Shoulder subluxation

[theshoulderguy]

Hi Junior Physio, just to clarify for you.

This is a generalisation but most physio's in their enthusiasm to help patients and to strengthen the shoulder, move too quickly through to a strengthening phase. But what comes first?

The fundamentals are often overlooked and this includes the focus on ideal muscle activation patterns and ensuring the scapula and cuff stabilisers are actively and correctly recruited prior to any strengthening phase is commenced.

When learning new skill or re-learning an old one like reaching or external rotation, tactile feedback will help the motor and sensory learning process. What we know is that appropriate and timely targeted feedback is often better than too much or too little feedback.

Finally, bench press and lat pulldowns or other similar exercises that predominately train either chest or back IMO should be left until the very end of a shoulder stability and strengthening program.

Why?

They are not whole body focused and do not engage the larger muscular kinetic chains. They rely on strict technique and put the shoulders into a position outside what I call "The Shoulder Safe Zone".

This can lead to undue stress on the shoulder joint, cuff and anterior capsule and ligamentous structures. The bench press is the No 1 killer of shoulders in the gym so Think Differently and include other shoulder stability exercises.

Cheers

Luke (The Shoulder Guy)

Find me on Facebook if you would like to know more.

[junior_physiotherapist]

WAW,


Thanks a lot of for all.........................