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Overhead Stability for the Tennis Player

1/2/2018

1 Comment

 
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The overhead athlete is a unique type of athlete to treat in physical therapy.  When I think about the different types of overhead athletes I include the baseball thrower, tennis player, and even the quarterback.  Each of the mechanics of these athletes is different and present unique challenges (load, speed, intensity, biomechanics, etc).  However, while each of these athletes are different, some of the exercises can be tailored to each sport.   
 

​Recently, I was working with a competitive high school tennis player.  He presented with a very stiff shoulder and diffuse pain.  When I say stiff shoulder, I mean he had very limited shoulder flexion, abduction, and inability to get into a 90/90 position without pain.  His postural presentation was a significantly lax R shoulder (hanging down), flat t-spine, and scapular winging. 
 
After some time working on pec minor, lat, and subscap tone he was able to start to recruit some of his scapular stabilizers (primarily serratus & low trap) much better.  However, his rehabilitation took off once he had good shoulder flexion ROM and we were able to start to work on overhead stability. 
 
So what overhead stability exercises did I use?

  • Barbell Land Mine Presses
    • This is one of my favorites because not only does it start to reintroduce overhead strength without being completely overhead, but also it allows the scapula to move.
    • Just be sure to have patients stagger their stance to protect their lower back.
  • Barbell One Arm Snatch
    • Again, this is great because it allows the athlete to produce force/introduce speed back
    • Must be set up in a T-bar position to be effective
  • Walking KB Overhead Holds
    • Very effective for pure OH stability as well as core stability
  • Half Kneeling Ball Flip backs
    • While usually reserved for baseball throwers, I find the eccentric cuff control to be very effective for tennis players because they have to slow down their rackets after serving
  • Quadruped Stability Ball Holds with Rhythmic Stabilization
    • In an all fours position the athlete places one hand on an exercise ball that is on the wall.  The PT then applies perturbations while the athlete is looking down.  Very effective for control and OH stability.
 
What else do you use for overhead stability?  Comment below and let me know
 
- Dr. Brian Schwabe, PT, DPT, SCS, COMT, CSCS
​

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1 Comment
Petter link
10/25/2022 10:57:06 pm

This article is really impressive and interesting , You explained this topic very well .The information is really good and interesting .I am great thankful of you for this information.

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  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • Residency Corner
    • Special Tests >
      • Cervical Spine >
        • Alar Ligament Test
        • Bakody's Sign
        • Cervical Distraction Test
        • Cervical Rotation Lateral Flexion Test
        • Craniocervical Flexion Test (CCFT)
        • Deep Neck Flexor Endurance Test
        • Posterior-Anterior Segmental Mobility
        • Segmental Mobility
        • Sharp-Purser Test
        • Spurling's Maneuver
        • Transverse Ligament Test
        • ULNT - Median
        • ULNT - Radial
        • ULNT - Ulnar
        • Vertebral Artery Test
      • Thoracic Spine >
        • Adam's Forward Bend Test
        • Passive Neck Flexion Test
        • Thoracic Compression Test
        • Thoracic Distraction Test
        • Thoracic Foraminal Closure Test
      • Lumbar Spine/Sacroiliac Joint >
        • Active Sit-Up Test
        • Alternate Gillet Test
        • Crossed Straight Leg Raise Test
        • Extensor Endurance Test
        • FABER Test
        • Fortin's Sign
        • Gaenslen Test
        • Gillet Test
        • Gower's Sign
        • Lumbar Quadrant Test
        • POSH Test
        • Posteroanterior Mobility
        • Prone Knee Bend Test
        • Prone Instability Test
        • Resisted Abduction Test
        • Sacral Clearing Test
        • Seated Forward Flexion Test
        • SIJ Compression/Distraction Test
        • Slump Test
        • Sphinx Test
        • Spine Rotators & Multifidus Test
        • Squish Test
        • Standing Forward Flexion Test
        • Straight Leg Raise Test
        • Supine to Long Sit Test
      • Shoulder >
        • Active Compression Test
        • Anterior Apprehension
        • Biceps Load Test II
        • Drop Arm Sign
        • External Rotation Lag Sign
        • Hawkins-Kennedy Impingement Sign
        • Horizontal Adduction Test
        • Internal Rotation Lag Sign
        • Jobe Test
        • Ludington's Test
        • Neer Test
        • Painful Arc Sign
        • Pronated Load Test
        • Resisted Supination External Rotation Test
        • Speed's Test
        • Posterior Apprehension
        • Sulcus Sign
        • Thoracic Outlet Tests >
          • Adson's Test
          • Costoclavicular Brace
          • Hyperabduction Test
          • Roos (EAST)
        • Yergason's Test
      • Elbow >
        • Biceps Squeeze Test
        • Chair Sign
        • Cozen's Test
        • Elbow Extension Test
        • Medial Epicondylalgia Test
        • Mill's Test
        • Moving Valgus Stress Test
        • Push-up Sign
        • Ulnar Nerve Compression Test
        • Valgus Stress Test
        • Varus Stress Test
      • Wrist/Hand >
        • Allen's Test
        • Carpal Compression Test
        • Finkelstein Test
        • Phalen's Test
        • Reverse Phalen's Test
      • Hip >
        • Craig's Test
        • Dial Test
        • FABER Test
        • FAIR Test
        • Fitzgerald's Test
        • Hip Quadrant Test
        • Hop Test
        • Labral Anterior Impingement Test
        • Labral Posterior Impingement Test
        • Long-Axis Femoral Distraction Test
        • Noble Compression Test
        • Percussion Test
        • Sign of the Buttock
        • Trendelenburg Test
      • Knee >
        • Anterior Drawer Test
        • Dial Test (Tibial Rotation Test)
        • Joint Line Tenderness
        • Lachman Test
        • McMurray Test
        • Noble Compression Test
        • Pivot-Shift Test
        • Posterior Drawer Test
        • Posterior Sag Sign
        • Quad Active Test
        • Thessaly Test
        • Valgus Stress Test
        • Varus Stress Test
      • Foot/Ankle >
        • Anterior Drawer
        • Calf Squeeze Test
        • External Rotation Test
        • Fracture Screening Tests
        • Impingement Sign
        • Navicular Drop Test
        • Squeeze Test
        • Talar Tilt
        • Tarsal Tunnel Syndrome Test
        • Test for Interdigital Neuroma
        • Windlass Test