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Showing posts with label Bulletproof Shoulder. Show all posts
Showing posts with label Bulletproof Shoulder. Show all posts

Tuesday, 9 April 2019

Exercise is as effective as surgery.

                    

Last weekend the Bulletproofbodies Team had the pleasure of studying with a true pioneer in Physiotherapy, Professor Dr Jeremy Lewis.


Jeremy is a Physio that specializes in the Shoulder and has published extensively in the literature, he is also the Editor of Grieve’s Modern Musculoskeletal Physiotherapy.


The Bio-Psycho-Social approach has long been used in Physiotherapy and it is the exact opposite of the Bio-medical model.

The bio-medical model is the belief that the pain is coming from noxious “issues in the tissues.”

The Biopsychosocial approach is different and is influenced by the NEW Pain Science, where we now know that “Pain is in the brain.”


Jeremy has simplified shoulder issues into the following:

The diagnosis of a painful shoulder has been divided into 4 inter-related categories:

Not a Shoulder

Weak and Painful

Stiff and Painful

Unstable "Wobbly"


With 4 pre-disposing factors:

Psychosocial

Biomechanics

Lifestyle

Kinetic Chain


The evidence for Exercises prescribed by a Physiotherapist are as good as Surgery for the shoulder.

Physio is not "second best" treatment, but should be first line treatment, before surgery is considered (in a number of non-trauma cases).

This means that Physio can significantly reduce the number of surgeries on an already over-burdened NHS service.



You can contact Jeremy on Twitter:


Jeremy, the Bulletproofbodies Team salute you.


Video: https://www.youtube.com/watch?v=5bUf9VcYLmI


Sunday, 5 November 2017

Bulletproof Shoulders - 5 Awesome Exercises

                 

The group of muscles collectively know as the rotator cuff are vital to shoulder function. Problems with any of these muscles can cause pain and dysfunction in the shoulder. But what exactly is the "rotator cuff" and what does it do? More importantly, what is the best way to keep it strong and pain-free? These are the questions that this article will address.

Rotator Cuff Anatomy

Let's briefly review the anatomy of the four rotator cuff muscles:

Supraspinatus. This muscle originates from the top of the shoulder blade and inserts into the back of the shoulder bone. It is classified as an abductor of the shoulder, that means it helps raise your arm to the side.

Infraspinatus. This muscle originates from the back of your shoulder blade to the back of your shoulder bone. It is the second largest rotator cuff muscle and is classified as an external rotator of the shoulder.

Teres Minor. This muscle originates from the back of the shoulder blade and inserts on the back of the shoulder bone. It is classified as an external rotator of the shoulder.

Subscapularis. This muscle originates from the front of the shoulder blade and inserts on the front of the shoulder bone. It is the largest rotator cuff muscle and is classified as an internal rotator of the shoulder.
An easy way to remember the name of the muscles is the acronym SITS:

Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.

True Function of the Rotator Cuff

Although these muscles are classified as external rotators, an internal rotators, and an abductor, this is only true from a purely kinesiological perspective. In other words, this is how the muscles work in isolation but not in functional movements such as throwing a baseball or reaching for an object off a high shelf.

The functional role of the cuff is to provide dynamic stability to the shoulder during movement. This is accomplished by all four muscles pulling the head of the humerus into the shoulder socket whenever you move your arm. Shoulder impingement and rotator cuff tears can result if theses muscles aren't working properly or if you have bad mechanics at the shoulder joint.

Shoulder Impingement and Rotator Cuff Tears

I've got some interesting news for you: you may have or be on your way to having shoulder problems and not even know it. In a study by Sher et al., MRIs were taken of 96 asymptomatic (without pain) adults and it was found that 34% of them had rotator cuff tears with 54% of them found in adults over 60 (participant's ages were from 19 to over 60 years old).

There are most likely many reasons for this. One important reason is there is a part of the cuff that has no blood supply. Research shows that this area gets larger as we get older and is a normal part of aging. However, this makes injury more likely and decreases your chances for healing.

This means that if you start having rotator cuff symptoms, you might be on your way to tearing your cuff. Problems with the cuff problems are usually progressive. The progression is as follows:

Irritation-->Inflammation-->Fraying-->Tearing

Here's the solution: start using rotator cuff exercises in your program. Getting stronger and building endurance is the key here. The stronger you are, the less strength you are using during any activity.

Rotator Cuff Exercises

So you know you should be training your cuff muscles whether you're injured or not, but what is the best exercises to start with? Research on 7 different exercises determined that side-lying external rotations was the most effective exercise and external rotations at 90 degrees of shoulder abduction was the second most effective exercise. I recommend that you start with side-lying external rotations. You can eventually progress to external rotations at 90 degrees this exercise is technically more difficult and may cause problems with shoulders with poor mechanics.

--To perform side-lying external rotations, lay on your side with good alignment of your spine. Keep your arm at your side with your elbow bent to 90 degrees while holding a dumbbell. Slowly rotate your away from your body then slowly lower it back to the starting position.

Here's what I recommend for a beginning strengthening program:

1-2 sets of 10-15 repetitions before upper body exercise.
1-2 sets of 10-15 repetitions 4 times per week.
Keep in mind that if you use too much weight, you're not working the right muscles and if you overwork your rotator cuff, you cause these muscles to get too tired and they can't do their job!

Ted Ryce is a Miami Beach Personal Trainer who specializes in corrective exercise and post rehabilitation.

Visit my website for more information on Exercises for Injuries and Personal Training In Miami Beach.

Article Source: https://EzineArticles.com/expert/Ted_Ryce/1151516

Article Source: http://EzineArticles.com/6468538


Video: https://www.youtube.com/user/CrossFitForGlory


Saturday, 4 November 2017

Bulletproof Your Shoulders With the "no money"curl

                       

We all know people who were really into bodybuilding at one time in their lives but eventually dropped out after a few years of hardcore lifting. Why? In many cases, these guys developed so many nagging injuries they eventually just gave up on training. Injuries to the shoulders top the list. It doesn't have to be that way, of course. Proper care and feeding of your "caps" can keep them healthy through years of hard training. After all, you can't build cannonball delts if you're injured.

Here are a few exercises to get your shoulders stronger, healthier, and yes, maybe even a little bigger.

Cuban Rotation

Don't let the name fool you. I'm not talking about the fine art of cigar making or some weird form of torture. Okay, perhaps the latter does apply. (You'll know what I mean when you try it.) This movement stems from the Cuban press, an exercise popularized by Charles Poliquin when Muscle Media was actually Y2K compliant. If you want to seriously drive your bench press or pull-up poundages through the roof, then you've come to the right place. If, on the other hand, you're merely seeking to improve your shoulder health and add some strength in the meantime, then you're also in luck!

The limiting factor in the original three-part Cuban press (which is basically an upright row, external rotation, and an overhead press) is the rotation, thus the name "Cuban rotation." It's all about balance. By working the weak link, the entire chain gets stronger. The beauty is that not only will your Cuban press get stronger, but so will other lifts like the bench press and pull-up. By using a barbell, this movement is very specific to the aforementioned exercises. The Cuban rotation can be performed standing, seated, or kneeling, but to respect the Law of Specificity, you should use the same grip you commonly use for your benches and wide grip pull-ups.

With the arms abducted (raised out to the side), the Cuban rotation primarily stresses the infraspinatus, a rotator cuff muscle responsible for external/lateral rotation of the humerus (your upper arm bone). Unless you've been hiding under a rock over the last decade, you should know that the big boys up top, i.e. your pecs and lats, are internal rotators of the humerus. It's very easy to develop a muscular imbalance since most programs heavily favor internal rotation and not external rotation.

The integrity of the shoulder joint subsequently suffers, increasing the likelihood of injury. Furthermore, strength about the shoulder joint is also compromised as a protective measure if the external rotators aren't well developed and can't stabilize a heavy load.

Okay, here we go. To perform the Cuban rotation, start with your upper arms raised out to your sides until they're parallel to the ground and in line with your shoulders. The bar should be positioned directly in front of your lower sternum. Keep your elbows bent at 90 degrees and the wrists straight and firm throughout. Rotate the bar toward your forehead but stop just shy of vertical at the top of the movement. This will ensure that you maintain tension on the muscle at all times.

If you hit yourself in the head, then you either went too far (duh!), and/or your elbows were too low (below shoulder level). Keep your chest up and head erect during the entire exercise. As a matter of fact, imitate your favorite Playmate and draw your sternum up as high as possible. According to some experts you're about 10% stronger in this position, although this is a bit of a generalization. On the eccentric (negative) contraction, rotate the bar down as far as you can without lowering your chest or your upper arms.

Don't get too brave with this exercise; take it easy on the weight to begin with and concentrate on your form. A standard 45-pound Olympic bar will be too heavy for most of you and a 15 pound cambered (EZ-Curl) bar will probably be light, so find a weight in between. Don't be deceived, though. This exercise is a lot like the movie Man On The Moon; you start off laughing but end up crying. The Cuban rotation will catch up to you quickly and you'll definitely feel it!

Also, don't go overboard (i.e. Titanic) with the sets, especially at the beginning. Since the external rotators are relatively small muscles, two to three sets of 12 to 15 reps will do just fine to begin with. It's advisable to use light weights and higher reps at this stage to develop the neural pathways. However, research indicates a slightly greater proportion of fast twitch muscle fibers in the infraspinatus; therefore, a medium rep range would be ideal.

Your second go around with this exercise, during a different program, should then concentrate on a slightly lower rep bracket (8 to10 reps) for three to four sets. Use a moderate tempo and take two seconds to complete the positive contraction and two to four seconds for the negative (lowering) with no pause in between. Use short rest intervals: 45 to 60 seconds at the lower intensity/load and 75 to 90 seconds at the higher intensity.

In general, to improve the strength and integrity of the shoulder joint, you should perform external rotations on a regular basis. With that in mind, check out this next exercise that's also quite effective, but will hit you from a totally different angle.

The Super Set

A1) Side-Lying Dumbbell External Rotation

To all you competitive bodybuilders and European females, accidentally spilling Nair on your nipples is nothing compared to this combination of exercises. Take it from me, this superset will burn like crazy!

The side-lying dumbbell external rotation works the teres minor, the other rotator cuff muscle responsible for, you guessed it, external rotation. This is an exercise commonly prescribed by many therapists to rehabilitate an injured shoulder, but it also serves as an excellent strength and conditioning movement if performed correctly. In fact, Ian King thinks of it as one of the most valuable external rotation drills.

Start by lying on your side with your knees bent slightly for comfort and support. Grab onto a light dumbbell and keep your upper arm bent at 90 degrees throughout the exercise. (Of course, when performing unilateral movements, always start with your weak side first.) Rest your head on your lower arm, not your hand, to keep the cervical spine neutral. This point may seem trivial, but is actually very important and will make a difference in strength.

Keeping the wrist of your working arm straight and firm, rotate the dumbbell backward as far as you can but never go beyond perpendicular to the floor. Then, in a smooth fashion, lower the weight without it ever touching the ground. Try to keep your elbow glued to your side and minimize the amount of flaring for best results.

If you think that taking an ice cold bath is a humbling experience, try to impress a chick with this exercise. You won't! I've even had some men start with a semi-filled water bottle on this one! (I didn't have the heart to hand them a soup can.) On average, though, most men use between five to ten pounds. Again, keep the reps fairly high in the 12 to15 range.

With external rotations in particular, it's wise to use small loading progressions. The five pound jump typical on most dumbbell racks may be too much. You'll be quite surprised what a difference only five pounds makes in this exercise! If you have access to PlateMates then you can take advantage of microloading for continued strength gains.

The other option is to manipulate the tempo. By slowing down the speed of execution, you can effectively make this exercise more difficult. Moreover, by altering trunk position, you can influence the strength curve and control the level of difficulty You can do this by rotating your trunk forward to make the exercise more difficult; rotate back and it's a breeze. This is a trick I learned from Jerry Telle and his concept of Tellekinetics.

Take no rest and proceed to the next exercise.

A2) Side-Lying Dumbbell Rear Delt Raise

Since most upper-body exercises favor the anterior head of the deltoid (or for those that read Men's Fitness, the front part of the shoulder), a muscle imbalance is not uncommon. This exercise, on the other hand, stresses the posterior (rear) deltoid and may help to improve a kyphotic (hunchback) posture and rounded shoulders that's so common in today's society.

With the dumbbell still in hand, extend your arm out directly in front of your chest. Your upper arm will actually make contact with your chest and the elbow should be slightly bent. This is the starting position. Now, move the dumbbell in an arcing motion until it's almost directly above your shoulder. In order to maintain tension on the working muscle, you don't quite want to reach vertical at the top position. It's important that you follow the same pathway and remain in the same plane of motion (a.k.a. the Technical Limit Principle) on each repetition to derive the best results from this, or any other, exercise.

Perform the same number of reps as the external rotation and repeat the superset two to three times with no more than two minutes rest in between. Variations for this exercise include lying on a Swiss ball or on a bench and adjusting the angle of incline.

Conclusion

I won't be Milli Vanilli and tell a lie. This routine isn't going to build huge delts, but it will keep you lifting for a long time to come. You may even discover some new found muscularity filling the gaps behind those deltoids. After a few weeks, I'm sure you'll appreciate the improved shoulder strength. After a few years, you'll really appreciate the pain-free and healthy shoulders.

John Paul Catanzaro, B.Sc., C.K., C.E.P., is a Certified Kinesiologist and Certified Exercise Physiologist with a Specialized Honours Bachelor of Science degree in Kinesiology and Health Science. He owns and operates a private gym in Richmond Hill, Ontario providing training and nutritional consulting services. For additional information, visit his website at http://www.CatanzaroGroup.com or call 905-780-9908.

Note: John Paul has just released his new book The Elite Trainer: Strength Training for the Serious Professional. The book features 55 programs, dozens of training methods and cutting-edge techniques, and over 100 exercise illustrations. Pick up your copy today at http://www.TheEliteTrainer.com.

Article Source: https://EzineArticles.com/expert/John_Paul_Catanzaro/5771




Article Source: http://EzineArticles.com/6765237

Video: https://www.youtube.com/user/JDCav24


Friday, 3 November 2017

Beat Crossfit Shoulder Pain With Band-Assisted Stretches

                     

Stretching?

 You're Doing it Wrong!

Here's Why

"Make sure you get a good stretch before you run!"

"Alright guys, before we get on the courts for practice, let's make sure we stretch"

"Stretching is going to help make sure you don't get hurt on the field"

These are the lessons that most of us carried from an early age whether it was in youth sports, or our elementary school PE classes. The critical importance of 15 minutes of stretching before engaging in athletic activities. That we needed to sit and hold the stretch, avoid bouncing, and take long sustained breaths. No matter what activity you were doing, stretching was a must whether it was lifting heavy weights, sprinting, or going for a leisurely jog.

And if you ever got injured, what was usually the main culprit?

Pulled a hamstring?

Hurt your shoulder?

Got cramps?

Usually your coaches and naysayers will tell you that you just didn't stretch enough.

But what if we were all wrong about stretching. Not only how it's done, but when it's done. A lot of research in Sports Medicine seems to be saying that this may be the case. Several well designed studies show that Pre-exercise static stretching was ineffective in prevention of injury, and in some sports actually decreased muscular performance.

Does this mean I should stop stretching?

Now don't get me wrong. Stretching is an important piece of flexibility which is important to joint mobility and range of motion. The important thing to take away from this is that HOW you stretch and WHEN you stretch are incredibly important to the activity you're about to take on.

Here are some facts based on research:

1. Static stretching right before physical activity is shown to reduce explosive muscle activity in both squat testing and sprinting in athletes.

2. Stretching before physical activity does not have much impact on overall injury rates compared to those who don't stretch.

3. Flexibility does have overall benefit on tissue compliance, meaning that stretching does allow for muscle tissues to be more resistant to injury.

4. It matters which activity you're prepping for! If you're a gymnast, figure skater, or dancer then stretching is of utmost importance. However,if you're preparing to make your muscles fire as hard and as tight as possible (sprinting, weight lifting) then stretching is likely setting you up for failure.

So what now?

Obviously we don't want to go into a sport or exercise unprepared. As humans, we are ill prepared to tackle the stresses of sport when our lives consist of sitting for 6- 8 hours per day developing inactive sticky muscle tissue. Kelly Starrett speaks to the concept of being a Supple Leopard, and how animals in the wild don't need to stretch to go from 0 to 100% effort to live it's life. Perhaps back in the days of our early ancestors where movement was a part of living, What should we be doing instead? Here's what I recommend:

1. Dynamic Warm up - Your body should be prepared to take on the activity you're about to perform. It's important to get your heart rate elevated, circulation flowing to the muscular system, and your muscle tissues prepared for the movements that are coming. Things like jumping jacks, a light jog, rowing, or stationary bike can help elevate the heart rate. Body weight squats, push ups, and lunges are great ways to prepare the body to move weights. Also joint mobility movements like heel to toe rocking, arm circles, and knee circles can help stimulate proprioceptive nerves in the joint to fire properly into the brain.

The biggest key here is this: Does your warm up a mild/moderate form of what you're about to take on?

2. Cool Down - Stretching is a great modality when used properly. When we stretch a couple of things happen. It reduces muscular pain, increases range of motion, and allows for greater tissue compliance when done consistently over time.

What it does immediately is activate the parasympathetic nervous system, or the part of the nervous system that is responsible for slowing things down and relaxing.

This may be one of the best arguments against stretching before ballistic activities and weight lifting. If you stretch, you are priming your body to slow down, which is perfect for a cool down activity.

In fact, stretching may be a great way to prepare your body for resting periods like sleep. Instead of just rotting in front of a TV, I encourage my patients to take that time to get stretches in before bed, which may help them fall asleep easier.

3. Add Dynamic Stretching Into Your Routine - Everyone knows what a static stretch looks like. The reach down and touch your toes, and just hold it there for 10 seconds.

In the past 20 years, trainers and physical therapists have come up with dynamic stretching protocols to make stretching more effective and reflect the demands of movement. Proprioceptive neuromuscular facilitation (Contract and Relax) and banded assist routines can drastically improve your results. However, these things should be done with some supervision from a trainer or therapist in the beginning so that you can find the right way to work for you.

Remember, we're not her just to do things for the sake of doing them. Let's take a moment and make the most of our exercise and maximize your results.

Dr. Chung is a practicing Structural Chiropractor in the West Palm Beach area. He has been published in peer reviewed scientific journals and is a sought after speaker in health and wellness. Follow his blog at http://chiropractorwellington.com/category/keystone-chiropractic-blog/ or find him on twitter at @drjonathanchung

Article Source: https://EzineArticles.com/expert/Dr._Jonathan_Chung/1630453

Article Source: http://EzineArticles.com/8619963


Video: https://www.youtube.com/channel/UC4BvkJe2U4CnenW61nm_HOQ


Thursday, 2 November 2017

Bulletproof Your Shoulders Without Weights

          


Of all of the joints in your body, the shoulder is the most flexible and has the greatest range of motion. 

To allow such range of motion the shoulder relies on surrounding muscles to provide the strength of movement and to also help keep the joint stable.

 Unfortunately, many trainers teach exercises to strengthen only the major muscles of the shoulder and fail to teach exercises to strengthen the Rotator Cuff muscles. 
This puts you at greater risk of injury because shoulder injuries happen for many different reasons and do not discriminate between athletes and average people. 

A shoulder injury, especially a Rotator Cuff injury, can happen to anyone even if you are doing the most basic of tasks. For this reason, learning how you can prevent shoulder injuries is something everyone should do.

If you've ever worked out with a professional trainer or even researched exercises to build upper body muscles, you will have seen that most of the exercises target the major muscles of the chest, shoulders and back. 

Of the eleven muscles the shoulder relies on for movement, the more commonly known muscles are latissimus dorsi (commonly called "lats"), trapezius (sometimes called "traps or "trapezoids"), pectoralis (commonly referred to as "pecs"), deltoid and rhomboid muscles. 

These muscles are easily targeted in workouts because they surround the shoulder and form the shoulder cap and underarm. 

While important for the actual movement of your arm, these muscles cannot work alone. No matter how big or defined your theses muscles are, they still need support from the Rotator Cuff.

The shoulder is a very complex joint and the look of large, sculptured muscles can be deceiving. 

With the range of motion the shoulder offers, it also sacrifices stability. The two main roles of the Rotator Cuff are to provide stability to the shoulder throughout the range of motion and to help fine tune movements in the shoulder as the major muscles move. 

This is why it is so vitally important when working out to include the Rotator Cuff in your targeted exercises. This will help you to prevent shoulder injuries by increasing stability of the shoulder and supporting the major muscles as they function.

The four muscles of the Rotator Cuff are the Subscapularis, Teres Minor, Supraspinatus and Infrastpinatus. 

Each of the four muscles begin at the Scapula or the shoulder blade and insert on the upper bone of the arm called the Humerus. Each muscle crosses the shoulder in such a way that it surrounds the joint and forms a protective web to help secure it in place. 

To understand their function, you could say that the Rotator Cuff muscles tie the arm bone to the shoulder yet still allow it to be flexible. The Supraspinatus is the muscle that helps the Deltoid raise the arm and also assists with outward rotation. 
The Infrastpinatus and Teres Minor are the two muscles that help pull the arm downward or into the joint cavity when performing pull ups and other pulling movements. And finally the Subscapularis is the muscle on the front of the shoulder blade and helps provide stability during inward rotation of the arm.

Anyone who has suffered from a Rotator Cuff injury knows that damage to any one of these smaller muscles can result in a very significant loss of shoulder function. Healing after a muscle or tendon has been torn may create scar tissue that makes it even more prone to re-injury. 

This makes it even more important to seek proper rehabilitation as soon as you are injured to reduce your chances of weak healing and scarring. As with any injury, seek medical attention as quickly as possible and begin rehabilitation as soon as you are cleared to do so. This could be the difference between returning to full function and years of pain and suffering from the same injury.

Preventing injuries is always the best practice and should always be a priority. Learn the proper mechanics of lifting weights. Learn how to develop good body posture during exercises. 

Use an exercise program that is designed to promote flexibility and teaches you how to build all of the muscles in the shoulder, not only the major muscles. While all shoulder exercises will help the Rotator Cuff in some small way, there is no denying the benefits of using specific exercises to strengthen those muscles individually. Remember the old saying, "a chain is only as strong as its weakest link"? There is no better analogy that could apply to the shoulder muscles. Strengthen the link... strengthen the chain.

After my second shoulder injury and successful rehabilitation without surgery, I have made it my goal to help others avoid the unnecessary pain and suffering so many go through after their injury. Fear of not wanting to further damage the shoulder, the pain you feel even when you are doing nothing and the lack of knowledge are normally what will keep you from taking action and starting your rehabilitation early. 

I have developed a website to help answer some of your questions and to help overcome the fear that is typically associated with the rehabilitation process. You don't need to take handfuls of pills to get you through the day and you may not need the surgery you think you do. But one thing you cannot do, you cannot wait too long to get help. Please visit The Rotator Cuff Healing Center now and get the answers you deserve. 

Here is the website for your convenience:

http://rotatorcuffhealing.yolasite.com

Article Source: https://EzineArticles.com/expert/Jim_Batuyong/333875

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Video: https://www.youtube.com/user/FitnessFAQs





Wednesday, 1 November 2017

What is Shoulder Symptom Modification Procedure?

                 

Shoulder Symptom Modification Procedure is a new approach to treating “mechanical shoulder pain” which is particularly useful to our athletic community with activities like CrossFit.

You were introduced to Dr Jeremy Lewis in yesterday’s blog. He described shoulder impingement syndrome as a “cluster of symptoms” rather than a specific diagnosis.

These include:

Rotator cuff pathology

Scapula dyskinesis

Shoulder instability

Biceps pathology

SLAP lesion

GIRD (Gleno-Humeral Internal Rotation Deficit)

Impingement can be external (Type 3 Hooked Acromion) or internal (Rotator cuff between the humeral head and the glenoid rim.

Internal Impingement can be further divided into:
 Anterior-Superior – Gleno-humeral joint – Shoulder flexion with internal rotation (back swing on ring muscle ups).


Posterior-Superior – Gleno-humeral joint – External Rotation with horizontal abduction (overhead throw).




What is the movement that the athlete is having trouble with?

Symptom modification = Pain reduction

The 4 stage process then begins:

1.     Thoracic Spine Modification (Kyphosis or lack of extension)

2.     Scapula position Modification

3.     Gleno-Humeral Joint Modification


4.     Cervical Spine Modification


What is the movement that the athlete is having trouble with?

Symptom modification = Pain reduction


The 4 stage Symptom Modification process then begins:

1.     Thoracic Spine Modification (Kyphosis or lack of extension)

2.     Scapula position Modification

3.     Gleno-Humeral Joint Modification

4.     Cervical Spine Modification

1. Treatment for the Thoracic spine could include postural awareness and correction assisted by taping, Thoracic extension exercises, Thoracic rotation exercises

2.  Treatment for the Scapula position could include taping the scapula into a new starting position before the movement begins

3.     Treatment for the gleno-humeral joint could include
The external rotation contraction against a theraband, followed by shoulder flexion (if that is the painful movement)

4.  Treatment for the Cervical spine could include taping into a more optimal position, working on the isometric strength of the cervical spine re-tractors, range of movement exercises.


We are looking for a 30% change in pain for each part of the modification for this to be meaningful and your athlete to notice a change.

So some food for thought with Symptom Modification using the above information.



Tuesday, 31 October 2017

Bulletproof Your Brachiation: Exercise is as effective as surgery.

                     

Dr Jeremy Lewis knows a thing or two about the shoulder. He is a Consultant Physiotherapist, Professor of Musculoskeletal Research, Sonographer and Independent Prescriber. He works at the London Shoulder Clinic.

The shoulder is the fastest joint in the body with the greatest range of movement.
Some Baseball Pitchers have been able to generate speeds of 106 mph, that’s 170 km/h!
During which the shoulder moves 80 degrees in only 30 milliseconds!

It relies mostly on the muscle that surrounds it to keep it stable whilst it is moving at speed and in all its potential ranges.

The evolutionary advantage of this fast and mobile joint is that we can throw stuff, like rocks and spears. Chimpanzees can’t throw at the same speed we can. However, Chimpanzees and other primates can do something called “Brachiate,” which means to swing from tree to tree using only your arms. During brachiation, the body is alternately supported under each forelimb.

Some traits that allow primates to brachiate include a short spine (particularity the lumbar spine), short fingernails (instead of claws), long curved fingers, reduced thumbs, long forelimbs and freely rotating wrists.

Modern humans retain many physical characteristics that suggest a brachiator ancestor, including flexible shoulder joints and fingers well-suited for grasping.
In lesser apes, these characteristics were adaptations for brachiation. Although great apes do not normally brachiate (with the exception of orangutans), our human anatomy suggests that brachiation may be an exaptation to bipedalism, and healthy modern humans are still capable of brachiating.

At this year’s CrossFit Games we saw the return of the assault course. Some athletes struggled with the monkey bars because they didn’t practice their brachiating skills.

While our evolution over the last 2 millions years has specialized us more for bipedal walking and running, the configuration of the human shoulder developed for hanging and swinging in trees, and the ability to climb and swing remains a major part of human movement play worldwide, and is an important part of hunting and gathering where climbing abilities are used to get honey and fruit and to scout and ambush game.

The evidence indicates that swinging, hanging and climbing remain important for the proper development of the shoulder. We should all make it a part of our movement practice to help Bulletproof our shoulders.



Video: https://www.youtube.com/channel/UCJY58PdbjBDzmewy9SFsNGQ