1. Rehabilitation
Cervical Spine

2. Motor Control Cervical Flexion Test
Fail
Pass (Just)

3. Motor Control Cranio-Cervical Retraining

4. Motor Control Cranio-Cervical Retraining

5. Motor Control Cranio-Cervical Retraining
Notice the difference between the previous slide

6. Motor Control Scapular Positioning and Scapulohumeral Rhythm
Common Faults
Corrections
Scapular Anterior Tilt (Inferior Angle Winging)
Scapular Internal Rotation (Medial Border Winging)
Scapular Downward Rotation
Scapular Posterior Tilting
Scapular External Rotation
Scapular Upward Rotation

7. Motor Control Scapular Positioning and Scapulohumeral Rhythm

8. Motor Control Scapular Positioning
Notice the inferior angle winging

9. Motor Control Scapular Positioning
Shoulder back AND down to prevent winging
This facilitates posterior scapular tilting

10. Motor Control Scapular Positioning
Shoulder back AND down to prevent winging
Lift hands into the air

11. Motor Control Scapular Positioning
Shoulder back AND down to prevent winging
90 degrees abduction

12. Motor Control Scapular Positioning
Notice how the upper trapezius are trying to take over. Ensure they stay relaxed and the lower trapezius does all the work

13. Motor Control Scapular Positioning
Shoulder back AND down to prevent winging
110 degrees abduction so humerus is in line with fibres of lower trapezius

14. Motor Control Scapular Positioning
Notice how rotation of the lumbar spine is occurring. The lumbar paraspinals could be trying to help stabilise or there may be a restriction in shoulder flexion due to reduced thoracic extension or latissimus dorsi tightness.

15. Motor Control Scapular Positioning- Medial Rotation during glenohumeral elevation
Encourage serratus anterior activity in a closed chain with protraction of the shoulder blade to prevent winging

16. Motor Control Scapular Positioning- Medial Rotation during glenohumeral elevation
Encourage serratus anterior activity and slide arms up wall. Maintain serratus activity to promote upwards and external scapular rotation

17. Upper Trapezius Endurance

18. Strengthen The Shoulder Girdle The Shoulder W

19. Strengthen The Shoulder Girdle
Shoulder Press
Chest Press
Lateral Raise
Horizontal Row
Press Ups
Pull Ups
Lat Pull Downs

20. Strengthen The Shoulder Girdle
Remember to ensure correct scapula and cervical positioning!!!!!!!!!!

21. Proprioception and Balance
Be inventive and test motor control and strength while incorporating balance and proprioception