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Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE 2017 Institute for
Integrative Health and Fitness Education www.IIHE.com
1.
Whydosomanyclientsexperienceshoulderjointtightnessanddiscomfort?
a. Itstheirhabits!Itshowtheyliveourlives,howtheyexercise(or
don't),howtheyworkonthecomputer,thecompensationstheyhavedevelopedfrominjuries,surgeries,and/ortraumas.
2. ImprovingFunction:TheShoulderComplex
a. Thejoints:
i. Sternoclavicularii. Acromioclaviculariii.
Glenohumeralballandsocketiv.
Scapulothoracicscapulasittinguponthethorax
b. TheRotatorCuff
i. Supraspinatus
1. Stabilizationoftheglenohumeraljoint2.
____________________________________________
ii. Infraspinatus
1. Stabilizationoftheglenohumeraljoint2.
_____________________________________________
iii. Teresminor
1. Stabilizationoftheglenohumeraljoint2.
______________________________________________
*recallthattheinfrapsinatusandteresminorwilltranslatethehumeralhead_______________________________
iv. Subscapularis
1. Stabilization2. Internalrotationofthehumerus
*recallthatthesubscapulariswilltranslatethehumeralhead_________________________________
v. Thebicepsbrachiialsoblendsintotheshoulderjointmakingita
partoftherotatorcuff1.
Stabilizationoftheglenohumeraljointitprovides
________________________________________ofthehumeralhead2.
Elbowandshoulderflexion
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Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE 2017 Institute for
Integrative Health and Fitness Education www.IIHE.com
3. TheScapula
a. Whatistheoptimalpositionofthescapula?
i. Upwardrotationandposteriortilt
1.
Thispositioniscontrolledbythe_________________________________________________________.
Downwardrotationandanteriortiltisthepositionoftheforwardshoulder.
Thispositioniscausedbythe________________________________________________________.
b. ROM:Doesyourclienthavegreaterinternalorexternalrangeof
motion?Howdoyouknow?Youhavetomeasure.i.
IR:shouldbeabout______________________________
ii. ER:shouldbeabout_____________________________
iii.
Overheadmotion:yourclientshouldbeabletoreachupto_______________________________beforetheirribspopupandtheirspineshouldnotarchoffthefloor.Cantheydothat?
4. TheIntegrativeMovementSystem
a. Asystematicapproachtoaddressingpostureandmovementbased
upontheprinciplesthatgovernhumanmovement
b. 3GuidingPrinciples:TheFoundationalA,B,Cs
i.
Alignment:mustalignthethoracopelviccylinder,thentheshoulder.
ii. Breathing:breathingrecruitstheproperrespiratorymuscles
andhelpsalignandstabilizethethorax
iii.
Control:mustusethemusclestoalignandcontrolupwardrotationandposteriortilt
5.
Thecorrectiveandintegrativeexercisepatternstoimprovingrotatorcufffunction:
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Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE 2017 Institute for
Integrative Health and Fitness Education www.IIHE.com
a. Correctiveexercisepatternsi. HappyBabywithbreathing
ii. ModifiedWallPlank
iii. RotatorCuffexerciseswithresistiveband
iv. Supportedwallplank:staticholdandwithrotation
v. Suspensionstraporbarrotations
b.
Integrativeexercisepatternsthesepatternsshouldreinforceoptimalalignmentandcontrolofthescapulai.
Pushingpatternshorizontal,vertical,andangled
Keystooptimalperformanceofrotatorcuff:
ii. Pullingpatternshorizontal,vertical,andangled
Keystooptimalperformanceofrotatorcuff:
Exercisestoabsolutelyavoidinclientswithrotatorcufforscapulardysfunction:_____________________________________________________________________________________________NOTES:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE 2017 Institute for
Integrative Health and Fitness Education www.IIHE.com
QUESTION:DoyouworkwiththeBabyBoomerandSeniorPopulations?Dr.EvanOsarisaninternationallyrecognizedlecturer,author,andindustryexpertinassessment,correctiveexercise,andimprovingfundamentalmovementpatterns.WhatmakesDr.EvanOsarsouniqueinthisindustryisthathehasdedicatedhislifetostudyingandsynthesizingtheverybestinformationfromthefieldsofrehabilitation,conditioning,andperformanceandpackageditintoasystemthatthehealthandfitnessprofessionalcaninstantlyusewiththeirmostchallengingclients.Earlyinhiscareer,Dr.Osarrecognizedthattherewasntasystemavailabletothefitnessprofessionalthatadequatelyaddressedthespecificneedsofthegeneralpopulation.HedevelopedtheIntegrativeMovementSystem,theindustrysfirstassessmentandcorrectiveexercisestrategythatcanbeseamlesslyintegratedintothefitnessprofessionalscurrentrehabilitativeorconditioningstrategy.Dr.Osarprovidesthestrategiesanddistinctperspectivethatthehealthandfitnessprofessionalrequiretosuccessivelyworkwiththebabyboomer,seniorpopulations,aswellasthepre/postnatalandpre/postrehabilitationclientele.
Additionally,Dr.OsarandhiswifeJeniceMattek,LMT,IMScreatedIntegrativeCorrectiveExerciseApproach,thefirston-lineresourceentirelydedicatedtoprovidingthehealthandfitnessprofessionalthatworkswiththegeneralpopulationwithastrategyforimplementingcorrectiveexerciseintotheirtrainingprograms.Ifyouarelookingtoestablishyourselfasthego-toexpertinworkingwiththegeneralpopulationwithposturalandmovementdysfunctionandbecomepartofthemovement-basedsolutiontothehealthcarecrisis,IntegrativeCorrectiveExerciseSpecialistandtheIntegrativeMovementSpecialistcertificationswerecreatedforyou.
Formoreinformationincludingfreevideoresources,visitwww.IIHFE.com.
