Exercises for Shoulder Impingement

Description:

The shoulder is one of the most injured joints in the body.  One of the most common injuries to the shoulder is shoulder impingement.  A key component in the recovery from shoulder impingement is exercise.  The role of exercise for shoulder impingement is key in helping speed up recovery, decreases pain, improving movement, increasing strength and creating stability around the shoulder joint.  The focus of the Exercises for Shoulder Impingement webinar will be exercise program design and exercises for a client that has shoulder impingement.

What you will learn during the webinar:

- A 12 week shoulder impingement exercise program that you can use right away with you shoulder impingement clients
- The exercises to DO and NOT do when training a client recovering from shoulder impingement
- Essential components of an exercise rehabilitation program when training a client recovering from shoulder impingement
- Recommended and research backed exercises when training a client recovering from shoulder impingement
- Key structures involved in shoulder impingement

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What Makes Up the Lower Back?

It is difficult to fully understand a lumbar spinal fusion without briefly discussing the normal anatomy of the spine. The vertebral or spinal column consists of 33 bones called vertebrae. Each are that stacked on top each other to for them spine. The spine, which extends from the base of skull to the pelvis, has four regions: the cervical spine, thoracic spine, lumbar spine and the sacrum. Between each vertebra are the flat and circular plates of cartilage called the interverbral discs. Intervetebral discs maintain the integrity and continuity of the spine by holding one vertebra to the next. It acts as an effective cushion that absorbs shock and pressure placed by the everyday movements of the back. This disc also makes bending and head rotations possible.

The lumbar spine makes up the lower back, extending from the lumbar curve down to the sacrum. Among the four regions of the spine, the lumbar region endures the greatest stress. Carrying the entire body weight, this region is supported by the five thickest and sturdiest of all vertebrae of the spinal column. It has also been determined that the intervertebral discs between two adjacent lumbar vertebrae are the thickest. Attaching to the lumbar vertebra are some of the largest stabilizing muscles of the lower back, which include the lumbar erector spinae, psoas and quadratus lumborum. Because the greatest amount of work and stress are placed against this region of the spine, the lumbar spine is most susceptible to injuries and structural alterations.

How Common is Spinal Fusion Surgery?

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I just wanted to give you a sneak peak into something that I am working on.

Have a look:

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I was up in my office on Saturday night while my wife was putting our son to sleep.

I took a few minutes to look over some journal articles that came out.  I have highlighted some that may interest you.

Using Core Exercises to Rehab Your Diaphragm?

Adding Balance Training  for a Total Knee Replacement Client is a Good Thing

The Joint Replacement Client: Pre & Post-op Exercise Guidelines

Course Description:

This day long joint replacement course is designed to help exercise specialists understand the complexities of joint replacements and to focus on the specific goals of both pre and post operative exercise selection. The course will provide you with the knowledge and confidence to create safe and effective exercise programs. You will be provided with a comprehensive manual that details all aspects of joint replacements from the surgical procedure to exercise programming to creating your own class.

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Last weekend I hosted another great course:

Introduction to Muscle Imbalance Testing and Movement Pattern Assessment with Tara Keller

I don’t host Tara that often but I was able to book her to present one of her courses.

I could not stay the whole day but have attended the course before.

Before I left, I did a little video for you.

Neuro-Developmental Progressions with Tara Keller

==> CLICK HERE for the neurodevelopment progression video

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With this blog thing, I get a lot of email.

It is great.

I hear from fitness professionals from around the world.

I just got this one on referral sources for post injury personal training clients.

Thought I would pop you a message.

I would love to pick your brain on the topic of referrals from chiropractors and physical therapists to myself and my employees.

We are working together to put together a more clearly defined avenue for clients to transition from acute care at the chiropractor or physical therapist to a more aggressive strength and conditioning program.

Right now the medical network I am with is looking to have the hand-off be a little smoother.

Right now they are just handing cards/pamphlets out and are finding it frustrating that they end up seeing the client again because they didn’t do anything to correct the initial reason for the visit.

Do you have anything standardized in place, or is it just a time thing and people know who you are now and its automatic?

I look forward to chatting with you more on this topic.

Thanks for your time Rick.

RJ

This is more of a business kind of question but let me help you out.

Have You Trained the Doctors, Physical Therapists and Chiropractor?

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As you know, I am really big into scapular exercises and teaching an effective rotator cuff exercise program.

I have another perspective on the shoulder for you.  It is a guest blog post from Tara Keller.  It is the third part of her series.  Enjoy!

Addressing Shoulder Dysfunction Beyond the Shoulder Itself

By Tara Keller, BSc.(KIN), MES

Part III: The Silent Triggers

Leading into this final segment of this article we have discussed the kinetic chain response and how cueing can play an integral role in the retraining of functional movement. This week we are looking beyond the shoulder to the silent triggers of shoulder dysfunction.

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I am so excited.  I just got a new DVD set from my friend, Mike Robertson.

The program is called The Single-Leg Solution.

I am review it right now.  I will make sure to let you know what I think of the product.

Since it is Mike Robertson, I know it will be amazing.  His Assess and Correct DVD and Manual Program was amazing and is one of my best resources in my library.

Rick Kaselj, MS

Wondering who this Mike Robertson guy is?  I did an interview with him.  CLICK HERE to listen to it.

I have another interview with a fitness professionals that focus movement coaching.

Today I am interviewing Mike T Nelson.

He’s going to chat with us about assessing your client.

Mike Nelson has an extensive background in human movement and is even finishing up his PHD in Kinesiology. He focuses on personal training and movement coaching in Minnesota.

A Unique Fitness Assessment with Mike T Nelson

In Part 1 of the interview, Mike T Nelson will share with you:

- Who he is
- His unique approach to assessing clients

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I am hosting an amazing presenter.

It is Tara Keller.

Tara is a practicing Kinesiologist in Vancouver, BC, Canada that focuses on working with clients with injuries and movement dysfunction.

In the interview she talks about the two courses that I am hosting:

Introduction to Muscle Imbalance Testing and Movement Pattern Assessment

Corrective Exercise Training for Injury Management and Economy of Movement

Functional Movement Pattern Assessments & Corrective Exercise Training with Tara Keller

In the interview, Tara Keller will share with you:

What the Introduction to Muscle Imbalance Testing & Functional Fitness Course Covers, including:
- Assessing movement patterns
- Regions of instability

What the Addressing Muscle Imbalance Through Exercise Course Covers, including:
- Strategies for re-establishing functional movement
- Corrective exercises covering regions of instability through the ankles, knees, hip, trunk, pelvic region,
shoulder and neck.

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Rick Kaselj, MS

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I got another video for you.

I did one last week on meniscus tear.

Today I got an video for you on knee cartilage removal or meniscectomy.

It is a quick video where the surgeon removes a shredded medial meniscus.

Enjoy the video.

Meniscus Tear Surgery Video

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When I was in Indianapolis earlier this year at the NCAA Final Four, I stopped by to

visit Mike Robertson and we did a quick video for you.

.

Mike and I did a quick interview for you so you have a better idea of what to expect from the courses/seminar.

Lets get to the interview.

What You will Learn in the Seminars with Mike Robertson

In Part 1 of the interview, Mike Robertson will share with you:

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Bulletproofing Your Client’s Knees and Lower Back Seminar with Mike Robertson [ 12:37 ] Play Now | Play in Popup | Download

It has been a long time since I have not wanted the day to end in a course.

On day 1, when it hit the end of the day, I didn’t want the day to end.  It did and I had to wait for day 2.

I was very excited for day 2 to start up.

After lunch, it was into his masters work.  He talked about unstable training.  He told us the truth when it comes to using all that balance equipment.  He re-enforced that performing balance training in the rehabilitation client is very important.  Outside of the rehabilitation client, the benefits of           balance training are questionable.  There maybe more benefit for upper body compared to the lower body, when working fit and performance clients.  Some exercises he suggested were performing unilateral exercises that change the center of gravity (direction and location).

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What a day one of the Nuts and Bolts of Corrective Exercise course with Eric Cressey!  (I know some of you call it a seminar.)

I was so excited about the course that I was up at 4:30 am!

I could not wait to get to the course.  When I got there, Eric did not disappoint.

He started the day off with a lecture on “Inefficiency versus Pathology”.

He had all kinds of research studies backing all the stuff he was talking about plus tonnes of in the trenches tips.

Since I am a shoulder guy, I liked what he had to say about the 12 Shoulder Health Factors.  The factor that stood out for me was breathing patterns.  Faulty breathing patterns can have an influence on the shoulder.  I never really though about it and have not heard it be brought up in a course before.  I am going to use this tip on Monday with my clients.

In the second lecture, Eric chatted about Joint-Specific Mobility and Stability.

This stuff is very cool.

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I am often asked where I get my information on exercise and injuries.

To be honest, I don’t do much reading of books and textbooks. I find the material to be too general, not specific and out of date.

I read journals.

I know this sounds boring but this is the source of all we do.

I wanted to share with you my best 6 journals that I lean towards when it comes to exercise and injuries.

6 Must Read Journals on Exercise and Injuries

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I have another interview for you today.

It is with Eric Cressey.

Eric is the author of a great resource for fitness professionals, called Assess and Correct.

Here is a testimonial that I sent Eric about the great resource he created:

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Bootcamps are on the rise.

Bootcamp injuries are also on the rise.

If you are a bootcamp instructor, make sure the injuries your bootcampers encounter are on the decline.

I got this e-mail from an Exercises for Injuries blog reader:

Just started teaching bootcamps.   I have encountered people who have issues with their backs (mostly L4-L5).  Some have had surgery to relieve pain and another has had it fused.

Rick, do you have an suggestions on exercises my bootcampers with low back injuries should definitely stay away from?

Rick , thanks for any help.

DK

3 Tips to Eliminating Bootcamp Low Back Pain

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Today I have an interview of me to share with you!

When I was in Orlando at the Fitness Info Summit, I ran into a Fitness Professional that had taken some of my courses.

His name is Belton Lubas and he is from Seattle.  In the fall of 2008 he came up to Vancouver and attended a series of courses that I had.

Belton did a quick interview with me on exercise programs for clients recovering from injuries and what to do with a client with a shoulder injury.

Enjoy the interview.  There is a mix of a transcript of the interview and  video.

Interview with Belton Lubas

Belton Lubas: Hey this is Belton here of Element five Fitness. Basically we’re here at the Fitness Info Summit. I got Rick Kaselj. What’s up, Rick?

Rick Kaselj: I’m doing great.

Where Do Fitness Professionals Fit In When Working with Clients with Injuries?

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