Summary: During the motions, we noted poor dynamic stabilization of the scapular stabilizers due to a lack of fluid rotation at the scapulothoracic and glenohumeral joints. Because of the lack of scapular stability, Jim's rotator cuff has been excessively working to maintain the humeral head in the glenoid fossa. Many impairments could be seen more significantly on the Right vs. Left due to a recent thoracic surgery. It is evident that the surgery has altered him mechanics and his axioscapular muscles are not functioning at the proper length/ tension relationship.
Over the next 3 weeks, we have prescribed Jim the following exercises to improve the timing, coordination, and neuromuscular endurance of the scapular stabilizers:
1) Seated theraband scapular retractions, emphasizing eccentric control.
3 sets x 15 repetitions, with a 5 second eccentric contraction.
2) Push-up Plus
3 sets x 12 repetitions
3) Plank Plus
2 sets x 12 repetitions
4) Standing wall "W's" w/ arms externally rotated and forearms pronated (little finger against the wall)
2 sets x 15 repetitions
Each exercise will be performed daily.
Check back in 3 weeks to see an update on Jim's Shoulder Mechanics!