Exercise Rehabilitation of the Elbow & Wrist

DESCRIPTION:

OBJECTIVES:

Hey, it is Friday, lets ramble.

Well, let me ramble.

More Rambles about Facebook

It is very cool to get comments like this on my Facebook account:

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Exercise Rehabilitation of the Shoulder

DESCRIPTION:

“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:

Foundations of Upper Body Conditioning

DESCRIPTION:

OBJECTIVES:

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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Getting the Most From Scapular Exercises

I want to share with you a story about a client that came to see me looking for help with his shoulder impingement.

Like most of my client, he has seen a lot of different people for his shoulder impingement.  Some of them include doctor, chiropractor, massage therapist, acupuncturist and physical therapist.

He has had minimum success with the above, he saw my blog and thought he would give me a go.  He has tried the rest, why not try me.

I do like the shoulder and the challenge of figuring out what is going wrong when it comes to what is going on in a muscle imbalance perspective.

Within two session, we have got to a point where he can abduct his shoulder to 180 degrees compared to 90 degrees when he first saw me.

I can’t take all the credit, the big thing is he did the scapular exercises I gave him.

Let me share with you why this client had such great results with his shoulder impingement in just two session.

3 Steps to Scapular Exercise Success

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What is Shoulder Impingement?

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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What’s My Cue? (Part 2)

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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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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I am a bit of a journal geek.

I like reading journal articles.

My wife has House & Home and I have journal articles from PubMed Central.

I wanted to share with you an article that I read.

I will try to filter through all of the mumbo jumbo and highlight what you need to know in order to help your clients.

A common injury found in active people is shoulder impingement.

Many times the focus of their exercise program is to increase the range of motion in the affected shoulder.

Is this the right thinking?

Should the focus be on decreasing the tightness of the posterior aspect of the shoulder?

Read on to find out.

Range of Motion versus Decreased Shoulder Tightness

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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!

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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.

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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.

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On 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…

…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!

I 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

I 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

I have an interview for you with Tim Vagen of Unlimited Athlete.  Tim is a very respected strength and conditioning coach from Kent, Washington.  He is big on shoulders and I was lucky enough to chat with Tim about shoulder injuries and exercise.

I hope you enjoy the interviews as much as I did.

In part 1 of the interview, Tim and I chat about:

- How he began working with injuries

- Being a strength & conditioning coach

- Training elite level swimmers

- Training volleyball players

- Working with other shoulder athletes

- Tips for the fitness professional to help their clients overcome shoulder injuries

- Why the shoulder injury determines the exercises your client gets

- Why thoracic mobility is essential for shoulder injury recovery

- Example of effective thoracic mobility exercises

Tim Vagen on Tips for the Fitness professional on Shoulder Injuries

==> CLICK HERE to watch the video with Tim Vagen on tips for the fitness professionals when working with shoulder injuries

I know the big thing I got from Tim’s interview was the important of t-spine mobility and it is something that I have incorporated into my work with shoulder injury clients.  Plus the exercises he went through were great!  You can never have enough exercises for your tool box.

Now lets head on over to part 2 of the interview.

In Part 2 or the interview, Tim and I chat about:

- Examples of thoracic mobility exercises

- Lack of thoracic mobility leads to compensation in the shoulder joint

- Lack of hip mobility will lead to compensations in the spine and shoulder

- Why to avoid barbells with shoulder press movements

- Use of kettle bells for overhead press movements and scapular stabilization exercises

- Why people that have a tight shoulder often have hypermobile shoulders

- Stretching the shoulder maybe not what is needed

Tim Vagen on Why Stretching the Shoulder Maybe Not What is Needed

==> CLICK HERE to watch the video Tim Vagen chatting about scapular stabilization exercises

The information on the lack of t-spine mobility leads to compensations in the shoulder was a big eye opener for me plus the great tip he gave on getting rid of the barbells was amazing.

I hope you enjoyed the interview with Tim Vagen.  To get more info on Tim Vagen, visit Unlimited Athlete or click here.

I know Tim will be at the NSCA Washington State Annual Fall Clinic and I will be as well.  I am so excited to be heading to the USA to do my first international presentation.  I have made it all across Canada to present but it is great to start heading south and share information on exercises and injuries.

At the NSCA Fall Clinic, I will be presenting on Running Injuries and exercise .  I hope to see you all down there and if you do come to the clinic, make sure to say, “Hi.”

Take care and we will talk to you soon.

Rick Kaselj, MS

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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

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Scapular Stabilization Exercise Program

Shoulder injuries lead to pain, prevent people from doing the things they love and make the simples tasks painful. Many will lean to exercises to help them recover from their shoulder injury. But too often strength exercises will lead to slower recovery from a shoulder injury. What needs to be done before strengthening the shoulder is activating, building endurance and strengthening the scapular stabilizer muscles. Adding this one step will speed up the recovery from a shoulder injury and prevent re-injury of the shoulder.

How the Program will help you:

- You will discover what is Scapular Stabilization?
- It will be explained why Scapular Stabilizers are so Important?
- What Muscles Make Up Scapular Stabilization?
- What are the Causes of Why Ones Scapular stabilizers are Not Working?
- How can you Prevent Scapular Stabilization Injury?
- How can Exercise Help Rehabilitate Scapular Stabilization Muscles?
- What exercises can help?
- Who Should Not Do these Exercises?

To get more information on the scapular exercise program, CLICK HERE.

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 http://www.ExercisesForInjuries.com