The shoulder complex (clavicle, humerus, scapula) is interconnected with the cervical and thoracic spine and rib cage making movement efficiency interdependent on each region. Understanding of each system and the neuromuscular links between them is essential for successful treatment of the shoulder. This course will cover anatomy and biomechanics of the shoulder girdle complex including the upper thoracic spine, rib cage, scapula, and glenohumeral joint in detail, a framework for assessing the kinetic chain in a simple flow, and establishing of clinical reasoning to the findings. Treatment consisting of manual therapy and specific exercise prescription will be provided.