Monday, January 24, 2011

Shoulder Prehab & Rehab



Current information is showing a great increase in Shoulder Issues!!!

The Reasons are Multiple

1. Change in Lifting and/or Exercise Techniques taught or not taught - particularly where hands and arms are involved

2. Overuse - Improper maintenance

3. Lack of variety of movements. For example - Very few people do actual physical work, and have little to no participation in sports or physical activities.

4. Lack of Proper Training Protocol - Most programs are still, after all these years, Anterior Chain Dominant!

5. Training is resistance focused, not movement focused

Areas of Movement Development for Shoulder Prehab & Rehab

1.Scapula -Rotation and Retraction - Note* Thumbs Up, In, and DowN

2.Deltoid Development - Anterior, Medial, Posterior, Note*Thumbs Up , In and Down

3.Shoulder Rotation Inward and Outward/Up & Down - Down & UP- Note*using multiple planes - Note* Use Arm and Hand Rotation

4.Trapezoids- Elevation and retraction Note* variety of shrugs and upright row movements- Note* Multiple Planes

5.Neck –Flexion-Extension-Rotation - Spiral!

6.Lats –Retraction, Flexion & Extensions!

7.Stretching & Tractioning of the Shoulder

8. Compression for Circulation

KEY COACHING POINTS

1. Movement Patterns - Remember Body moves in Converging - Diverging Patterns as well as rotational and spiral Note * Use Them!

2.Integrate muscle groups - Search for the muscles that work in a movement - Make them all Work!

3.Powerful and Perfect Reps - Not Momentum and Ballistic moves to get a rep!

4.Muscle Growth Occurs when Variety is used and Resistance is used and Increased. **Note*** Proper eating must feed the growth!

NOTE! IT IS NOT ABOUT THE WEIGHT ! IT IS ABOUT THE QUALITY OF THE WORK !

3 comments:

  1. Training the scapular muscles is as important if not more important than training the rotator cuff. Without a stable, properly positioned scapula, the rotator cuff can't do it's job of stabilizing the gleno-humeral joint. remember that the rotator cuff doesn't need a lot of resistance to be strengthened, just propper form and the right exercises. If you have any concerns about your shoulder, SEE A LICENSED PHYSICAL THERAPIST!! They will identify any abnormalities in your posture or movements that might need to be corrected.
    Chris Wilds DPT, ATC.
    Novacare Rehab, Thorndale, PA.

    ReplyDelete
  2. I agree with Chris' comments. Also, you can see a CERTIFIED ATHLETIC TRAINER if you have concerns about your shoulder.

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