8 - SHOULDER SOFT TISSUE Flashcards
Poor mechanics during which phases lead to upper extremity injuries?
Windup (cocking) and acceleration
Inflammatory phase rehab for shoulder soft tissue (3)
- capsular tightness
- Codman’s pendulum (AAROM) and sleeper stretch
- muscle tightness (pectoralis minor)
Inflammatory-repair phase exercises
- Scapular setting, clock, pushup +, punch +, dynamic hug
- Closed chain static and dynamic, low-high, insidde and outside BOS
- Timing and recruitment
- Proprioception
High sets, high reps, low intensity
Repair phase (4)
- Stabilizers and RC at the same time to idealize movement and minimize bad forces
- EXTERNAL ROTATORS: towel at 15 degrees
- SUPRASPINATUS: neutral
3 goals of remodelling phase
Idealize whole body strength
Increase power and endurance
Idealize multi-plane neuromuscular function
Goal of inflammatory-repair phase
Strengthen scapular stabilizers
Goal of repair phase
Strengthen rotator cuff
Goal of inflammatory phase
Address ROM and flexibility issues
Peak velocity with no step
84%
Where does the force come from in a throw?
Ground reaction force
What percentage of the throw is the preparation/windup?
80%
Purpose of the prep/windup
Establishing the rhythm
Prep/windup: lower body
Hip and shoulder turn 90 degrees towards target
Weight transferred from both legs to one leg balance
Lower body generates forces for forward controlled fall
Rotator cuff functions
Humeral head DEPRESSORS (compression to impart concavity) ,ROTATORS (movement / positioning of the upper limb) and STEERERS (fulcrum of GH joint)
Which is the strongest rotator cuff muscle, and as a result what do clinicians focus on most?
Subscapularis is strongest
Clinicians work the posterior rotator cuff most
