Presented by Matt Repa ATC,CES
|
|
- Agnes Porter
- 5 years ago
- Views:
Transcription
1 Presented by Matt Repa ATC,CES Illinois Bone & Joint Institute CSL Symposium 1/11/11
2 } Throwing is a very complex and dynamic activity. } As clinicians, how can we step in and make a difference? } What should we look for? } Are there normal asymmetries? } Treating and eliminating symptoms alone will not correct dysfunction.
3 Usual DX s RTC/Bicep tendonitis MDI Impingement (possible) Labral tear Medial epicondylitis/stress fx. Many patients will report with shoulder and or elbow pain only while throwing, and no other limitations. Go through a typical evaluation. Palpation, ROM, MMT s, Special Tests, etc.
4 } Assessment Shoulder AROM/PROM: All motions usually WNL except D-IR and D-ER (GIRD) 80% of SLAP tears show hip ND-IR (Morgan, UNPUBLISHED) Strength: Low Trap, Mid Trap, Rhomboid, Serratus Anterior, RTC Pec Major, Upper Trap } Assessment Elbow AROM/PROM: Flexion, Extension, Pronation, Supination Strength: Elbow musculature is typically strong: Flex, Ext, Pro, Sup Low Trap, Mid Trap, Rhomboid, Serratus Anterior, RTC Pec Major, Upper Trap
5 } Kinetic Chain Factors Baseball Elbow Injury Correlations 95% - GIRD 88% - Shoulder Dyskinesis, GIRD 50% - Contralateral Hip Weakness (Kibler, 2003) UCL Injury - REMEMBER! Common During Cocking/Acceleration Phase The flexor/pronator mass generates a varus torque that resists valgus, thus unloading the UCL. So when muscles are weak or fatigued, this may result in increased UCL strain, joint stress, and injury risk. (Escamilla, 2002)
6 } GIRD Number of different ways to define: Compare ROM bilaterally ± 1 ( 60% in IBJI Research) (NDIR DIR)/(DER-NDER) = X If X is 1, then (+)GIRD A study in 2008 showed that the arc of rotation is shifted 15 in dominant arm of habitual throwers. NOT GIRD? (Kuhn, 2008) Total Arc (IR+ER) > 25 compared bilaterally (Kibler, 1986)
7 } During the 2008 Colorado Rockies spring training, 23 asymptomatic pitchers ROM were measured. (Tokish, 2009) } 10/23 (43%) Had GIRD Loss of IR greater then gain of ER Greater than 25 loss of IR compared bilaterally } 4/10 (40%) Had shoulder pain during the season. } If GIRD is present in a high percentage of asymptomatic pitchers, one should use caution in stating that the loss of IR is the sole cause of a shoulder injury.
8 % IR of Total Arc (DIR+DER)/DIR=DIR% Presents a higher correlation to shoulder pain in initial research for baseball and softball players. (+) if by 4% for appropriate age group Little League: Dominant = 38% Non-Dominant= 40% High School: Dominant = 31% Non-Dominant = 34% Collegiate/Minor League: Dominant = 28% Non-Dominant = 37%
9 } Possible Reasons and Clinical Relevance for IR Humeral Retroversion (normal adaptation?) Muscular Underdevelopment (scapula) Significant Anterior Shoulder Tilt Muscular Contracture 1 st Rib Malalignment I DON T THINK WE HAVE THE ANSWER YET!
10 } What combination of other factors come into play? } The traditional shoulder exam is important, but incomplete. A nonshoulder exam provides the rest of the story.
11 Active shoulder flexion & abduction Symmetry, Definition, Winging, Snapping, Upper Trap Dominance Double Leg & Single Leg Squat (FMS) Pelvic Control Test Upper Extremity Stability Test Shoulder Mobility Test (FMS) Mod Trunk Stability Push Up (FMS)
12 } Double Leg Squat Assess bilateral, symmetrical mobility of the hips, knees, ankles, shoulders and thoracic spine. The squat is scored 1, 2, or 3, with 3 being a perfect score with heels flat, head/chest facing forward, and arms perpendicular to the floor. Throwers typically score in the (2-) range because they fail the UE portion of this test with limited thoracic extension. Scapular Strength is usually associated with this.
13 Double Leg Squat
14 } Single Leg Squat Same scoring as the DL squat, but athlete must demonstrate knee valgus control and limit their trunk flexion. Chronically injured throwers will fail this test the majority of the time on their non-dominant throwing leg (plant leg). They will exhibit decreased balance, functional gluteus medius strength, and increased trunk flexion.
15 } Pelvic Control Test Measures lumbar stability and pelvic motor control. Two clinicians are needed, one to take a measurement and the other to assess lumbar pressure. Once pelvic control is lost by decreased pressure on the clinician s hand, hip flexion is measured. Average score by test guideline: 45 Average score by student athlete testing: 35
16 } Pelvic Control Test
17 } Upper Extremity Stability Test Patient is in standard pushup position with arms spread three feet apart. The clinician will instruct the patient to tap their hands side to side for 15 seconds, as fast as they can while taking note any loss of pelvic or abdominal control. Hands must stay on the outside of the tape. Female athletes would perform this in a modified pushup position Ave Standard Power Male: 150 Ave Standard Power Female: 135 Ave Athletic Power Male: 197 Ave Athletic Power Female: 162
18 } Upper Extremity Stability Test
19 } Upper Extremity Stability Test Increased power by at least 15% above the athletic power average, with a (+) %IR GIRD score, correlates with shoulder pain 84% of the time. Can Increased Overall Power = Pain c (+) GIRD? Although the age groups were matched, the injured group was taller and heavier. (Andrews, 2002)
20 } Shoulder Mobility Test The clinician instructs the athlete to place their thumbs inside of their fist. The athlete will then maximally adduct and internally rotate one shoulder, while maximally adducting and externally rotating the other. The distance between their hands is measured. Compare bilaterally. A distance greater then 50% the length from athlete s wrist to distal 3 rd finger is a failed test. A failed test usually indicates a (+) GIRD. Other possibilities would be tight pectoralis and/or latissimus musculature.
21 } Shoulder Mobility Test
22 } Modified Trunk Stability Pushup The clinician will instruct the athlete to lie prone with their knees off of the ground and fingertips at chin level. The patient will be asked to push himself up maintaining lumbar control throughout. A "lag" in the lumbar spine indicates weak trunk stabilizers, and the inability to transfer force from the upper extremities to the lower or vice versa.
23 } Sx vs. Non-Sx Athletes } Age } Time of Year/Season } Throwing Progression When to Start? Asymptomatic Rebounder Toss Wall Toss c Arrhythmic Stabilization 90/90 & ¾ Position Flatground Long Toss Mound } Focusing on Mechanics IS KEY!
24 Early hand break Leg swing to midline No butt drive Reverse shoulder rotation Excessive trunk flexion/ extension Arm path and ball position Glove side elbow position Excessive shoulder tilt W vs. M Position L Position V Position Poor hip/shoulder timing Midline Casting Land on heel Poor back side drive Late forearm turnover Stride length Early toe off Poor finish
25 } Elbow Medial Elbow Issues Showing Ball to 1 st Base (R) ( L Position) Late Forearm Turnover Laid Back Forearm Arm Drag Elbow before head Excessive Stride Length Contractures Casting (Eccentric Bicep deceleration w/o pronation) Elbow Flexion at Release Point (Labrum as well) Olecronon Pain (+) Bump Test Casting Curve Ball vs. Fastball Pronator Teres } Shoulder M Position Reverse Shoulder Rotation Arm drag behind midline Hip Rotation Excessive Stride Length
26
Functional Movement Screen (Cook, 2001)
Functional Movement Screen (Cook, 2001) TEST 1 DEEP SQUAT Purpose - The Deep Squat is used to assess bilateral, symmetrical, mobility of the hips, knees, and ankles. The dowel held overhead assesses bilateral,
More informationFunctional Movement Test. Deep Squat
Functional Movement Test Put simply, the FMS is a ranking and grading system that documents movement patterns that are key to normal function. By screening these patterns, the FMS readily identifies functional
More informationIFAST Assessment. Name: Date: Sport: Review Health Risk Assessment on initial consult form. List Client Goals (what brings you here?
IFAST Assessment Name: Date: Sport: Review Health Risk Assessment on initial consult form List Client Goals (what brings you here?) Cardiovascular Measurements Blood Pressure Resting Heart Rate Body Composition
More informationRole Of The Fitness Professional. Causes of Fitness Related Injuries. The Assessments. Screening & Assessing: A Holistic Approach 2/9/2016
Screening & Assessing: A Holistic Approach Role Of The Fitness Professional Fitness professionals must assess clientele, but need to understand the difference between medical diagnosis vs fitness limitations.
More informationThrowing Injuries and Prevention: The Physical Therapy Perspective
Throwing Injuries and Prevention: The Physical Therapy Perspective Andrew M Jordan, PT, DPT, OCS Staff Physical Therapist, Cayuga Medical Center Physical Therapy and Sports Medicine ajordan@cayugamed.org
More informationThrowing Athlete Rehabilitation. Brett Schulz LAT/CMSS Sport and Spine Physical Therapy
Throwing Athlete Rehabilitation Brett Schulz LAT/CMSS Sport and Spine Physical Therapy Disclosure No conflicts to disclose Throwing Athlete Dilemma The shoulder must have enough range of motion to allow
More informationOutline. Training Interventions for Youth Baseball Athletes. 3 Rehabilitation Focus Points. What Training to Perform?
Outline Training Interventions for Youth Baseball Athletes Tim L. Uhl PhD ATC PT FNATA Division of Athletic Training Department of Rehabilitation Sciences College of Health Sciences University of Kentucky
More informationOverhead Athlete Rehabilitation Guidelines
Overhead Athlete Rehabilitation Guidelines This document is designed to be used as a guideline in the rehabilitation of the athlete playing overhead sports, mainly baseball and softball, but also including
More informationClinical pearls for the shoulder/arm exam and the treatment. What is seeing youare you seeing it
Clinical pearls for the shoulder/arm exam and the treatment What is seeing youare you seeing it W. Ben Kibler, MD Medical director Case 1 18 y/o R hand dominant high school pitcher, with 6 week hx gradual
More informationUpper Limb Biomechanics SCHOOL OF HUMAN MOVEMENT STUDIES
Upper Limb Biomechanics Phases of throwing motion 1. Wind up Starts: initiate first movement Ends: lead leg is lifted & throwing hand removed from glove COG raised 2. Early Cocking Start: lead leg is lifted
More informationEvaluating the Athlete Questionnaire
Evaluating the Athlete Questionnaire Prior to developing the strength and conditioning training plan the coach should first evaluate factors from the athlete s questionnaire that may impact the strength
More informationAPPENDIX: The Houston Astros Stretching Program
Vol. 35, No. 4, 2007 Glenohumeral Internal Rotation Deficits 1 APPENDIX: The Houston Astros Stretching Program Our Flexibility program consists of 5 positions. Four of the 5 have 2 variations of each position.
More informationSecrets and Staples of Training the Athletic Shoulder
Secrets and Staples of Training the Athletic Shoulder Eric Beard Corrective Exercise Specialist Athletic Performance Enhancement Specialist EricBeard.com AthleticShoulder.com Presentation Overview Rationale
More informationBIOMECHANICAL INFLUENCES ON THE SOCCER PLAYER. Planes of Lumbar Pelvic Femoral (Back, Pelvic, Hip) Muscle Function
BIOMECHANICAL INFLUENCES ON THE SOCCER PLAYER Functional performance of the soccer player reflects functional capability of certain specific muscle and muscle groups of the back, pelvis and hip to work
More informationSterile gauze used at incision site. Check brace for rubbing or irritation. Compression garment at elbow to be used with physician s authorization
ULNAR COLLATERAL LIGAMENT RECONSTRUCTION GUIDELINE Functional Outcome Measure KJOC (Appendix 1) should be completed at initial evaluation and at all identified times through guideline, Phase 1 Immediate
More informationUCL Sprain/Tear MEDIAL ELBOW PAIN. Moving Valgus Stress Test. Valgus Instability/Ulnar Collateral Ligament Sprain. Property of VOMPTI, LLC
UCL Sprain/Tear MEDIAL ELBOW PAIN Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Valgus Instability/Ulnar Collateral Ligament Sprain History Acute
More informationP ERFORMANCE CONDITIONING. Postural Priorities - Rib Cage Influences on the Volleyball Player s Shoulder VOLLEYBALL
P ERFORMANCE VOLLEYBALL CONDITIONING A NEWSLETTER DEDICATED TO IMPROVING VOLLEYBALL PLAYERS www.performancecondition.com/volleyball Postural Priorities - Rib Cage Influences on the Volleyball Player s
More information11/6/2013. Keely Behning, PT, SCS, ATC MNPTA Fall Conference November 16, 2013
Keely Behning, PT, SCS, ATC MNPTA Fall Conference November 16, 2013 Upon completion of this course, attendees should be able to: Understand pertinent anatomy and biomechanics as they relate to specific
More informationHandling Skills Used in the Management of Adult Hemiplegia: A Lab Manual
Handling Skills Used in the Management of Adult Hemiplegia: A Lab Manual 2nd Edition Isabelle M. Bohman, M.S., P.T., NDT Coordinator Instructor TM Published by Clinician s View Albuquerque, NM 505-880-0058
More informationAddressing Core and Balance Deficits to Maximize Return to Sport in Overhead Athletes
Addressing Core and Balance Deficits to Maximize Return to Sport in Overhead Athletes Meg Jacobs P.T. Momentum Physical Therapy and Sports Rehab Hands on care for faster results www.wegetyouhealthy.com
More informationPhysical Examination of the Shoulder
General setup Patient will be examined in both the seated and supine position so exam table needed 360 degree access to patient Expose neck and both shoulders (for comparison); female in gown or sports
More informationTheodore B. Shybut, M.D.
Theodore B. Shybut, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Non-operative Shoulder Rehabilitation Protocol Basic shoulder program for: o Scapular Dyskinesis (proximally
More informationPrevent injuries before getting on the field
Prevent injuries before getting on the field from stopsportsinjuries.org QUICK FACTS - Twenty percent of children ages 8 to 12 and 45 percent of those ages 13 to 14 will have arm pain during a single youth
More informationLab Workbook. ANATOMY Manual Muscle Testing Lower Trapezius Patient: prone
ANATOMY Manual Muscle Testing Lower Trapezius Patient: prone Lab Workbook Fixation: place on hand below the scapula on the opposite side Test: adduction and depression of the scapula with lateral rotation
More informationImproving the Functional Strategy of the Volleyball Athlete Ron Hruska, MPA, PT
Improving the Functional Strategy of the Volleyball Athlete Ron Hruska, MPA, PT PREPARATION PHASE Individual examination, mechanical testing and tri-planar assessment. Frontal Plane Tests: Adduction Lift
More informationActive-Assisted Stretches
1 Active-Assisted Stretches Adequate flexibility is fundamental to a functional musculoskeletal system which represents the foundation of movement efficiency. Therefore a commitment toward appropriate
More informationAdvances in Rehabilitation of the Throwing Athlete
Advances in Rehabilitation of the Throwing Athlete Introduction It is a "whipping" action that brings the hand and eventually the ball to a speed of 90 to 100 mph. Elite level is 87 MPH (Football is 55
More informationReturn to Play Criteria in the Overhead Thrower
in the Overhead Thrower Kevin E. Wilk, PT, DPT,FAPTA 2018 The Overhead Thrower Introduction Highly skilled athlete Requires flexibility, muscle strength, coordination, synchronicity & NM efficiency Proper
More informationA comparison of the immediate effects of muscle energy technique and joint mobilizations on posterior shoulder tightness in youth throwing athletes
Illinois State University ISU ReD: Research and edata Theses and Dissertations 11-7-2016 A comparison of the immediate effects of muscle energy technique and joint mobilizations on posterior shoulder tightness
More informationSnow Angels on Foam Roll
Thoracic Mobilization on Foam Roll Lie on your back with a foam roller positioned horizontally across your mid back, and arms crossed in front of your body. Bend your knees so your feet are resting flat
More informationcopyrighted material by PRO-ED, Inc.
Contents Preparation for Functional Sitting Partial Pull to Sit.......................................................... 2 Pull to Sit................................................................ 3
More informationPhase I : Immediate Postoperative Phase- Protected Motion. (0-2 Weeks)
Phase I : Immediate Postoperative Phase- Protected Motion (0-2 Weeks) Appointments Progression Criteria 2 weeks after surgery Rehabilitation appointments begin within 7-10 days of surgery, continue 1-2
More informationDEEP SQUAT. Upper torso is parallel with tibia or toward vertical Femur below horizontal Knees are aligned over feet Dowel aligned over feet
APPENDIX 9 SCORING CRITERIA DEEP SQUAT Upper torso is parallel with tibia or toward vertical Femur below horizontal Knees are aligned over feet Dowel aligned over feet Upper torso is parallel with tibia
More informationMasters Swimming Dryland Training Program. November-December
Masters Swimming Dryland Training Program November-December Staggered Stance High Kneeling Chop with Theraband (1 minute each side) Engage core. Pull Theraband down toward knee that is on the ground keeping
More information1 Pause and Practice: Facilitating Trunk and Shoulder Control with the Therapy Ball
1 Pause and Practice: Facilitating Trunk and Shoulder Control with the Therapy Ball This is an example of Facilitating Combinations of Movements and Active Assist. Starting Position Have your patient sit
More informationTable of Contents. What is CrossFit? 2. The Bracing Sequence 2. The Building Blocks of CrossFit The Nine Foundational Movements 3
Table of Contents What is CrossFit? 2 The Bracing Sequence 2 The Building Blocks of CrossFit The Nine Foundational Movements 3 The Nine Foundational Movements Checklist 3 1.1 Air Squat 4 1.2 Front Squat
More informationREMINDER. Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns
Understanding Shoulder Dysfunction REMINDER Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns What is a healthy shoulder?
More information2002 Physioball Supplement
2002 Physioball Supplement These exercises are not detailed on the 2002 Off-Ice Training video but will be taught in detail during the 2002 Reach for the Stars Seminar. CORE STRENGTH Physioball/ Sport
More informationLying Front Deltoid Stretch Instructions >>>CLICK HERE<<<
Lying Front Deltoid Stretch Instructions Apr 18, 2015. Muscles Targeted: Lying dumbbell curls, also known as lying supine lying dumbbell curls are the brachioradialis (forearms) and the front deltoids
More informationMonster Walk Stand with your feet slightly closer than shoulder-width apart in an athletic stance. Loop an elastic band around your ankles.
Off-season Lower-Body Tennis Exercises Research conducted on elite tennis players shows that lower-body strength is the same on both the left and right sides. Therefore, lower-body training for tennis
More informationDouble Knee to Chest. Lying on back with knees slightly bent. Hug both knees to chest
Double Knee to Chest Lying on back with knees slightly bent Hug both knees to chest Flexion on the Gymnic Ball Lying on stomach over ball Drape body over ball and relax Roll back and forth to stretch out
More informationER + IR = Total Motion
Treating the Thrower s Shoulder Michael M. Reinold, PT, DPT, ATC, CSCS Introduction Common site of injury» Repetitive forces / stresses Tremendous joint forces» Anterior shear forces 1-1.5 1.5 X BW» Distraction
More informationWarm-Up and Stretching Exercises
Warm-Up and Stretching Exercises Most athletes (swimmers included) use a combination of controlled movement exercises and specific joint/muscle stretching to improve performance potential. The proposed
More informationChapter 10: Flexibility
Chapter 10: Flexibility Lesson 10.1: Flexibility Facts Self-Assessment 10: Arm, Leg, and Trunk Flexibility Lesson Objectives: Describe the characteristics of flexibility. Explain how you benefit from good
More informationStatic Flexibility/Stretching
Static Flexibility/Stretching Points of Emphasis Always stretch before and after workouts. Stretching post-exercise will prevent soreness and accelerate recovery. Always perform a general warm-up prior
More informationToday s session. Common Problems in Rehab. UPPER BODY REHAB ESSENTIALS TIM KEELEY FILEX 2012
Tim Keeley B.Phty, Cred.MDT, APA Principal Physiotherapist physiofitness.com.au facebook.com/physiofitness Today s session Essential list for the upper body Rehab starting point Focussing on activation,
More informationFlywheel Women's Ultimate Navy Seal Workout Winter 2005 TWICE A WEEK!
Flywheel Women's Ultimate Navy Seal Workout Winter 2005 TWICE A WEEK! Begin with a -minute warm-up run, stretching, 1 minute of jumping jacks, then 2 sets of Seals, stretch. Do each exercise down the list
More informationLumbar/Core Strength and Stability Exercises
Athletic Medicine Lumbar/Core Strength and Stability Exercises Introduction Low back pain can be the result of many different things. Pain can be triggered by some combination of overuse, muscle strain,
More informationTHE 25 MINUTE SHOULDER SOLUTION:
THE 25 MINUTE SHOULDER SOLUTION: How To Maintain a Healthy Pitching and Throwing Shoulder with In-Season Baseball Strength Training By John Furia Xceleration Sports Training It s like clockwork three weeks
More informationLab: Muscle Action. As you perform the exercise name the muscle you are working and the action of that muscle.
Lab: Muscle Action Name Anatomy and Physiology, Mrs. Grant Directions: Perform the following exercises in the weight room. Follow the directions carefully and do not use any weight. We are interested only
More informationDisclosures. Training for the Scapulothoracic Joint and Thoracic Spine. Scapular Muscles Stabilization & Rotation 9/7/2018
Disclosures Training for the Scapulothoracic Joint and Thoracic Spine mtrigger Litecure Russ Paine, PT Director -UT Physicians Sportsmedicine Rehabilitation Houston, Texas 21 academic institutions 14 hospitals
More informationMuscular Analysis of Upper Extremity Exercises McGraw-Hill Higher Education. All rights reserved. 8-1
Muscular Analysis of Upper Extremity Exercises 2007 McGraw-Hill Higher Education. All rights reserved. 8-1 Muscular Analysis of Upper Extremity Exercises Upper extremity - often one of body's weakest areas
More informationETS EXERCISE SHEETS EXPLAINED
ETS EXERCISE SHEETS EXPLAINED Exercises 4pt kneeling Supermans Extend opposite arm/leg whilst maintaining neutral spine. Hips are to remain parallel to the floor during movement. Core. Also assists in
More informationAnterior Stabilization of the Shoulder: Distal Tibial Allograft
Anterior Stabilization of the Shoulder: Distal Tibial Allograft Name: Diagnosis: Date: Date of Surgery: Phase I Immediate Post Surgical Phase (approximately Weeks 1-3) Minimize shoulder pain and inflammatory
More informationAnterior Stabilization of the Shoulder: Latarjet Protocol
Robert K. Fullick, MD 6400 Fannin Street, Suite 1700 Houston, Texas 77030 Ph.: 713-486-7543 / Fx.: 713-486-5549 Anterior Stabilization of the Shoulder: Latarjet Protocol The intent of this protocol is
More informationUpper Extremity Injuries in Youth Baseball: Causes and Prevention
Upper Extremity Injuries in Youth Baseball: Causes and Prevention Biomechanics Throwing a baseball is an unnatural movement Excessively high forces are generated at the elbow and shoulder Throwing requires
More informationDaily. Workout MOBILITY WARM UP Exercise Descriptions. (See Below)
MOBILITY WARM UP Pelvic Tilt Lateral Pelvic Tilt Hip Circles Lateral Spine Glide Spinal Flexion and Extension Lateral Spinal Flexion Neck Juts and Tucks Neck Glides Arm Screws Arm Circles Elbow Circles
More informationArm Pain in Throwing Athletes. Eric N. Hoeper, MD Primary Care Sports Medicine NorthShore University HealthSystem
Arm Pain in Throwing Athletes Eric N. Hoeper, MD Primary Care Sports Medicine NorthShore University HealthSystem I have no potential conflicts of interest to declare. What s the Big Deal? Between 26% and
More informationTraining Considerations for Rotational Athletes Zach Dechant Strength and Conditioning Coach Texas Christian University
Training Considerations for Rotational Athletes Zach Dechant Strength and Conditioning Coach Texas Christian University www.zachdechant.wordpress.com Presentation Breakdown Anatomy of Rotation Thoracic
More informationDaily. Workout Workout Focus: Bodyweight strength, power, speed, mobility MOBILITY WARM UP. Exercise Descriptions.
Workout 5.18.18 Workout Focus: Bodyweight strength, power, speed, mobility Pelvic Tilt Lateral Pelvic Tilt Hip Circles Lateral Spine Glide Spinal Flexion and Extension Lateral Spinal Flexion Neck Juts
More informationChapter 3: Applied Kinesiology. ACE Personal Trainer Manual Third Edition
Chapter 3: Applied Kinesiology ACE Personal Trainer Manual Third Edition Introduction Kinesiology is the study of the body s infinite number of movements, positions, and postures and is grounded in the
More informationExercises to Correct Muscular Imbalances. presented by: Darrell Barnes, LAT, ATC, CSCS
Exercises to Correct Muscular Imbalances presented by: Darrell Barnes, LAT, ATC, CSCS Objectives Review Functional Anatomy Identify physical imbalances that lead to injury and/or decrease performance
More informationPRI Concepts Related to the Athlete
Postural Restoration: Concepts and Treatment in the Athletic Training Room Mike Cantrell MPT, PRC Major League Soccer Medical Symposium January 12, 2013 Ft. Lauderdale, Fl. PRI Concepts Related to the
More informationWEEKEND 2 Elbow. Elbow Range of Motion Assessment
Virginia Orthopedic Manual Physical Therapy Institute - 2016 Technique Manual WEEKEND 2 Elbow Elbow Range of Motion Assessment - Patient Positioning: Sitting or supine towards the edge of the bed - Indications:
More informationCore Exercises. 1. Side Plank Lift
Core Exercises Core strength exercises strengthen your core muscles, including your abdominal muscles, back muscles and the muscles around the pelvis. Strong core muscles make it easier to do many physical
More informationFull Body (medicine ball) Saggital Front Reach
Saggital Front Reach Saggital Front Reach 1) Start position: Stand with feet hip width apart. Hold medicine ball or dumbbell at waist. 2) Step forward 2-3 feet with the heel striking first and lean torso
More informationSide Split Squat. The exercises you need to hit with more power and accuracy every time
GOLF FITNESS The exercises you need to hit with more power and accuracy every time POWER Training for more power on the course doesn t necessarily involve heavy weights and explosive ballistic workouts
More informationRESISTANCE STRENGTH TRAINING EXERCISE
RESISTANCE STRENGTH TRAINING EXERCISE Alternating Dumbbell Chest Press Lie supine on a flat bench with dumbbells in each hand with a pronated grip. Extend your arms, holding the dumbbells in line with
More informationMobility sequencing!
Mobility sequencing When practicing joint mobility drills we have the opportunity to improve our movement. The muscles associated with the joint being mobilised as well as the joint itself will improve
More informationStretching. Back (Latissimus dorsi) "Chicken Wings" Chest (Pec. major + Ant. deltoid) "Superman" Method: Method: 1) Stand tall and maintain proper
Chest (Pec. major + Ant. deltoid) "Chicken Wings" Back (Latissimus dorsi) "Superman" 1) Stand tall and maintain proper 1) Reach hands overhead and lumbar curve. grasp one wrist. 2) Place palms on lower
More informationGOLFERS TEN PROGRAM 1. SELF STRETCHING OF THE SHOULDER CAPSULE
GOLFERS TEN PROGRAM 1. SELF STRETCHING OF THE SHOULDER CAPSULE POSTERIOR CAPSULAR STRETCH Bring your arm across your chest toward the opposite shoulder. With the opposite arm grasp your arm at your elbow.
More informationSHOULDER PAIN. A Real Pain in the Neck. Michael Wolk, MD Northeastern Rehabilitation Associates October 31, 2017
SHOULDER PAIN A Real Pain in the Neck Michael Wolk, MD Northeastern Rehabilitation Associates October 31, 2017 THE SHOULDER JOINT (S) 1. glenohumeral 2. suprahumeral 3. acromioclavicular 4. scapulocostal
More informationLow Back Pain Home Exercises
Low Back Pain Home Exercises General Instructions The low back exercise program is a series of stretching exercises and strengthening exercises prescribed by your physician for your medical condition.
More informationEvaluating Movement Posture Disorganization
Evaluating Movement Posture Disorganization A Criteria-Based Reference Format for Observing & Analyzing Motor Behavior in Children with Learning Disabilities By W. Michael Magrun, MS, OTR 3 R D E D I T
More informationReview shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of
Review shoulder anatomy Review the physical exam of the shoulder Discuss some common causes of acute shoulder pain Discuss some common causes of chronic shoulder pain Review with some case questions Bones:
More informationThe Golfers Ten Program. 1. Self Stretching of the Shoulder Capsule
The Golfers Ten Program 1. Self Stretching of the Shoulder Capsule A. Posterior capsular stretch Bring your arm across your chest toward the opposite shoulder. With the opposite arm grasp your arm at your
More informationRehabilitation of Overhead Shoulder Injuries
Rehabilitation of Overhead Shoulder Injuries 16 th Annual Primary Care Orthopaedic & Sports Medicine Symposium January 29, 2016 Jeremy Sherman, PT, MPT Disclosures No financial disclosures to note. Jeremy
More informationBACK VIBE PROGRAM STEP 3: INCREASE STRENGTH. Copyright 2012 All Rights Reserved. VibrationExercise.com Page 1
BACK VIBE PROGRAM STEP 3: INCREASE STRENGTH Copyright 2012 All Rights Reserved. VibrationExercise.com Page 1 COPYRIGHT NOTICE This website and its content is copyright of vibrationexercise.com 2012. All
More informationPGYVC Volleyball Circuit Athletic Plan
PGYVC Volleyball Circuit Athletic Plan Workout Plan: This workout plan is to introduce and promote off court training for PGYVC athletes as well as to build confidence for athletes who have not done physical
More informationEvaluation of Gait Mechanics Using Computerized Plantar Surface Pressure Analysis and it s Relation to Common Musculoskeletal Problems
Evaluation of Gait Mechanics Using Computerized Plantar Surface Pressure Analysis and it s Relation to Common Musculoskeletal Problems Laws of Physics effecting gait Ground Reaction Forces Friction Stored
More informationOsteoporosis Protocol
PRODUCTS HELPING PEOPLE HELP THEMSELVES! Osteoporosis Protocol Rehabilitation using the Resistance Chair General Information Osteoporosis is a condition where bones gradually decrease in mass or density
More informationUCL: It Is Not Just the Forces; It Is the Time Spent In Each Position. Chuck Wolf, MS, FAFS Human Motion Associates
UCL: It Is Not Just the Forces; It Is the Time Spent In Each Position Chuck Wolf, MS, FAFS Human Motion Associates If You Continually Hit Your Thumb When Using A Hammer, Hammering Less Is Not the Answer
More informationExercise Library. Exercise Image Description. Air Squats. Assisted Dips. Assisted Pull- Ups
Exercise Library Exercise Image Description Air Squats Start in standing position with arms by side or in front of you. Squat down until your thighs are parallel to the ground, then return to standing.
More informationMLT Muscle(s) Patient Position Therapist position Stabilization Limb Position Picture Put biceps on slack by bending elbow.
MLT Muscle(s) Patient Position Therapist position Stabilization Limb Position Picture Put biceps on slack by bending elbow. Pectoralis Minor Supine, arm at side, elbows extended, supinated Head of Table
More information7 Strategies for Shoulder Conditioning Brian Justin, MHK, CEP, CSCS
7 Strategies for Shoulder Conditioning Brian Justin, MHK, CEP, CSCS Objectives Very brief orientation to the shoulder Assessment procedures for the shoulder joint and interdependent areas Exercise ideas
More informationWEEKEND 2 Shoulder. Shoulder Active Range of Motion Assessment
Virginia Orthopedic Manual Physical Therapy Institute - 2016 Technique Manual WEEKEND 2 Shoulder Shoulder Active Range of Motion Assessment - Patient Positioning: Standing, appropriately undressed so that
More informationDescribe methods to evaluate for scapular. Perform a scapular dyskinesis examination. With humeral elevation, the scapula:
Describe methods to evaluate for scapular dyskinesis Perform a scapular dyskinesis examination Lori Michener, PhD, PT, ATC Virginia Commonwealth University Richmond, VA Ant / Post Tilting Internal / External
More informationMOBILITY WARM UP. Exercise Descriptions
Workout 6.1.18 MOBILITY WARM UP Pelvic Tilt Stand in a tall neutral stance. Tuck your pelvis under by squeezing your butt and then tuck your pelvis back sticking your butt out. Lateral Pelvic Tilt Stand
More informationMovement Terminology. The language of movement is designed to allow us to describe how the body moves through space.
Movement Terminology The language of movement is designed to allow us to describe how the body moves through space. In exercise it allows us to communicate with other movement professionals so we can describe
More informationPOSTURAL ANALYSIS. Posture is the attitude of the body. Good Posture = maximum efficiency with minimum effort
POSTURAL ANALYSIS A Postural Analysis should be undertaken on a client prior to each occasion a treatment is performed. It can vary from an extensive total body analysis to just a specific problem area.
More informationREMINDER. an exercise program. Senior Fitness Obtain medical clearance and physician s release prior to beginning
Functional Forever: Exercise for Independent Living REMINDER Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns. What
More informationLow Back Program Exercises
Low Back Program Exercises Exercise 1: Knee to Chest Starting Position: Lie on your back on a table or firm surface. Action: Clasp your hands behind the thigh and pull it towards your chest. Keep the opposite
More informationFIT IN LINE EXAMPLE REPORT (15/03/11) THE WHITE HOUSE PHYSIOTHERAPY CLINIC PRESENT
THE WHITE HOUSE PHYSIOTHERAPY CLINIC PRESENT FIT IN LINE EXAMPLE REPORT (15/03/11) A 12 part assessment tool to screen your athletic performance in 4 key components: Flexibility, Balance, Strength & Core
More informationDISTANCE RUNNER MECHANICS AMY BEGLEY
DISTANCE RUNNER MECHANICS AMY BEGLEY FORM Forward motion is thought to be automatic and hard to change. Changing one thing can cause a chain reaction. Can improve: Balance Strength Flexibility Alignment
More informationELBOW - 1 FLEXION: ROM (Supine / Sitting)
ELBOW - 1 FLEXION: ROM (Supine / Sitting) Position (A) Patient: Place arm against side of trunk. Helper: Hold elbow to stabilize. (B) - Lift hand toward shoulder, palm up. - Keep wrist straight. Do sessions
More informationMs. Ruth A. Delaney, MB BCh BAO, MMedSc, MRCS
Ms. Ruth A. Delaney, MB BCh BAO, MMedSc, MRCS Consultant Orthopaedic Surgeon, Shoulder Specialist. +353 1 5262335 ruthdelaney@sportssurgeryclinic.com Modified from the protocol developed at Boston Shoulder
More informationTHROWER S TEN EXERCISE PROGRAM David Andrew Parker, MD
THROWER S TEN EXERCISE PROGRAM David Andrew Parker, MD The thrower s ten exercise program has been designed to exercise the major muscles necessary to return to throwing. The program s goal is to be an
More informationShoulder Joint Examination. Shoulder Joint Examination. Inspection. Inspection Palpation Movement. Look Feel Move
Shoulder Joint Examination History Cuff Examination Instability Examination AC Joint Examination Biceps Tendon Examination Superior Labrum Examination Shoulder Joint Examination Inspection Palpation Movement
More informationTPW 's Upper Back Menu
TPW 's Upper Back Menu # Sets Reps Duration E-cise 1 1 1 00:10:00 Static Back 2 3 10 Static Back Reverse Presses 3 3 10 Static Back Pullovers 4 1 1 0:01:00 Floor Block 5 1 1 0:02:00 Static Extension Position
More informationTHROWERS TEN EXERCISE PROGRAM
Throwers Shoulder Home Exercise Program Clayton W. Nuelle, MD THROWERS TEN EXERCISE PROGRAM The throwers ten exercise program has been designed to exercise the major muscles necessary to return to throwing.
More information