Shoulder Rehab p Sports Med 2

Teach new posture:  Most athletes have a “rounded” shoulder.  Must teach them to activate lower trapezius and rhomboids.  “scaps” in back pocket and squeeze together

Phase 1  Wall Walks  Regains ROM in flexion and abduction (p. 582  Tubing  ER, IR, Flexion, Extension, Abd., Add.  Helps strengthen scapular stabilizers  Strengthening (p. 586)  I’s, Y’s and T’s  Rhomboids: lying prone, Rowing  Wall pushups  Ceiling punches: lying supine punch towards ceiling  Pendulum  Regains ROM (p. 581)

Phase 2  Stabilization  Fist: lying supine, arm at 30,90, and 120 degrees of flexion, push fist in all directions  Balancing  Vibe plate  Dot drill  Pushups  Regular  Tubing

Phase 2  Stretching  Corner (pec. Major)  Sleeper (posterior capsule)  Posterior/anterior deltoid (capsule)  Triceps (inferior capsule)  Strengthening  I’s, Y’s and T’s with weight  Ceiling Punch with weight  Rhomboid row with weight

Phase 3  Plyometrics  Push up  Trampoline  Forward  side  Catch and throw med ball

Phase 3  Strengthening  I’s, Y’s and T’s on ball w/weight  Pushups  theraball  Tubing  D2 pattern  Balancing  theraball  PNF patterns

Shoulder PNF  Ceiling Punch  Resist protraction and retraction  Pitching  Extend fingers, wrist, elbow, arm  Flex fingers, wrist, elbow and horizontal adduction (punch) across the chest.  Shrugs  Athlete does a shoulder shrug up and down with arm in 90 degrees of elbow flexion, examiner resists  Shiver  Athlete is supine with elbow in 90 degrees of flexion and moves their arm in flexion and extension  Examiner resists