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Rock Solid Rotator Cuff: Corrective Exercise Strategies€¦ · Rock Solid Rotator Cuff: Corrective...

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Rock Solid Rotator Cuff: Corrective Exercise Strategies Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com 1. Why do so many clients experience shoulder joint tightness and discomfort? a. It’s their habits! It’s how they live our lives, how they exercise (or don't), how they work on the computer, the compensations they have developed from injuries, surgeries, and/or traumas. 2. Improving Function: The Shoulder Complex a. The joints: i. Sternoclavicular ii. Acromioclavicular iii. Glenohumeral – ball and socket iv. Scapulothoracic – scapula sitting upon the thorax b. The Rotator Cuff i. Supraspinatus 1. Stabilization of the glenohumeral joint 2. ____________________________________________ ii. Infraspinatus 1. Stabilization of the glenohumeral joint 2. _____________________________________________ iii. Teres minor 1. Stabilization of the glenohumeral joint 2. ______________________________________________ *recall that the infrapsinatus and teres minor will translate the humeral head _______________________________ iv. Subscapularis 1. Stabilization 2. Internal rotation of the humerus *recall that the subscapularis will translate the humeral head _________________________________ v. The biceps brachii also blends into the shoulder joint making it a part of the rotator cuff 1. Stabilization of the glenohumeral joint – it provides ________________________________________ of the humeral head 2. Elbow and shoulder flexion
Transcript
  • 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

  • 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:

  • 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:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  • 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.


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