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Shoulder Pain and Anterior Humeral Glide

13

Filed Under (Rotator Cuff Exercises, Scapular Stabilization, Shoulder Injury, Shoulder Pain) by Rick Kaselj on 13-07-2011

Today I have a great guest blog post on Shoulder Pain and Anterior Humeral Glide.

The excellent info is from Zach Moore.

Take it away, Zach.

How can Anterior Humeral Glide Lead to Shoulder Pain?


Anterior humeral glide (AHG) is a common problem among many individuals and occurs when there is excessive or abnormal anterior movement of the humeral head during shoulder motions. AHG can occur during any movement where the humerus moves into extension or horizontal abduction.

It is important to spot and correct this mistake because AHG can eventually lead to, or further aggravate, anterior shoulder pain, AC joint problems, pec and lat strains, as well as impingements. Therefore, today I want to look at some common exercises where this often occurs and then go over possible solutions to help address it.

Again, this problem can occur during any exercise where the humerus moves into extension or horizontal abduction, but I am only going to cover a few popular exercises.

The fixes and mistakes for each will usually be similar, so you can apply them to other exercises as needed.

Horizontal Row

Video Demonstration of Anterior Humeral Glide during a horizontal row along with cues to help correct this:


Cues and Possible Fixes:

  • Place your hand medial to their scapula and cue them to squeeze back.
  • Point to the anterior part of their humeral head and tell them to pull that back.
  • Help guide them into the proper position. Place one hand on the anterior part of their humeral head and the other on their scapula. As the person begins to row, guide their scapula into retraction and apply posterior pressure to their humeral head.
  • Lastly, have them try rowing with both arms. Sometimes their inability to retract is just a coordination problem and this will better allow them to feel their shoulder blades being squeezed together.

Dumbbell Row


Video Demonstration (first two reps demonstrate AHG, last two reps demonstrate correct form):


Cues and Possible Fixes:

  • Same cues and fixes as described with the horizontal row above.
  • Make sure spine is neutral. If upper back is not flat then you are more likely to see a faulty rowing pattern.

Push-Up


Video Demonstration (first two reps demonstrate AHG, last two reps demonstrate correct form):


Cues and Possible Fixes:

  • Make sure spine is neutral. This will help to better position the scapula on the rib cage, which will help facilitate proper retraction on the eccentric (lowering) phase.
  • Cue them to squeeze their shoulder blades together in order to activate their scapular muscles as they lower their body.
  • Use an incline or raise the incline to make the exercise less challenging.
  • Shorten the range of motion (i.e. do not have them lower as far).

Chin-Up


Video Demonstration (first two reps demonstrate AHG, last two reps demonstrate correct form):


Cues and Possible Fixes:

  • Tell them to think about putting their shoulder blades into their back pocket.
  • Have them demonstrate to you how to squeeze shoulder blades down and back before they perform the movement. This will ensure they know what you mean.
  • Use a band or increase the band tension to make it easier.
  • Try a Chin-Up ISO. This is an exercise we will usually give to clients at IFAST before progressing them to a full chin-up. You basically get into the top position of a chin-up with chest to the bar and scaps depressed. You then hold this position for max time. It is very effective for teaching people the final portion of this exercise.
  • Lastly, if the above strategies do not work then I would take them to a Lat Pulldown where the stability requirements are less demanding.

Bench Press

Cues and Possible Fixes:

  • First, I would make sure the person could perform a push-up properly without AHG before giving him or her a bench press.
  • If AHG is occurring during this exercise, then you know they are not keeping their shoulder blades retracted, which is desirable when performing a bench press.
  • Make sure the client knows that he or she should not protract (i.e. make arms long) at the end range. This will better allow him or her to keep shoulder blades together.

Final Points

Never be afraid to lighten the load or decrease the stability requirements. Performing an exercise over and over with incorrect form (in this case, anterior humeral glide) will not fix the problem/form.

If the cueing and loading strategies above do not work, then you may need to resort to other corrective strategies such as soft tissue treatment and/or rotator cuff exercises.  For soft tissue treatment, I would first examine the posterior shoulder capsule as it can often be stiff and restricted, which will not allow the humerus to glide posteriorly as it is flexed.  Next, examine the pecs as they can become dominant and pull the humeral head anterior.

For the rotator cuff, I would examine the subscapularis.  If the subscap is too long or weak, then its downward and posterior pull will not be able to offset strong muscles, such as the pec major, that pull the humeral head anterior. Therefore, strengthening exercises for this muscle may be appropriate.

Summary:

Learn to retract/depress properly by squeezing the scapula back/down without allowing the humeral head to glide anteriorly.

Common Cues and Fixes:

  1. Make sure person is in a good spinal position.
  2. Put hand back by shoulder blade and tell person to squeeze shoulder blade back to touch hand.
  3. Point to anterior part of humerus and tell person to pull it back.
  4. If performing a unilateral pulling exercise try to pull with the other arm at the same time, which may allow for better proprioception.
  5. Lighten the load.
  6. Reduce stability requirements
  7. Make sure the problem is not due to soft tissue restrictions and/or a weak cuff.

Read the rest of this entry »

Shoulder Pain and Tricep Dips

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Filed Under (Rotator Cuff Exercises, Scapular Stabilization, shoulder impingement, Shoulder Injury) by Rick Kaselj on 10-05-2011

I just got an email from an online training client.

She is testing out my upcoming shoulder pain program.

It is so cool getting emails like this:

Dear Rick,

Thank you for your email. Sorry for not replying to your email earlier. I had a friend in crisis staying at my house, I was helping her all week and she just left on Friday.

Today I have completed the first day of your program ( Sunday 1st May ) and I am very happy with the result.

Both shoulders are getting a bit more movement and I look forward to doing these exercises each day to see how much improvement I can get by next Sunday.

I will be going on my 3 month camping trip around Australia next Tuesday and I will have my computer with me. I might not be able to email you when I am at a remote location. My plan is to report to you at the end of each week, however depends on when I can get a signal to send emails.

Thank you for your help and I look forward to talking to you next week.

All the best,
DF

It is great to get great feedback like this and also to be able to help people around the world.  Plus I love the fact she is doing the exercises where ever she is, even on her camping trip.  Camping in Australia would be fun, I have yet to do that.  Soon enough.

One other thing she said in her email was she was having difficulty with some of the stretches for the shoulder and was wondering what she could do.  I will do another blog post on what you can do if the typical shoulder stretches cause you pain.

Back to today’s post.

This past weekend at the Exercise Rehabilitation of the Lower Body course, a fitness professional asked me about the tricep dip exercise.

She had been giving it to a client and it had been causing her shoulder pain.  She wondered why it would be causing her pain and if she should be doing it.

I cringe when I see someone doing a tricep dip.  It is not a great exercise for the shoulder.  Let me explain why:

 

Few Thought from Rick on Tricep Dips:

I Used To Do It

This was an exercise that I was taught when I started out doing personal training.

I thought it was good for the triceps but I always did not feel right doing the exercises as I felt a lot of stress in my shoulder.

Now that I have trained a few people and have a better understanding of the biomechanics of the shoulder, I have put this exercise in the museum of exercises.  Right beside ballistic toe touching in leg warmers and spandex.

Rotator Cuff and AC Joint Injuries

Just like leg extensions are not the best exercises for a client with a knee injury, tricep dips are not the best for someone with a rotator cuff or AC joint injury.

Great Way of Sawing Your Rotator Cuff

I know we are all fans of Jillian Michael’s kettlebell technique.

How about Bob:

Can you hear her rotator cuff being sawed?

Way to go Bob!  100 reps!  CrAzY.

Can you image a client who is overweight and needs to lose 50 pounds doing Bob’s challenge?

With every repetition her scapula anterior tilts and digs into her rotator cuff.

I shake my head.

Why would anyone do 100 reps of a small muscle group?

Whatever.

Read the rest of this entry »

Kind Words on Friday

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Filed Under (muscle imbalances, muscle imbalances revealed, Rotator Cuff Exercises) by Rick Kaselj on 15-01-2011

Here we go to the rambles.

Nice to look at the week that was.

These are a few things that happened.

MIR Approved for Fitness Australia CECs


I just got the word from down under that Muscle Imbalances Revealed has been approved for CECs.

FA Stacked Blue Logo RGB 300x212 Kind Words on Friday

Fitness Australia has reviewed Muscle Imbalances Revealed and approved it for 6.0 CECs.  Now the 23,000 fitness professional that are part of Fitness Australia can earn continuing education credit when learning and watching Muscle Imbalances Revealed.

Very cool!

I just got the details and will be finalizing everything with them.  Working with Fitness Australia is a new thing, so I need to figure out how they work and what they would like their members to receive.

Effective Rotator Cuff Exercises


Just to finish off, here are some kind words I received about Effective Rotator Cuff Exericses:

product 300x261 Kind Words on Friday

“The Exercises Rehabilitation for the Rotator Cuff course was excellent! Rick really brought together a course that was thorough, effective, and was easy to apply to my clients as a personal trainer as well as myself, who up until recently had shoulder issues. Thanks Rick! “

Leah Seaton
BCRPA/ ACSM Personal Trainer
Vancouver, BC

“Even if the money spent only helped one of my clients, Effective Rotator Cuff Exercises would have been a worthy investment. The great part about the course is that not only does it allow me to help those with rotator cuff issues, but it also allows me to design better programs for all my clientele.”

Brent Campbell

“Dear Rick, I would be happy to help you out with the Rotator Cuff program. I have reviewed the program and have found it very beneficial for use in the clinic. As a physiotherapist, it is always challenging to provide patients with all the information and handouts they require. Rick’s systematic approach and reliant/clear patient handout have helped me keep on top of patient education. In the long run, this equals more compliance and better results. I also think the way the program is divided into goal focused sections helps keep patients focused on their exercises and their rehab goals. Overall I think it is a great program and it has really helped me address rotator cuff injuries within a clinical setting. Thanks Rick.”

Katie Ireland
Registered physiotherapist
Ottawa, Ontario

Positive Vibes


Ending things on a positive note.

Thanks for everyone that says such kind things on my Facebook page:

2010 12 14 1516 Kind Words on Friday

2010 10 29 1320 Kind Words on Friday

Thanks for reading.

Have a great weekend.

Rick Kaselj, MS

.

The Battle with Muscle Imbalances

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Filed Under (Knee Injury, Knee Pain, muscle imbalances, muscle imbalances revealed, Rotator Cuff Exercises, Shoulder Injury, Shoulder Pain) by Rick Kaselj on 12-01-2011

There is a lot more awareness when it comes to muscle imbalances.

muscle imbalance war The Battle with Muscle ImbalancesThe incredible success of Muscle Imbalances Revealed 2.0 has really taken the industry by storm.

Trainers, coaches, and therapists from around the world have been using it to help their clients overcome injuries, bust through fitness plateaus, and prevent injuries.

It has been amazing to see how this little product has helped thousands of fitness & health professionals, which in return has helped hundreds of thousands of people.

Sad to say, the battle continues.

We need to do more to better understand, assess, and prescribe exercises to eliminate muscle imbalances.

In 2011, there will be more and more emphasis on muscle imbalances.

Muscle Imbalance is my #8 Exercise Rehabilitation Prediction for 2011

 
In fact, I just got approached by an Australian outdoor magazine to write an article on muscle imbalances and how it can affect the outdoor athlete.  Very cool.  I will let you know how it goes.

With the media starting to focus on it, so has the research.

Muscle Imbalances in the Research

 

Read the rest of this entry »

The Rise of Tendinosis

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Filed Under (Exercise Rehabilitation, Fitness Education, Knee Injury, Knee Pain, Rotator Cuff Exercises, Shoulder Injury, Shoulder Pain) by Rick Kaselj on 11-01-2011

US Army 53584 BAGHDAD   Capt. Robert Magill the provost marshal offices long range planner from Killeen Texas does yoga exercises here Oct. 17 as part of additional physical training through a structured vid 198x300 The Rise of TendinosisI know these days we all get lost surfing the internet.

A site I visit, and visit to often, is Pub Med.

Pub Med is a site that is full of the latest and oldest research.  I always go to take a look at what is new when it comes to exercise and injuries.

I know, kind of strange.

One injury I have been seeing more of is tendinosis.

Just last week I got an email from a fitness professional that does group fitness classes that has had 5 months worth of Achilles tendinitis issues from all the step classes she has been doing.  My guess, it is Achilles tendinosis.

So, I will call the increase in tendinosis as Prediction #7 in Exercise Rehabilitation 2011.

Tendinitis versus Tendinosis


The first step is to define what tendinitis is and tendinosis is.

Better yet, I found a table that describes it much better than I could.

Classification of Tendon and Muscle Injuries The Rise of Tendinosis

Read the rest of this entry »

Rotator Cuff of the Hip

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Filed Under (Hip Injury, Hip Pain, Rotator Cuff Exercises) by Rick Kaselj on 15-12-2010

It was some time ago when I heard a reference to: Rotator Cuff of the Hip.

I think it was way back in undergrad at Simon Fraser University.  I was reading an article on the topic and found it very interesting.

This past weekend, I was at a course and it was brought up again.

Mike Robertson talking about the Rotator Cuff of the Hip:

After hearing about it, it got me thinking.

I went looking for the old article but could not find it.

There was a lot of other information when it came to rotator cuff of the hip that has come out the last few years.

A lot of it had to deal with rheumatologists and orthopedic surgeons coming across a tear when doing a hip replacement.

What is the Rotator Cuff of the Hip?

The rotator cuff of the hip is the hip abductor tendon which is made up of gluteus medius and gluteus minimus.

Gluteus medius has the function of:

  1. Abduction of the hip (femur) – anterior and posterior fibers.
  2. Transverse abduction of the hip (hip flexion at 90 degrees and hip abduction) – anterior and posterior fibers.
  3. Internal rotation – anterior fibers.
  4. External rotation of the hip during hip abduction – posterior fibers.

Gluteus minimus has the function of:

  1. Abduction of the hip (femur).
  2. Transverse abduction of the hip.
  3. External rotation of the hip during hip abduction.

Posterior Hip Muscles 3 Rotator Cuff of the HipLooking at the above function, you can see how they related, or can be compared to, the rotator cuff of the shoulder.

The muscle of the rotator cuff (supraspinatus, infraspinatus, subscapularis, teres minor) of the shoulder have a function of:

  1. Shoulder abduction of the humerus – supraspinatus.
  2. External rotation of the humerus – infraspinatus, teres minor.
  3. Internal rotation of the humerus – subscapularis.

I know when I had done my masters’ degree in rotator cuff exercises, looking at the research there is all kinds of argument on how much each muscle is involved with each movement.  It looks like we see this when it comes to the rotator cuff of the hip.

Looking at Al-Hayani 2009 dissection of the rotator cuff of the hip, these are the functions he suggests:

  1. Gluteus medisu had three distinct parts.
  2. Gluteus minimus had two distinct parts.
  3. All parts of the muscles had separate innervations from the superior gluteal nerve.
  4. Anterior and middle parts of gluteus medius, and anterior part gluteus minimus, have a vertical pull and initiate abduction, which is then completed by tensor fasciae latae.
  5. Posterior parts of gluteus medius and minimus stabilize the femoral head into the acetabulum during different stages of locomotion.

Then I look at course notes from Robertson 2010 and the functions are:

  1. Gluteus medius anterior fibers – hip flexion, hip abduction and hip internal rotation.
  2. Gluteus medius posterior fibers – hip extension, hip external rotation, hip abduction.

I think we can argue about the specific function of each muscle, but it is clear that the rotator cuff of the hip is made up of the tendon that makes up gluteus medius and minimus.

Read the rest of this entry »

Problem with Overtraining Your Abs

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Filed Under (Core Stability, Rotator Cuff Exercises, Shoulder Pain) by Rick Kaselj on 04-10-2010

Another research update.

I am so glad I take the time to do this.

There is all kinds of great stuff that comes out every week.

The Problem with Overtraining Your Abs

The article focused on those performing Olympic lifts but they did bring up some interesting points that can be carried over to injured client.

In order to hold a load over head you need good stability in the flexors and extensors of the trunk plus good deceleration of the flexors of the truck.  Not being able to do so increases your risk of injury and decreases you ability to hold a load overhead.  This is important for the athlete but also the general public.  Overhead movements are essential for all and have been avoided of late in the fitness industry due to the perceived risk of injury.  I make sure I do a least one over head pressing movement with my clients but if your client can’t do a proper overhead weighted movement make sure to look at their trunk flexors and extensors.

Many times truck flexion (abdominals) exercises are done on a daily basis while lower back exercises maybe done 2 to 3 times a week.  This leads to muscle imbalances in the flexion and extension muscles of the trunk.  This imbalance could lead to an alteration in the tilt in the pelvis which had an effect on latissiums dorsi which an increase the risk of injury in the shoulder.

The writers provided a sample exercise program to train the trunk flexors and extensors.  The exercises were lever abdominals, medicine ball seated twists, bridge with arms lifted, marching bridge with arms lifted, dumbbell farmer’s walk, supine weighted extended hold, hyperextensions with arms out straight , hyperextension to row with
weight (medicine ball or plate), hyperextension with weight (plate or medicine ball), and barbell over head circle walks.

I wrote a little report on core training that may interest you.  Here you go:

5myths 3D big Problem with Overtraining Your Abs

Read the rest of this entry »

Exercise Rehabilitation of the Shoulder

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Filed Under (Exercise Rehabilitation, Fitness Education, General, Post Rehab Fitness, Rotator Cuff Exercises, shoulder impingement, Shoulder Injury) by Rick Kaselj on 24-08-2010

Exercise Rehabilitation of the Shoulder

DESCRIPTION:

courseimage shoulder r2 Exercise Rehabilitation of the Shoulder“Nearly 6 million people a year visit their doctor for shoulder pain, strains, dislocations or other shoulder related problems”
In the Exercise Rehabilitation of the Shoulder course, functional anatomy of the shoulder joint will be reviewed. In addition, common shoulder injuries (frozen shoulder, shoulder impingement, rotator cuff tear and shoulder instability) will be discussed, and rehabilitative principles and exercises for each will be presented.

OBJECTIVES:

- Functional anatomy of the musculature and supporting structures of the shoulder joint.
- Evaluation of the shoulder joint.
- Common shoulder injuries, key points of each injury and how to rehabilitate them.
- Rehabilitative exercises using the stability ball, body weight, tubing and free weights.

Foundations of Upper Body Conditioning with Brian Justin

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Fitness Education, Rotator Cuff Exercises, Scapular Stabilization, shoulder impingement, Shoulder Injury) by Rick Kaselj on 21-08-2010

Foundations of Upper Body Conditioning

DESCRIPTION:

It can be confusing on how to approach upper body conditioning with your clients.  Most times fitness professionals start with strengthening and hope for the best.  It is important that fitness professionals have a systematic approach to assessing the upper body, corrective exercises that match the assessment results and a detailed program structure in order to get maximal and rapid results for the upper body. If you are looking for an active and practical course, where you will leave with a comprehensive upper body assessment, an expansive list of corrective exercises and training techniques to increase your success training the upper body.

OBJECTIVES:

- How to perform a structural and movement assessment of the upper body
- Quick screens to identify dysfunctional joints and muscles of the upper body
- Connecting corrective exercises with dysfunctions found in the upper body assessment
- Simple and fast tubing exercises that your clients can do anywhere for upper body injury prevention
- Why to perform a dynamic warm-up prior to upper body exercises
- Effective modifications to common upper body exercises to prevent joint irritation
- How to implement the foundations of upper body conditioning into your current client programs
- Functional Anatomy of the upper body
This course is for fitness professionals looking to bridge the gap between theory learned  to application in the real world clients.  The technical level will be at a beginning to intermediate fitness professional.  This this will be an active and practical course, wear active gear.  No jeans.

Rick’s Random Rambles – 7-16-10

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Filed Under (Chronic Conditions, Corrective Exercise, Exercise Rehabilitation, Post Rehab Fitness, Rotator Cuff Exercises) by Rick Kaselj on 15-07-2010

It has been a bit of a crazy week.

I have been in Orange County at a Fitness Conference.  It was a little more than a fitness conference, it was a fitness mastermind group.

After the fitness mastermind in Los Angles, I was off to Seattle for a fitness business conference.  The people presenting were Tom Plummer and Bill Parisi.

Just Marked Her Rotator Cuff exam


The great thing about the scoliosis and rotator cuff manuals that I have written, I have been able to help people with these injuries and fitness professionals better understand these injuries.  These manuals have helped people around the world.  I just sent off a scoliosis manual to Seol, Korea.  How cool is that.

Here are a few kind words from a fitness professional in Calgary, Alberta, Canada had to say about the Effective Rotator Cuff Exercises.

“Thanks Rick!  Always great to read your manuals though – I find them very thorough and I really like the progression that you write them in – anatomy, purpose of exercising, etc.”

Fiona Yeoman
Wellness trainer, Kinesiologist
Talisman Centre, Calgary

cuff 3D big 2 Ricks Random Rambles   7 16 10

Read the rest of this entry »

What is Shoulder Impingement?

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Filed Under (Rotator Cuff Exercises, Scapular Stabilization, shoulder impingement, Shoulder Injury) by Rick Kaselj on 26-05-2010

what is shoulder impingement 199x300 What is Shoulder Impingement?

What is Shoulder Impingement?

Shoulder impingement is one of the leading causes of chronic shoulder pain and disability in adults who perform constant or repetitive movements involving raising the arm at shoulder height or above the head. A condition beginning with general shoulder pain during its early stages.

Shoulder impingement results from direct mechanical compression of the structures within the subacromial space, a limited space found between the head of the humerus and the acromion, the curved bony prominence from the top of the shoulder blade.  The structures most commonly involved in shoulder impingement are the supraspinatus tendon of the rotator cuff, subacromial bursa and the long biceps tendon.

Without proper treatment and management, chronic compression of these structures can lead to a wide array of injuries, including degeneration and tearing of the rotator cuff, subacromial bursitis and biceps tendinitis. Alleviation of shoulder pain and treatment of shoulder impingement is possible through an appropriate exercise program.

What is My Shoulder Injury Exercise Cue?

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Filed Under (Rotator Cuff Exercises, Scapular Stabilization, Shoulder Injury) by Rick Kaselj on 12-05-2010

3849552987 ca19c5acda 300x225 What is My Shoulder Injury Exercise Cue?

What’s My Cue? (Part 2)

As discussed in Part I – Addressing Shoulder Dysfunction Beyond the Shoulder Itself, for every movement we create there is an entire kinetic chain response that occurs.

To experience how the body must connect at each segment to work efficiently and to identify some of your own areas of weakness and inflexibility, try the following movement:

Cue:
- Start on your hands and knees, with palms below shoulders, knees below hips and spine in a neutral position.  Now have someone place a tennis ball or water bottle on your lower back.
- Simultaneously reach opposing limbs away from each other until your arm and leg are horizontal with to the floor

NSCA Washington State Fall Clinic Review

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Rotator Cuff Exercises, Scapular Stabilization, Shoulder Injury) by Rick Kaselj on 01-12-2009

I was at the NSCA Washington State Fall Clinic.

It was a great event.

Let me share a few of the highlights.

Dave Suprak of Western Washington University was there chatting about shoulders.  I picked up a few great tips from Dave.  He had some great information on what happens to the scapula and scapular stabilizers when your client has poor posture. He gave me some great resources that will help me improve the scapular stabilization exercise program and effective rotator cuff exercise program.

One presenter that I wanted to see was Guido Van Ryssegem. Guido was presenting at the same time as I was, but I got a copy of his presentation. Wow, it was packed with high level shoulder exercise information!  When I get home, I will have to digest it more.

During our learning lunch, Susan M. Kleiner had an evidence based talk on proteins and amino acid supplementation.  Some great information!

Read the rest of this entry »

Why to do Rotator Cuff Exericse with a Towel?

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Filed Under (Exercise Rehabilitation, Rotator Cuff Exercises, Shoulder Injury) by Rick Kaselj on 24-11-2009

Most Effective Rotator Cuff Exercises 246x300 Why to do Rotator Cuff Exericse with a Towel?What I am going to chat about today is rotator cuff exercises and why/when/how to use a towel when performing rotator cuff exercises.

When I was working in a large rehabilitation centre, I work with a wide variety of physical therapists. They all had different ideas on exercises for the rotator cuff. The majority of them would not support the elbow when performing rotator cuff exercises but the odd one would.

Rotator Cuff External Rotation Exercise Set Up

How I  set up a client for the rotator cuff external rotation exercise would be to have the client stand with feet hip width apart and toes pointing forward. The core would be activated in order to prevent any trunk rotation. Upper arm would be at the side and elbow bent to 90 degrees. The pulley or tubing would be adjusted so it was parallel to the floor. The focus of the exercise would be external rotation in the shoulder from 0 degrees to maximum.

Read the rest of this entry »

Rotator Cuff Pain with Lateral Raises

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Filed Under (Exercise Rehabilitation, Rotator Cuff Exercises, Shoulder Injury) by Rick Kaselj on 23-11-2009

Long Lateral Raise DB WATERMARK End 252x300 Rotator Cuff Pain with Lateral Raises

Dumbbell Lateral Raises - Long Arm (End)

A lot of my rotator cuff clients complain about rotator cuff pain with the lateral raise exercise.

Before I talk about what  you can do to relieve lateral raise rotator cuff pain, let me explain why I do the lateral raise exercise with my rotator cuff clients.

Why I give my rotator cuff clients the lateral raises exercises?

The movement of lateral raise is abduction of the shoulder joint (glenohumeral joint).  For clients with rotator cuff injuries, often times this is a movement that is weak.

I want to improve the strength in abduction of the shoulder joint from 0 degrees to 85 degrees of abduction.  I can do this with the lateral raise exercise.  I can the exercise use dumbbell, tubing or pulleys for resistance.

Read the rest of this entry »

Win a FREE Copy of the Effective Rotator Cuff Exercise Program

17

Filed Under (Rotator Cuff Exercises, Scapular Stabilization, Shoulder Injury) by Rick Kaselj on 22-11-2009

Effective Rotator Cuff Exercises 191x300 Win a FREE Copy of the Effective Rotator Cuff Exercise ProgramOn Wednesday, the Effective Rotator Cuff Program officially goes on sale at 9 am EST.

Today’s your one and only chance to win a copies of the “Effective Rotator Cuff Exercise Program”.

And it will only take you a few minutes to enter.

Just leave a short message for me about…

“Why the Effective Rotator Cuff Exercise Program would be the perfect resource to finally help you with your clients with Rotator Cuff Injuries?”

.

Feel free to share about your past and current struggles working with rotator cuff injuries and in what specific ways an effective rotator cuff exercise program will help you get better results with your clients with rotator cuff injuries.

I’ll go through every single one of your responses before Tuesday at 5 pm EST and I’ll choose ONE winners.

If you win, you’ll be notified by email and I will mail you the complete Effective Rotator Cuff Exercise Program.

Good luck and thanks for your participation!

I look forward to hearing from you,

Rick Kaselj,
Author, Effective Rotator Cuff Exercise Program

PS – Don’t miss the amazing SALE that starts on Wednesday…

Most Effective Rotator Cuff Exercises 246x300 Win a FREE Copy of the Effective Rotator Cuff Exercise Program…you’ll also get FAST ACTION bonuses and of course, the Effective Rotator Cuff Exercise Program.

I want to hear from you about your challenges working with clients with rotator cuff injuries.

NOTE: The contest ends on Tuesday, November 24th at 5 pm EST.

PSS – Again, here are the steps.

1) Answer the question from above.

2) Write a little post in the comments section about how an effective rotator cuff exercise program can  help your clients.

3) I’ll pick and announce 1 winners on Tuesday.

4) The winner will each get…

A copy of the Effective Rotator Cuff Exercise Program

Good luck to everyone!

3 Things You MUST DO if You Give Your Rotator Cuff Clients Tubing Exercises

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Filed Under (Corrective Exercise, Rotator Cuff Exercises, Shoulder Injury) by Rick Kaselj on 19-11-2009

Most Effective Rotator Cuff Exercises 246x300 3 Things You MUST DO if You Give Your Rotator Cuff Clients Tubing ExercisesI give tubing exercises to all my clients with rotator cuff injuries.

When I started out, I used to fly through the rotator cuff exercises with my client.  I would show them the exercise; then get them to do it and finally move onto the next one.

With time, age and experience; I have improved on that rookie technique when using tubing exercise for rotator cuff injuries.

There are three things that you need to remember and highlight when designing an exercise program for a client that has a shoulder injury especially when you’re using tubing.

The three things that you want to remember to highlight when you’re explaining the exercise to the client with a rotator cuff injury are:

#1)  Distance Specific

You want to be specific on the distance away from where the tubing is fixed.  If the client ends up changing the distance of how far they are away from where the tubing is fixed, it ends up changing the exercise.

#2)  Fix the Range of Motion

The second thing, you want to be specific when it comes to the range of motion that you want your client to perform.

Do you just want them to perform 45 degrees of extension, or full range of motion when it comes to the shoulder?

You need to be specific on the range of motion that you want them to cover when doing the exercise.

#3)  Length Matters

And then thirdly, you want to be specific on the length of the tubing that you want them to use.  If they end up grabbing the tubing and wrapping it around their hands, they end up changing the length of the tubing and that ends up changing the exercise again.

3 SPECIFIC TO DO’s If you Give Tubing Exercises to a Client with a Shoulder Injury:

==> CLICK HERE for 3 Shoulder Injury Tubing Exercise Tips

Effective Rotator Cuff Exercises 191x300 3 Things You MUST DO if You Give Your Rotator Cuff Clients Tubing ExercisesI know, sometimes we just show our clients the tubing exercises and leave them alone.  So make sure you’re clear on how far away they are from the tubing anchor.  Make sure you’re clear on the range of motion that you want them to do when it comes to tubing, and make sure that you’re clear on the length of tubing that you want to use.  If your client has a rotator cuff or shoulder injury, it is important to be clear about these three things or it leads to irritation, re-injury or not getting the most out of the exercise.

So this is Rick Kaselj for Exercises for Injuries.

Thank you very much for reading the blog and watching all the videos.

Rick Kaselj, MS

Rotator Cuff Conditioning Exercises (Webinar)

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Filed Under (Corrective Exercise, Exercise Rehabilitation, Rotator Cuff Exercises, Shoulder Injury) by Rick Kaselj on 12-10-2009

Most Effective Rotator Cuff Exercises 246x300 Rotator Cuff Conditioning Exercises (Webinar)The Most Effective Rotator Cuff Exercise Program

DESCRIPTION for Rotator Cuff Conditioning Exercises:

After the back, the second most common injury a fitness professional will encounter is the shoulder.  Most times shoulder injuries directly and indirectly involve the rotator cuff.  When fitness professionals hear that their client has a rotator cuff issue, they end up focusing on strengthening.  Strengthening is important for your rotator cuff client but it is only one part of an effective rotator cuff conditioning program.  The fitness professional must address all five areas of a rotator cuff conditioning program in order to fully rehabilitate the rotator cuff.  If not, they will only band-aide the injury and not fully help their client overcome their rotator cuff injury.  In this webinar, fitness professional will learn how to avoid common rotator cuff exercise mistakes, the 5 components of a rotator cuff condition program and exercises to help their client’s rotator cuff injury.

WHAT YOU WILL LEAN IN THIS Rotator Cuff Conditioing Exercises WEBINAR:

- Common mistakes fitness professionals make when designing an exercise program for the rotator cuff
- The five components of a rotator cuff conditioning program
- Exercises to avoid if your client has a rotator cuff injury
- Key exercise modification to help and not harm your client’s rotator cuff
- Effective rotator cuff conditioning program to help you client recover from a rotator cuff injury

Get Your Copy of the Most Effective Rotator Cuff Exercise Program

INSTRUCTOR: Rick Kaselj – MS., B.Sc., PK, CPT, CEP, CES

Rick Kaselj specializes in exercise rehabilitation, post-rehab, active rehabilitation, exercise therapy and corrective exercise. He works in one-on-one and group rehabilitation settings, training people who have been injured at work, in car accidents and during sport activities. His clients and group exercise participants include a wide variety of individuals from healthy and special populations.  Rick has given over 233 presentations to 4531 fitness professionals and consumers across Canada while continuing to work in rehabilitation centers, physiotherapy clinics, fitness clubs and personal training studios.  Rick recently completed his Masters of Science degree focusing on corrective exercise and therapeutic exercise for the rotator cuff.  To reach Rick or learn about his exercise rehabilitation courses please visit www.ExercisesForInjuries.com

For a complete listing of all the courses offered and hosted by Rick Kaselj and Healing Through Movement please visit http://www.ExercisesForInjuries.com

Interested in receiving over $299 worth of fitness education information?  Visit http://www.ExercisesForInjuries.com and get your gift!

Take care.

Rick Kaselj, MS

.

Simple Rotator Cuff Tool for Your Clients

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Filed Under (Rotator Cuff Exercises, Shoulder Injury) by Rick Kaselj on 28-05-2009

I love the shoulder.

It is one of my passions.

It has lead to over 11 hours worth of courses on all aspects of the shoulder:

In the video below I go through a great tool that your clients can use in order to do their rotator cuff exercises at home.

Enjoy the video and make sure to leave a comment and let me know what you think!

Have difficulty viewing

A Simple At Home Tool for Your Client’s Rotator Cuff Exercisesclick here.

To learn more about Rotator Cuff Injury Exercisesclick here.

Exercises for a Shoulder Rotator Cuff Problem

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Filed Under (Rotator Cuff Exercises, Shoulder Injury) by Rick Kaselj on 14-05-2009

Exercise Rehabilitation of the Rotator Cuff Webinar

bigstockphoto shoulder pain 1676738 Exercises for a Shoulder Rotator Cuff ProblemI am doing a webinar on exercise and the rotator cuff.

I have teamed up with the Canadian Kinesiology Alliance (CKA). The CKA is the national association for Kinesiologists in Canada.

They have asked me to do a webinar on my masters project on therapeutic exercises for the rotator cuff. My masters project appeared in the Canadian Journal of Kinesiology in the fall of 2008.

It will be great to do a webinar where I can go into a lot more detail when it comes to rotator cuff exercises for injury recovery. The journal article is nice to write but during my research, I came across so much more that could not get into the article. It will be great to share this information on the webinar.

Exercise Rehabilitation of the Rotator Cuff

Webinar description:

The rotator cuff muscles are the most frequently injured muscle in the
shoulder. The most common exercise given to strength the rotator cuff is
standing external rotation, yet this exercise is not effective in targeting
all of the rotator cuff muscles. If you prescribe this exercise to strengthen
the rotator cuff muscles, then you need to attend this researched based
exercise webinar. You will learn the most effective exercises that target all
of the rotator cuff muscles and a progressive rotator cuff program to fully
rehabilitate your client’s rotator cuff injuries.

What will be covered on the webinar:

- Which rotator cuff exercises are a waste of time
- Which rotator cuff exercises cause more damage than good
- The key structures of the rotator cuff
- Assessing the rotator cuff to determine exercise readiness and progressions
- The most effective exercises that target all of the rotator cuff muscles
- A progress rotator cuff program to fully rehabilitate your client’s rotator
cuff injuries

INSTRUCTOR: Rick Kaselj – MS., B.Sc., PK, CPT, CEP, CES

Rick Kaselj specializes in exercise rehabilitation, post-rehab, active rehabilitation, exercise therapy and corrective exercise. He works in one-on-one and group rehabilitation settings, training people who have been injured at work, in car accidents and during sport activities. His clients and group exercise participants include a wide variety of individuals from healthy and special populations. Rick has given over 233 presentations to 4531 fitness professionals and consumers across Canada while continuing to work in rehabilitation centers, physiotherapy clinics, fitness clubs and personal training studios. Rick recently completed his Masters of Science degree focusing on corrective exercise and therapeutic exercise for the rotator cuff. To reach Rick or learn about his exercise rehabilitation courses please visit Exercises for Injuries .

Here are the details on the webinar:

Who is this Rotator Cuff webinar for?

- It is for Kinesiologist, Exercise Physiologists and Exercise Therapists

What type of person would benefit most from the Rotator Cuff webinar?

- It most appropriate for people that provide active rehab, community based rehab or exercise rehab and work in a physical therapy centre, rehab centre, community centre

Who is this Rotator Cuff webinar not for?

- It is not for fitness professionals but if you are a fitness professional or group fitness instructor, leave a comment below if you would like a talk on rotator cuff exercise for your clients

Registration Ends:

Fee:

CKA/ACK Members: $60 (plus GST)
Full-time Kinesiology Students: $30 (plus GST)
Non-Members: $80 (plus 5% GST)