1 / 17

Shoulder Stability Screening for GIRD by Brian L. Siddall, M.A.

Learn about shoulder anatomy, IR deficits, GIRD issues, corrective exercises, RC muscle workouts, and essential principles for improved shoulder stability screening.

rutht
Download Presentation

Shoulder Stability Screening for GIRD by Brian L. Siddall, M.A.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pre-Season Screening for GIRD February 8, 2016 Brian L. Siddall, M.A., A.T., ATC Supervisor of A.T. Services

  2. TOTAL MOTION CONCEPT • Anatomy of shoulder allows for maximum mobility – but less stability • Role of RC Muscles is to spin the ‘Ball” in the socket – keeping it centered • Demo: E.R. Vs I.R. • ISSUE: I.R. – where deficits occur w/ O.H.T.

  3. MEASURING TOTAL MOTION • Before measure – observe cross-over / back scratch AROM • Determine summation of shoulder AROM – ND vs. DS (Looking for deficits in I.R.) • Find in ND: ↓ ER ↑ IR Find in DS: ↑ ER ↓ IR

  4. I.R. Standing Back Scratch

  5. EXAMPLE - Pre Season Screen • N.D. D.S. • ER 90°100° • IR 80°40 ° • ------------ -------------- • 170 ° 140 ° If more than 15 degrees – potential for problems GIRD

  6. GIRD • Humeral head gets forced ‘forward” in socket and results in impingement of rotary cuff tendon between the bones. (Small tunnel for rc tendon to go thru) • Also, shortened post-scapular muscles keep humeral head moving forward – ‘Off Center”

  7. HOW TO CORRECT • Sleeper Stretch Lengthens scapular muscles Will re-center humeral head Hold 30 sec. – 5x • Cross-Over Stretch Biceps to Chin Hold 20 sec. – 5x Don’t twist torso

  8. Rotator Cuff Exercise: • Endurance Vs. Power • Minimal weight • Higher Repetitions • Burn Factor • 1-3 sets, 25-30 reps

  9. RC Exercise • Internal Rotation - Neutral / 90/90 • Elbow maintained 90 degrees • Errors: elbow off side, rotating at spine

  10. RC Exercise • External Rotation - Neutral / 90/90 • Elbow maintained 90 degrees • Errors: elbow off side, rotating at spine

  11. RC Exercise • Prone Horizontal Abduction • Raise the arm with the thumb pointed up • Slightly above shoulder height

  12. RC Exercise • Scaption • Arms at side: • 35-45 degrees from center of body • Shoulder height

  13. Essential Principles & Strategies • Strength and endurance of scapular and rotator cuff musculature • Encourage good posture • Maintain adequate flexibility of muscles and capsular tissues • Reinforce proper execution of all exercises

  14. Exercises to Improve Shoulder Stability Seated Press-Up

  15. Wall Pushes

  16. Push-Up with Plus T Push-Ups

  17. RC Exercise External Rotation Internal Rotation

More Related