Gen exercises for shoulder Flashcards
Pectoralis muscles associated with
excessive scapular contraction and downward rotation, both disturbing optimal GH mechanics
Posterior inferior, GH capsule associated with
Impingement syndrome and slap tears
lat dorsal and teres major associated with
Resistance to upper extremity elevation
Essential elements for dynamic stability
Adequate compressive forces- RC
Scapular base
Perception and neuromuscular control
Muscular endurance
Dynamic positioning of the fossa relative to the humeral axis is about
30°
And minimizes glenohumeral shear, and maximizes glenohumeral compression
Stable base of origin for muscles to help maximize function instability is dependent on
Length dependent activation patterns for deltoid, biceps, triceps, and rotator cuff muscles
primary scapular motion
Upward rotation
Impingement - less upward rotation
Instability - less upward rotation
adhesive capsulitis - greater upward rotation
Secondary scapular motion
posterior tilting
Impingement -less posterior tilting
accessory scapular motion
Variable internal and external rotation
Impingement - greater internal rotation
Instability - greater internal rotation
key interventions for scapula
serratus Anterior strengthening or retraining
Upper trapezius activation reduction
Pectoralis minor stretching
thoracic extension posture and exercise
Posterior shoulder stretching
Supraspinatus exercises
Full can
Prone full can
infraspinatus and teres minor exercises
sidelying ER
Prone ER at 90° abduction
ER with towel roll
Subscapularis exercises
internal rotation at 0° abduction
Internal rotation at 90° abduction
Internal rotation diagonal exercise
lower trapezius exercises
Prone full can
Prone ER at 90° abduction
Prone horizontal abduction at 90° with ER
Bilateral ER
middle trapezius exercises
Prone row
Prone horizontal abduction at 90° with external rotation