Educational Objectives: Discuss the specific pattern of contracted and weak muscles found with Shoulder Crossed Syndrome. Discern the effects on the spine, upper extremity and pelvis from the spastic and weak muscle pattern. Apply modalities and manual methods to treat weak and contracted muscles. Rehabilitate weak and atrophied muscles using stretching and exercise. Determine spinal, extraspinal and pelvic effects of the abnormal muscular patterns found with Shoulder Crossed Syndrome and apply treatment protocol.