The Shoulder Complex

July 4, 2018

Introduction to the Shoulder Region


Yes, the shoulder is very complex but I will try my best to keep it simple and understandable to all, including even the guy that shoulder press in a seated position 105kg in front of the mirror. Most of us believe all the injuries occur in the shoulder either because of shoulder mobility or because of shoulder strength and stability. No disrespect man (or woman), but there is a lot you do not know! Structural, postural, respiratory and nerve dysfunctions are some other causes for shoulder injuries. And yes, weightlifting is the answer!


Understanding the Causes of Shoulder Injuries


The shoulder region includes a lot of structures including the humerus, scapula, clavicle, four joints, muscles (depressors, elevators, protractors, retractors, internal rotators, external rotators, flexors, abductors, adductors and extensors), bunch of noncontractile structures such as the nerves, ligaments, labrum and bursae. The fact is that if one of these structures is deficient the risk to develop a shoulder pathology is increased (you can stop rotating your shoulder against resistance of thera band, that is not going to help you fix your rotator cuff tear at all).


The Role of Weightlifting in Shoulder Health


The key is to avoid damaging these structures from the first place. And that is where the beautiful sport of weightlifting comes into action (oh just got goosebumps from excitement).

Here are some disadvantages of not participating in the sport of weightlifting that will ultimately lead to unconditioned shoulders and eventually kyphosis of the thoracic spine, shoulder joints pathologies, respiration, fatigue, and sleep problems.


On the other hand, building strong shoulders in weightlifting optimizes correct posture that promotes good respiration, maintains the shoulders structures in good health and therefore occurrence of shoulder pathologies is reduced significantly, enhance blood flow to brain and limbs which decreases fatigue, and promotes healthy sleep.


Two essential movements that I will summarize in weightlifting are the lift off and the overhead press. Both movements are critical for good shoulder health.


First is the lift off, usually people lift from the floor by moving their shoulders and arms forward, while weightlifters move their arms to the sides. This is because weightlifters bring the centers of gravity closer to their body. The result is avoiding placing unnecessary forces on the shoulder joints, strengthening the shoulder stabilizers and facilitation of optimal back posture.


Second is the overhead press. This happens with full elevation of the shoulder. In fancy terms it occurs with scapular stabilization, inferior glide of humerus, external rotation of humerus, rotation of clavicle, scapular abduction and lateral rotation of the AC joint and straightening of thoracic kyphosis (so proud of myself for knowing this). Performing and mastering overhead press (while standing!) is one of the reasons why weightlifters are considered to be the fittest people out there. Not only it requires great mobility but also neuromuscular control, posture, strong shoulder structures and fit body to support the shoulders from head to toe.


Conclusion:

To sum up, do your shoulders a favor and start weightlifting, smart, with a coach. Oh, almost forgot to mention, the guy that pressed 105kg in seated position is in the hospital right now. Not only because he ended up tearing his rotator cuff but also because he herniated one of his low back disks 🙁


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Cupping therapy is an ancient technique that has been integrated into modern physical therapy to help alleviate pain, reduce inflammation, and enhance overall recovery. In my practice, I use cupping as part of a holistic approach to treat muscle tightness, improve blood flow, and accelerate the healing process. How Cupping Works: Cupping involves placing specialized cups on the skin to create suction. This suction helps to lift the skin and underlying tissues, promoting increased circulation to the affected area. The improved blood flow aids in reducing muscle tension, breaking up scar tissue, and encouraging the body’s natural healing processes. Benefits of Cupping Therapy: – Pain Relief: Cupping can help reduce muscle soreness and pain by releasing tightness and promoting relaxation. – Enhanced Recovery: By improving blood circulation, cupping accelerates the removal of metabolic waste from tissues, leading to quicker recovery times. – Flexibility and Mobility: Regular cupping sessions can improve joint and muscle flexibility, making it an excellent addition to your rehabilitation or performance enhancement program. What to Expect: During a cupping session, you may feel a pulling or stretching sensation as the cups create suction. It’s normal to experience some mild bruising or redness at the treatment sites, which typically fades within a few days. I ensure that each session is tailored to your specific needs, targeting areas that will most benefit from the therapy.
August 10, 2024
Blood Flow Restriction Training (BFRT) is a rehabilitation technique used to enhance muscle strength and growth by applying a cuff to partially restrict blood flow to a muscle during exercise. This method allows patients to gain the benefits of muscle hypertrophy and strength gains using low-intensity exercises. In physical therapy BFRT is particularly advantageous in settings where patients are recovering from injuries or surgeries, as it reduces the mechanical load on joints and tissues, minimizing the risk of re-injury.  The benefits and advantages of BFRT include: Muscle Strength and Growth : BFRT promotes muscle hypertrophy and strength gains even with low-intensity exercise, which is crucial for patients who cannot engage in high-intensity workouts. Accelerated Recovery : By enabling effective training at lower intensities, BFRT helps maintain muscle mass and strength during periods of limited mobility, aiding faster recovery. Reduced Joint and Tissue Stress : BFRT allows for significant muscle engagement without the high loads that could strain joints and soft tissues, making it suitable for patients with orthopedic issues or those recovering from surgeries. Versatility : BFRT can be applied to various body parts and adapted to different exercise modalities, making it a flexible tool in a therapist’s toolkit. Enhanced Safety : The low-intensity nature of exercises performed with BFRT reduces the risk of overtraining and injury, providing a safer rehabilitation option for patients at different fitness levels.
August 10, 2024
Force plates are a valuable tool in physical therapy, offering a range of benefits that enhance the quality of care and outcomes for patients. Here’s a detailed explanation of their advantages: – Objective Data Collection Force plates provide objective, quantitative data on ground reaction forces, which are essential for understanding how a patient’s body interacts with the ground during various activities. This data is critical for accurately assessing biomechanical performance and movement patterns, such as gait, balance, and jump dynamics. Unlike subjective assessments, force plates offer precise measurements, which lead to more accurate diagnoses and treatment plans. – Enhanced Assessment and Diagnosis With the detailed information force plates provide, physical therapists can identify subtle imbalances and asymmetries that might not be visible to the naked eye. For example, discrepancies in how much force each leg produces can indicate underlying issues, such as muscle weakness, joint instability, or improper technique. Early detection of these issues allows for timely intervention, potentially preventing more severe injuries. – Personalized Treatment Planning The data from force plates enables the creation of highly individualized rehabilitation and training programs. By understanding a patient’s specific movement deficiencies, therapists can tailor exercises and interventions to target these areas. This personalized approach increases the effectiveness of therapy, as interventions are specifically designed to address the patient’s unique biomechanical profile. – Progress Tracking and Outcome Measurement Force plates facilitate the objective tracking of a patient’s progress over time. By regularly assessing changes in force production, symmetry, and other key metrics, therapists can evaluate the effectiveness of treatment interventions. This ability to measure outcomes quantitatively helps in refining treatment plans and ensures that patients are making measurable improvements. – Injury Mitigation and Performance Enhancement For athletes and active individuals, force plates are particularly valuable for optimizing performance and preventing injuries. By analyzing the forces involved in specific sports movements, therapists can identify risky movement patterns that may predispose an athlete to injury. Interventions can then be designed to correct these patterns, enhance performance, and reduce the risk of future injuries. – Comprehensive Documentation and Communication The data collected from force plates can be documented and shared with other healthcare providers, coaches, or trainers, fostering a collaborative approach to patient care. This comprehensive documentation supports a continuum of care, ensuring that all parties involved have a clear understanding of the patient’s condition and progress. – Patient Education and Engagement Visual and numerical data from force plates can be a powerful tool in educating patients about their condition. When patients see the objective data, such as force distribution and asymmetries, they often gain a better understanding of their issues and the rationale behind their treatment plan. This understanding can enhance patient compliance and engagement in their rehabilitation process. Incorporating force plates into physical therapy practice elevates the standard of care by providing precise, objective data that enhances assessment accuracy, personalizes treatment plans, and tracks progress. This technology not only aids in injury prevention and performance enhancement but also fosters better communication and education, ultimately leading to improved patient outcomes.