Comments on: Two Exercises Your Client Should NOT Be Doing if They Have Chronic Shoulder Subluxations http://exercisesforinjuries.com/shoulder-dislocation-rehab-exercises/ Rick Kaselj specializes in helping clients use exercise to overcome their injuries. Rick shares his knowledge and experience with other fitness professionals across North America through live courses, webinars and books. This podcast is made up of audio clips featuring some tips and information for fitness professionals on the topic of exercises and injuries. To learn more about Rick Kaselj you can exercise and injury blog at ExercisesForInjuries.com . Wed, 08 Feb 2012 14:05:50 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: healthy life http://exercisesforinjuries.com/shoulder-dislocation-rehab-exercises/comment-page-1/#comment-301 healthy life Sun, 20 Sep 2009 15:27:15 +0000 http://exercisesforinjuries.com/?p=610#comment-301 I have had some shoulder issues myself and therefore the information here is very helpful to me. Thank you.<div class="comment-remix-meta"><a href="#" class="replyto" onclick="replyto('301','healthy life'); return false;">Reply</a> - <a href="#" class="quote" onclick="quote('301','healthy life','I have had some shoulder issues myself and therefore the information here is very helpful to me. Thank you.'); return false;">Quote</a></div> I have had some shoulder issues myself and therefore the information here is very helpful to me. Thank you.
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]]> By: Rick Kaselj http://exercisesforinjuries.com/shoulder-dislocation-rehab-exercises/comment-page-1/#comment-251 Rick Kaselj Mon, 17 Aug 2009 15:37:43 +0000 http://exercisesforinjuries.com/?p=610#comment-251 Thanks Dr. Jones, I go through post rehab exercises in greater detail in Exercise Rehabilitation of the Shoulder and Core Stability of the Shoulder courses. Great comment on the acute and post rehab client. Rick Kaselj www.ExercisesForInjuries.com .<div class="comment-remix-meta"><a href="#" class="replyto" onclick="replyto('251','Rick Kaselj'); return false;">Reply</a> - <a href="#" class="quote" onclick="quote('251','Rick Kaselj','Thanks Dr. Jones,\n\nI go through post rehab exercises in greater detail in Exercise Rehabilitation of the Shoulder and Core Stability of the Shoulder courses.\n\nGreat comment on the acute and post rehab client.\n\nRick Kaselj\nwww.ExercisesForInjuries.com\n.'); return false;">Quote</a></div> Thanks Dr. Jones,

I go through post rehab exercises in greater detail in Exercise Rehabilitation of the Shoulder and Core Stability of the Shoulder courses.

Great comment on the acute and post rehab client.

Rick Kaselj
http://www.ExercisesForInjuries.com
.

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]]> By: Michael K. Jones, PhD, PT http://exercisesforinjuries.com/shoulder-dislocation-rehab-exercises/comment-page-1/#comment-244 Michael K. Jones, PhD, PT Fri, 14 Aug 2009 04:35:05 +0000 http://exercisesforinjuries.com/?p=610#comment-244 Hi Rick and yes we often see anterior subluxations but there may be an inferior component. The 90/90 position you mention is more along the lines of an "apprehension sign". If this is a cilent with two or more subluxations (recurrent), the need to block or eliminate extreme aspects of the apprehension ROM is vital. Three key exercises for this client are 1) the seated push-up to engage all the muscles of the shoulder to promote stability; the second exercise involves activities to strengthen the rotator cuff and 3) limited ROM activities to strengthen the pect. The pect will act as the dynamic stabilizer since the gleno-humeral ligaments were damaged with the subluxation. This is true especially with recurrent subluxations. The pect will act as a buttress to prevent the humeral head from translating anteriorly. But we must be cautious to avoid moving the humerus too far into the apprehension sign ROM. But I think there is a missing point here. Is this a post rehab client or an acute subluxation? If this client has limited ROM and significant pain, we need to allow the healing to occur. In the acute stage, we can engage the shoulder musculature with the seated push-up to the client's tolerance. For the post rehab professional there must be a clear set of post rehab criteria to ensure the client is appropriate for entry into a post rehab program. Some clients may be too acute for post rehab. These clients may need further medical attention. With no clear cut criteria, there is possibility of exacerbation of the condition. I would certainly appreciate any feedback from other physiotherapists.<div class="comment-remix-meta"><a href="#" class="replyto" onclick="replyto('244','Michael K. Jones, PhD, PT'); return false;">Reply</a> - <a href="#" class="quote" onclick="quote('244','Michael K. Jones, PhD, PT','Hi Rick and yes we often see anterior subluxations but there may be an inferior component. The 90\/90 position you mention is more along the lines of an \"apprehension sign\". If this is a cilent with two or more subluxations (recurrent), the need to block or eliminate extreme aspects of the apprehension ROM is vital. Three key exercises for this client are 1) the seated push-up to engage all the muscles of the shoulder to promote stability; the second exercise involves activities to strengthen the rotator cuff and 3) limited ROM activities to strengthen the pect. The pect will act as the dynamic stabilizer since the gleno-humeral ligaments were damaged with the subluxation. This is true especially with recurrent subluxations. The pect will act as a buttress to prevent the humeral head from translating anteriorly. But we must be cautious to avoid moving the humerus too far into the apprehension sign ROM. \r\n\r\nBut I think there is a missing point here. Is this a post rehab client or an acute subluxation? If this client has limited ROM and significant pain, we need to allow the healing to occur. In the acute stage, we can engage the shoulder musculature with the seated push-up to the client\'s tolerance. For the post rehab professional there must be a clear set of post rehab criteria to ensure the client is appropriate for entry into a post rehab program. Some clients may be too acute for post rehab. These clients may need further medical attention. With no clear cut criteria, there is possibility of exacerbation of the condition. I would certainly appreciate any feedback from other physiotherapists.'); return false;">Quote</a></div> Hi Rick and yes we often see anterior subluxations but there may be an inferior component. The 90/90 position you mention is more along the lines of an “apprehension sign”. If this is a cilent with two or more subluxations (recurrent), the need to block or eliminate extreme aspects of the apprehension ROM is vital. Three key exercises for this client are 1) the seated push-up to engage all the muscles of the shoulder to promote stability; the second exercise involves activities to strengthen the rotator cuff and 3) limited ROM activities to strengthen the pect. The pect will act as the dynamic stabilizer since the gleno-humeral ligaments were damaged with the subluxation. This is true especially with recurrent subluxations. The pect will act as a buttress to prevent the humeral head from translating anteriorly. But we must be cautious to avoid moving the humerus too far into the apprehension sign ROM.

But I think there is a missing point here. Is this a post rehab client or an acute subluxation? If this client has limited ROM and significant pain, we need to allow the healing to occur. In the acute stage, we can engage the shoulder musculature with the seated push-up to the client’s tolerance. For the post rehab professional there must be a clear set of post rehab criteria to ensure the client is appropriate for entry into a post rehab program. Some clients may be too acute for post rehab. These clients may need further medical attention. With no clear cut criteria, there is possibility of exacerbation of the condition. I would certainly appreciate any feedback from other physiotherapists.

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]]> By: Rick Kaselj http://exercisesforinjuries.com/shoulder-dislocation-rehab-exercises/comment-page-1/#comment-234 Rick Kaselj Thu, 25 Jun 2009 12:44:34 +0000 http://exercisesforinjuries.com/?p=610#comment-234 Gord, Excellent questions. In the other video, I did recommend rowing movements for a clients with chronic shoulder subluxations. When it comes to rowing movements, I would be cautious of the set up, starting position and technique of the exercises. I would get my client to use a rowing exercise machine but I would not have them set up at a starting position where they are reaching forward to maximum, I would not have them at a starting position where they are reaching forward to maximum and would not get them to enter a maximum forward reaching position during the exercises. This maximum forward reaching position provides traction in the anterior direction which could promote a chronic anterior shoulder subluxation. I would have them in a position where they are sitting upright and start at a position of arms straight. This is more of a natural movement and allows for better activation of the scapular stabilizers plus control of exercise. I hope this clarifies things. Thank you for the question and comment. Rick Kaselj www.ExercisesForInjuries.com .<div class="comment-remix-meta"><a href="#" class="replyto" onclick="replyto('234','Rick Kaselj'); return false;">Reply</a> - <a href="#" class="quote" onclick="quote('234','Rick Kaselj','Gord,\r\n\r\nExcellent questions.\r\n\r\nIn the other video, I did recommend rowing movements for a clients with chronic shoulder subluxations.\r\n\r\nWhen it comes to rowing movements, I would be cautious of the set up, starting position and technique of the exercises. I would get my client to use a rowing exercise machine but I would not have them set up at a starting position where they are reaching forward to maximum, I would not have them at a starting position where they are reaching forward to maximum and would not get them to enter a maximum forward reaching position during the exercises. This maximum forward reaching position provides traction in the anterior direction which could promote a chronic anterior shoulder subluxation. \r\n\r\nI would have them in a position where they are sitting upright and start at a position of arms straight. This is more of a natural movement and allows for better activation of the scapular stabilizers plus control of exercise.\r\n\r\nI hope this clarifies things.\r\n\r\nThank you for the question and comment.\r\n\r\nRick Kaselj\r\nwww.ExercisesForInjuries.com\r\n.'); return false;">Quote</a></div> Gord,

Excellent questions.

In the other video, I did recommend rowing movements for a clients with chronic shoulder subluxations.

When it comes to rowing movements, I would be cautious of the set up, starting position and technique of the exercises. I would get my client to use a rowing exercise machine but I would not have them set up at a starting position where they are reaching forward to maximum, I would not have them at a starting position where they are reaching forward to maximum and would not get them to enter a maximum forward reaching position during the exercises. This maximum forward reaching position provides traction in the anterior direction which could promote a chronic anterior shoulder subluxation.

I would have them in a position where they are sitting upright and start at a position of arms straight. This is more of a natural movement and allows for better activation of the scapular stabilizers plus control of exercise.

I hope this clarifies things.

Thank you for the question and comment.

Rick Kaselj
http://www.ExercisesForInjuries.com
.

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]]> By: Gordon Banks http://exercisesforinjuries.com/shoulder-dislocation-rehab-exercises/comment-page-1/#comment-233 Gordon Banks Thu, 25 Jun 2009 04:38:56 +0000 http://exercisesforinjuries.com/?p=610#comment-233 Hey Rick, I'm a bit confused. Yesterday you promote rowing activities for someone with chronic shoulder subluxations, and today you say not to do anything that involves a rowing type movement. So, which one is it? Gord<div class="comment-remix-meta"><a href="#" class="replyto" onclick="replyto('233','Gordon Banks'); return false;">Reply</a> - <a href="#" class="quote" onclick="quote('233','Gordon Banks','Hey Rick,\r\n\r\nI\'m a bit confused. Yesterday you promote rowing activities for someone with chronic shoulder subluxations, and today you say not to do anything that involves a rowing type movement. So, which one is it?\r\n\r\nGord'); return false;">Quote</a></div> Hey Rick,

I’m a bit confused. Yesterday you promote rowing activities for someone with chronic shoulder subluxations, and today you say not to do anything that involves a rowing type movement. So, which one is it?

Gord

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