Shoulder pain is one of the most common problems treated by Allied Health Professionals – with the shoulder also being easily injured by well meaning fitness trainers.
I urge all health and fitness professionals to remember the following key
points when constructing your fitness and rehabilitation programs.
Balance the Position of Your Shoulders
The demise of the Bent Over Row in most fitness programs has led to a dominance
of rowing movements with the elbow closer to the sides – ie closer grip seated
chest pad rows and seated cable rows.
This flexion/extension action at the shoulder does not adequately balance the
amount of wider grip pressing work that the shoulders are usually involved in
with most pressing exercises – ie Barbell Bench Press.
Tip – If you are doing lots of horizontal adduction/abduction – wider grip style –
pressing movements in your chest programs make sure you balance this with wide
arm Bent Over Rows.
Encourage Thoracic Spine Extension and Do This Test
I am yet to see a shoulder related problem that cannot be at least partly eased
by the introduction of exercises to increase the mobility of the thoracic spine
– as many professionals fail to see the role that the Thoracic Spine plays in
loading (or unloading as the case may be) the gleno-humeral joint.
I encourage all health and fitness professionals to include a basic thoracic spine
mobility test in all their pre-exercise screenings.
One of the simplest tests involves asking the patient to sit on the edge of a
bench and raising both arms as far as possible over their heads.
If the patient cannot reach at least 170 degrees of shoulder
flexion they should not be given overhead exercises.
It is clear to see that this reduced range of motion would lead to massive
stresses being placed on the gleno-humeral joint during most overhead pressing
Tip – Include exercises which encourage thoracic extension and rotation in all training programs – some of my favourites include – ball pullovers, one arm dumbell rows and standing one arm cable rows.
30 Minutes to Better Shoulder Rehabilitation
I have recently made available a FREE 30 minute section of my recently recorded “Physios Guide to Lifting Techniques” seminar.
This 30 minute preview includes a more details analysis of the best and most
effective shoulder rehabilitation and injury prevention tips and strategies
that all professionals should know and use.
At the end of the 30 min session I will also give you a link for a low cost 30 day trial
membership of my PhysioProfessor.com or thePTProfessor.com
online education portal – where you can see the full version of this lecture.
Here is the link to the FREE 30 minute shoulder rehabilitation section of “A Physios
Guide to Lifting Techniques”
A reminder to make sure you register for and watch my latest FREE
webinar “The Truth About Dangerous Exercises and Personal Training”.
You find out more and register for this webinar at: