Quote Originally Posted by Hallamshire Physiotherapy View Post
Hi Stu

Do you think that sitting with a slumped posture and protracted shoulder girdle has just started to stress the glenohumeral? Try sitting up and extending your thoracic spine and then reposition your shoulder girdle (lift it up and back). If this improves the shoulder 'clicking' carry on and even tape your scapular to help retrain this position.

Dont worry about the 'clicking', I don't see many people who damage their shoulder in bed (unless they have a proclivity to jump off wardrobes!)

Steve
Hallamshire Physiotherapy
Not many people I know who can self tape their backs!

There are over 14 muscles attached to the scapula, and unless one can rotate their head like an owl 180degrees I do not see how a self assessment of the musculature, position, and joint play is possible

During weight training, a good-great muscular balance is required to execute many exercises.

For example, in bench pressing or shoulder pressing movements, I often see people with upward rotation and elevation of the scapulae during these movements. A compensatory pattern is usually seen through the Csp and neck musculature.

How does this affect the AC joint, if that is the area of symptoms?

Well, the various muscles again as mentioned above. A slight change in biomechanics from trapezius may influence the firing pattern of deltoids and Wikipedia reference-linkrotator cuff musculature with the combination of poor posture.

I wouldn't recommend beginning pressing movements with altered biomechanics, as sooner than later a larger issue will become.

As a fitness instructor, physiotherapist, and avid weightlifter myself, it is seen even in so called 'fit' populations a variety of joint issues due to abhorrent lifting technique.
Regards