**5.1 Antero-posterior upper costal chest wall mobilization**

The original technique is similar to the previously mentioned protocol (Frownfelter, 1987). This pattern is suitable for giving benefit in cases of shortening pectoralis muscles. Some evidence has shown that winging and trunk rotation can improve vital capacity (Pryor et al., 2000). The benefits of this pattern improve both ventilation in upper lobes of boths and also stretches the pectoralis muscle that may tight.
