Nov 21


Shoulder to Hand Kinetic Chain

The human body is a symphony of interconnected parts, each working in harmony to create effortless movement. Yet, when even one link in the kinetic chain from the shoulder to the hand falters, it can disrupt the entire system, leading to pain, dysfunction, and frustration. As practitioners, we often encounter patients who focus on one area of discomfort—be it the elbow, wrist, or hand—without realizing that the true source of their issue may lie further up the chain.


Article Index


 

Introduction


Whether you’re helping an athlete recover from a sports-related injury, a professional navigating the strains of desk work, or someone aiming to maintain their functional independence, addressing the entire kinetic chain is essential. This comprehensive approach doesn’t just resolve existing issues; it prevents new ones, optimizes performance, and restores confidence in movement.


Through Motion Specific Release (MSR) procedures, we can uncover the hidden tensions and restrictions within this chain. By addressing the root cause rather than merely treating symptoms, we empower patients to move freely, perform better, and live pain-free lives. This isn’t just about treatment—it’s about fostering resilience, strength, and vitality.


Let’s dive into how MSR transforms maintenance care for the shoulder-to-hand kinetic chain, blending science, skill, and human connection to create extraordinary outcomes.


 

Practitioner Working on Women's Shoulder

Understanding the Kinetic Chain


The kinetic chain is the foundation of human movement—a series of interconnected joints, muscles, and fascia working in unison to create motion. From the shoulder to the hand, every link in this chain is vital. When one segment is restricted or dysfunctional, the entire chain compensates, often leading to overuse injuries, chronic tension, or even reduced performance.


Consider this: an elbow complaint rarely exists in isolation. The pain might stem from repetitive strain at a workstation or the rigors of athletic activity, but the underlying issue often originates from compensations in the shoulder or wrist. These compensations can result in imbalances that ripple through the entire upper extremity, creating a cycle of dysfunction.


Why is this chain so vulnerable? The shoulder, for example, is one of the most mobile joints in the body, allowing for an incredible range of motion. However, this mobility comes at the cost of stability, making it prone to subtle restrictions that can cascade down to the elbow, wrist, and hand. Similarly, the fine motor control required for hand and wrist function depends on stable and efficient movement patterns throughout the chain.


As practitioners, understanding the kinetic chain isn’t just about treating symptoms—it’s about seeing the bigger picture. By addressing each segment of the chain, we restore balance, reduce compensatory patterns, and help our patients achieve lasting results. Through MSR, we bring focus to the root causes of dysfunction, ensuring that every link in the chain is as strong and fluid as it needs to be.


 

MSR by Region Image

MSR Procedures by Region


The shoulder-to-hand kinetic chain is a biomechanical masterpiece, but its interconnected nature means that restrictions or dysfunctions in one region can cascade throughout the chain. Motion Specific Release (MSR) procedures offer a systematic, targeted approach to release these restrictions, restore optimal movement, and ensure long-term functionality. Each region requires careful attention, blending anatomical precision with refined technique to address unique challenges.

Here’s a breakdown of a few of the MSR techniques used for each region along the chain:


Shoulder: Restoring Mobility and Balance

The shoulder's incredible range of motion makes it a cornerstone of upper extremity function, but this mobility also creates vulnerability. MSR focuses on:

  • Trapezius and Supraspinatus Release: Relieving tension and enhancing shoulder elevation. These muscles are often overloaded, leading to restricted mobility and compensatory patterns.

  • Scapular Mobility: Achieving a healthy 2:1 scapula-to-humerus ratio is critical for smooth overhead movements. Techniques such as scapular releases improve dynamic stability and reduce strain.

  • Circumduction with Cervical Release: Combining shoulder and cervical techniques helps address fascial connections influencing the entire chain.


Upper Arm: Connecting Strength and Flexibility

The upper arm muscles—particularly the biceps and triceps—play a pivotal role in force transmission and coordination. MSR techniques here include:

  • Triceps Fascial Release: Targeting both medial and lateral fascial lines to improve arm strength and reduce stress on the elbow.

  • Biceps and Subscapularis Release: Addressing the biceps' fascial attachments and the often-restricted subscapularis muscle to enhance internal rotation and overall shoulder function.


Elbow and Forearm: Refining Precision and Power

The elbow and forearm bridge the gap between gross and fine motor control. MSR procedures focus on restoring balance in this critical region:

  • Forearm Extensor and Flexor Mobilization: Reducing tension in these muscle groups helps alleviate conditions such as tennis and golfer’s elbow.

  • Patient-Assisted Releases: Engaging the patient’s active participation strengthens results, particularly for deep fascial restrictions. These techniques not only increase range of motion but also improve neuromuscular coordination.


Wrist and Hand: Unlocking Fine Motor Function

The wrist and hand represent the culmination of the kinetic chain, where strength, flexibility, and precision merge. MSR techniques include:

  • Carpal Bone Mobilization: Ensuring proper alignment of the carpal bones enhances flexibility and reduces stiffness, critical for everyday tasks and athletic performance.

  • Palmar Fascial and Thenar Releases: Working on the hand’s fascia and muscular structures improves dexterity and grip strength while addressing common tension points.

  • Gentle Mobilization: Careful attention is given to avoid overstretching sensitive areas like the wrist, particularly in individuals with hypermobility or limited tolerance for aggressive techniques.


Demonstration Video: MSR Procedures in Action


In the accompanying video, Dr. Abelson demonstrates several Motion Specific Release (MSR) procedures for the shoulder-to-hand kinetic chain, showcasing how each region can be effectively treated. As you watch, pay attention to the subtle adjustments and patient-specific considerations that highlight the depth of MSR’s systematic approach to addressing restrictions and optimizing movement.


 

SI 10 Image
Click For Larger Image

Additional Points of Focus


Integration of Acupressure and Fascia Work


The integration of acupressure and fascia work is an important aspect of Motion Specific Release (MSR). By incorporating acupuncture points into treatment, we can enhance outcomes by targeting areas of heightened fascial tension and dysfunction.

For example, the Small Intestine 10 point, located near the back of the shoulder, is often used to release deep fascial adhesions and improve mobility in the shoulder girdle.


While this video highlights just one acupuncture point, actual treatments frequently involve multiple specific points tailored to each patient’s needs. These points are combined with soft tissue and osseous mobilization in the shoulder, elbow, wrist, and hand to create a customized treatment plan.


When paired with soft tissue release techniques, acupressure offers several benefits, including:

  • Enhanced circulation to the targeted areas.

  • Decreased neural hypersensitivity in restricted regions.

  • Improved fascial pliability, leading to better mobility and reduced pain.



Posture Image

Postural and Repetitive Strain Considerations


Poor posture and repetitive movements, such as extended desk work or athletic overuse, are leading contributors to dysfunction in the shoulder-to-hand kinetic chain. Patterns like forward head posture or rounded shoulders create excessive strain on the shoulder, elbow, and wrist, setting the stage for compensatory movement patterns and chronic tension.


MSR counters these effects by:

  • Releasing postural restrictions: Techniques target key areas like the pectoralis major, subscapularis, and scapular stabilizers to reduce tension and restore balance.

  • Encouraging proper alignment: Mobilizations of the scapula, humerus, and wrist ensure the kinetic chain operates smoothly and efficiently.

  • Providing functional education: Patients are equipped with dynamic posture strategies and exercises to help break the cycle of repetitive strain and prevent future dysfunctions.


 

Manual Therapy Image

Benefits of Maintenance Care


Maintenance care is a critical component of long-term musculoskeletal health, designed not only to address existing dysfunctions but also to prevent future injuries and optimize overall function. Through regular application of Motion Specific Release (MSR), patients benefit from a comprehensive approach that integrates biomechanical precision and targeted interventions to maintain the integrity of the shoulder-to-hand kinetic chain.


Injury Prevention


Repetitive strain injuries (RSIs), postural imbalances, and microtrauma accumulate over time, often leading to chronic dysfunction and acute injuries. Maintenance care focuses on proactive measures to mitigate these risks by:

  • Preserving Optimal Mobility: By systematically releasing fascial restrictions and addressing joint stiffness, MSR reduces the risk of localized tension propagating through the kinetic chain.

  • Targeting Early Dysfunctions: Subclinical imbalances, such as scapular dyskinesis or early-stage overuse syndromes, are identified and addressed before they develop into more significant injuries.

  • Enhancing Tissue Resilience: Techniques that improve the tensile strength and pliability of fascia and musculature reduce the likelihood of strains, tears, and inflammatory conditions.

Injury prevention through regular MSR allows patients to remain active and functional while minimizing downtime associated with treatment for avoidable injuries.


Improved Functionality

The shoulder-to-hand kinetic chain underpins a vast range of motor activities, from high-performance athletic movements to the intricate dexterity required for daily tasks. Addressing the entire kinetic chain through MSR provides:

  • Enhanced Neuromuscular Coordination: Resolving restrictions in fascial planes improves signal efficiency between muscle groups, resulting in smoother, more coordinated movements.

  • Optimized Strength and Flexibility: By addressing both mobility and stability, MSR restores functional balance to antagonistic and synergistic muscle groups, reducing compensatory patterns.

  • Improved Force Transfer Efficiency: Restoring the integrity of the kinetic chain ensures efficient transmission of forces, reducing localized stress on joints and tissues.


 

Conclusion


The shoulder-to-hand kinetic chain is a remarkable system that requires precision, expertise, and a holistic approach to maintain its integrity. Through Motion Specific Release (MSR), practitioners have the tools to not only address dysfunction but also optimize movement, prevent injuries, and enhance overall functionality. Whether treating athletes, desk workers, or anyone striving to live pain-free, MSR offers a transformative approach to care, built on science, skill, and patient-centered solutions.


Now is the time to embrace a proactive approach to musculoskeletal health. By prioritizing techniques that address the entire kinetic chain, it’s possible to achieve lasting improvements in mobility, functionality, and overall well-being. This holistic strategy ensures that movement becomes more fluid, pain-free, and empowering, paving the way for a healthier, more active life.


 

References


  1. Kibler, W. Ben, and John McMullen. "Scapular dyskinesis and its relation to shoulder pain." Journal of the American Academy of Orthopaedic Surgeons 11.2 (2003): 142-151.

  2. Ludewig, Paula M., and Thomas M. Cook. "Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement." Physical Therapy 80.3 (2000): 276-291.

  3. Page, Phil. "Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes." International Journal of Sports Physical Therapy 6.1 (2011): 51-58.

  4. Myers, John B., et al. "The role of the scapula in athletic shoulder function." The American Journal of Sports Medicine 30.2 (2002): 263-273.

  5. Cools, Ann M., et al. "Rehabilitation of scapular muscle balance: which exercises to prescribe?" The American Journal of Sports Medicine 35.10 (2007): 1744-1751.

  6. Borstad, John D., and Paula M. Ludewig. "Comparison of three stretches for the pectoralis minor muscle." Journal of Shoulder and Elbow Surgery 14.3 (2005): 324-330.

  7. McClure, Philip W., et al. "A randomized controlled comparison of stretching procedures for posterior shoulder tightness." Journal of Orthopaedic & Sports Physical Therapy 37.3 (2007): 108-114.

  8. Hinterwimmer, Stefan, et al. "Influence of continuous passive motion on shoulder motion and serum markers in patients after rotator cuff repair: a prospective randomized study." The American Journal of Sports Medicine 39.10 (2011): 2117-2125.

  9. Reinold, Michael M., et al. "Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature." Journal of Orthopaedic & Sports Physical Therapy 39.2 (2009): 105-117.

  10. Escamilla, Rafael F., et al. "Shoulder muscle activity and function in common shoulder rehabilitation exercises." Sports Medicine 39.8 (2009): 663-685.

  11. Kibler, W. Ben, Aaron Sciascia, and John Wilkes. "Scapular dyskinesis and its relation to shoulder injury." Journal of the American Academy of Orthopaedic Surgeons 20.6 (2012): 364-372.

  12. Tate, Angela R., et al. "Effectiveness of physical therapy interventions for shoulder pain: a systematic review." Journal of the American Physical Therapy Association 90.11 (2010): 1695-1710.


    Article Index
 

Disclaimer:

The content on the MSR website, including articles and embedded videos, serves educational and informational purposes only. It is not a substitute for professional medical advice; only certified MSR practitioners should practice these techniques. By accessing this content, you assume full responsibility for your use of the information, acknowledging that the authors and contributors are not liable for any damages or claims that may arise.


This website does not establish a physician-patient relationship. If you have a medical concern, consult an appropriately licensed healthcare provider. Users under the age of 18 are not permitted to use the site. The MSR website may also feature links to third-party sites; however, we bear no responsibility for the content or practices of these external websites.


By using the MSR website, you agree to indemnify and hold the authors and contributors harmless from any claims, including legal fees, arising from your use of the site or violating these terms. This disclaimer constitutes part of the understanding between you and the website's authors regarding the use of the MSR website. For more information, read the full disclaimer and policies in this website.


 

DR. BRIAN ABELSON, DC. - The Author


Photo of Dr. Brian Abelson

With over 30 years of clinical practice and experience in treating over 25,000 patients with a success rate of over 90%, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.


As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.


A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.


 


MSR Instructor Mike Burton Smiling

Why Choose Our MSR Courses and MSR Pro Services?


Elevate your clinical practice with our Motion Specific Release (MSR) courses and MSR Pro services, offering a comprehensive, evidence-based approach to musculoskeletal care.


Proficiency in MSR goes beyond videos or articles—they’re only the beginning. True mastery requires immersive, hands-on training to deepen your knowledge of anatomy, biomechanics, and precise tactile skills. MSR is a journey of focused practice, real-time feedback, and mentorship that transforms knowledge into expertise.


Here’s why you should join us:


  • Proven Methodology: Developed by Dr. Brian Abelson, an international best-selling author with over 30 years of clinical experience, MSR integrates the most effective elements of osseous and myofascial therapies. With a success rate exceeding 90%, our approach helps set a new industry standard.

  • Comprehensive Training: Our courses blend rigorous academic content with innovative techniques. You’ll master essential areas like orthopedic and neurological examinations, myofascial treatment, fascial expansions, and osseous adjusting and mobilization.

  • Extensive Resources: As an MSR Pro subscriber, access a vast library of over 200 MSR procedures, fillable PDF forms, instructional videos, and in-depth articles. From patient intake to tailored exercise prescriptions, our resources equip you for clinical success.

  • Tailored Support: Refine your diagnostic skills and expand your treatment techniques with ongoing support through over 750 videos, including 200 technique videos, 250 exercise videos, and 160 MSK articles. This extensive library features over 50 musculoskeletal condition articles, all designed to support you in clinical practice. Our resources are dynamic, with regular updates to articles, technique videos, and new additions to our educational curriculum.

  • Innovation and Growth: We emphasize continuous learning and innovation, giving you the tools to adapt and thrive in complex clinical scenarios. Our courses and resources are designed to foster professional growth, keeping you at the forefront of musculoskeletal therapy.


Unlock your practice's full potential with our MSR courses and MSR Pro services. Achieve outstanding clinical outcomes and join a community of forward-thinking practitioners dedicated to excellence in patient care.


Comments


bottom of page