ページ3:

•Other soft-tissue limitations
-Trapezius
-Levator Scapulae
Prone to tightness
Rhomboids
besides
pec minor
-Latissimus dorsi
•Post. Capsule tightness
Causing...
- 1 scapular ant. tilt impingement.
Iant-sup. translation of humeral head during
forward flex.
<How to address post. sup. capsule tightness>
no scap.
ant. tilt.
post.sup. lat. glide
a
IR
ankle wt/sand bag
underneath the
Scapula to stabilize.
3
C
C

ページ4:

How to address post. inf. capsule tightness
Sleeper St.
Post. lat glide
add.
Shoulders with impingement_
·
Scopular upward rot.
• Scapular post. tilting &
Scapular IR↑
Compensation from upper trapezius (UT) ↑
So, need exercises
that facilitate-Scapular upward rot.
Train with
-post. Tilting
Scapular ER
- less compensation from UT.
Kinetic chain exs.
(better than rotator cuff exs.)
④
>

ページ5:

"Examples of kinetic chain exercises
<Sternal lift>
Squeeze
Scapulae
back & down.
<Robbery exercises >
>Shoulder
width
<Fencing>
⑤5)
Scapular
Tetraction
Squeeze the
Scapula

ページ6:

<Shoulder dumping >
Rotate the
trunk &
retract the
Scapula.
<Squat>
<Lunge>
<Step up>
Addressing scapular dyskinesis]
• Serratus ant.
· Lower trapezius.
-Middle Trapezius → Scapular ER.
→
Scapular upward rot.
Ⓒ higher range of elevation)
⑥

ページ7:

•Serratus ant. ↑ EMG activities
°p=1
<Push up plus >
also good for
Subscapularis
<Dynamic hug>
&
acting like hugging
a big tree.
1200
<Serratus punch 120> O
Combines
Pushing away
from the ground.
"No T-spine/L-spine
Compensation
D
keep the elbow straight
reach
up
to the ceiling
upper trapezius
and protraction
7
to lift the shoulders
off the ground.

ページ8:

•Lower trapezius ↑ EMG activities
<Prone full can>
also good for
Supraspinatus
elbow straight
Thumb at the ceiling
<Prone ER at 90° abd also good for
-infraspinatus
teres minor
<Prone horizontal abd at 90° with ER >
elbow
900.
Bilateral ER
also good for
infraspinatus
Teres minor
also good for
middle trap.
8

ページ9:

• Middle trapezius ↑ EMG activities
<Prone row><
also good for
-upper
trapezius
Tower S
Prone horizontal ABD@ 90° with ER
P. 8.

ページ10:

Low/Mid trap. ↑ activities and
Upper trap. activities
<Prone shoulder extension>
Squeeze
Scapula
<Prone ER@90° abd><
<Sidelying ER>
keep the Scapula
in the nice position.
Bilateral ER at
0° abd
↓
Tower: upper trap.
ratio 1
<Sidelying flexion>
keep the elbow
Straight
<Scaption>
Thumbs toward ceiling
(10)
only shoulder height.
40

ページ11:

•Exs focusing
on Serratus ant. and
lower trap.
Serratus ant. (SA)
< Inferior glide> - Lower trap. (LT)
Squeeze scapular
down,
A4
also
Darm push down.
hold it 2~3 sec.
good
for
-SA
modifications
·Patients
LT
not as mobile
<Isometric low row> 27
squeeze scapula
down and push
back into the
surface.
hold 23 sec
Can not
perform prane
exs.
Lawnmower
Reach down
to the foot
-LT.
like pulling back
a string
(11)
<Wall slide >
- SA
look
up
ahead
and straight up

ページ12:

• Neuromuscular Reeducation Techniques to
Address Dynamic Stabilization of the Shoulder
•CKC exs
Watch what the scap. doing)
Land the core strength.
Push-up plus
-Plank push-up plus
O
Push the
ground
and
protract
the scop.
-Wall sliders (foam roller/theraband loop)
←
-Clock exs. (terapeutic ball/small ball)
G
2 G
2

ページ13:

-Plank (saw)
Plank archer turns
archer turn
P
Saw
- 4-way reaching / with Theraband loop
13

ページ14:

•Return to
ADLS
simulate ADL in the clinic
for return to
meaningful occupations.
(14)