Shoulder Rehab Exercises
For Shoulder Dysfunction
When shoulder rehab exercises are done properly and consistently significant pain and dysfunction can be corrected. Shoulder pain can be a confusing thing to patients and some clinicians. In order to properly diagnose shoulder dysfunction an exhaustive history, exam, and functional evaluation of the shoulder, neck, and spine must be performed.
The first step is listening to a patient’s story. When did their pain start? How did it start? How long have they had pain? Have they had treatment for shoulder pain before? These are just a few of the questions that need to be answered during the history of the complaint.
The next step is the appropriate examination. During the examination the neck must be examined as well to rule out any condition referring pain to the shoulder. The proper orthopedic, neurologic, and functional tests must be done.
After this the chiropractor or other health professional should decide whether some form of imaging should be done. Once a diagnosis of shoulder dysfunction is reached the proper treatment plan should be constructed.
Possible reasons for shoulder dysfunction:
- Rotator cuff tear/strain/dysfunction
- Impingement of a tendon
- Labrum tear
- Frozen shoulder (adhesive capsulitis)
- AC joint arthritis
- Cervical spine dysfunction
- Muscle imbalance
- Weak scapular stabilizers
Functional testing that should be performed to base our rehabilitation program around:
T4 Extension (thoracic spine extension)
Posterior capsule screening of the shoulder
Pec major/minor screening
4 point loading/Push up
Shoulder Rehab Exercises:
Closed Chain Scapula
Training the serratus anterior muscle for scapular stabilization requires PERFECT form everytime. Start by getting beginning position
The scapula (shoulder blade) moves in all 3 planes of motion while using the hips to transfer weight.
Foam Roller (Thoracic Extension)
Rotator Cuff Exercises
Traditional rotator cuff exercises are beneficial, but not as beneficial as using your body weight to add extra functional movements. Rotator cuff exercises should include a weight transfer to make them as practical as possible.
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