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Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com
1. Whydosomanyclientsexperienceshoulderjointtightnessanddiscomfort?
a. It’stheirhabits!It’showtheyliveourlives,howtheyexercise(or
don't),howtheyworkonthecomputer,thecompensationstheyhavedevelopedfrominjuries,surgeries,and/ortraumas.
2. ImprovingFunction:TheShoulderComplex
a. Thejoints:
i. Sternoclavicularii. Acromioclaviculariii. Glenohumeral–ballandsocketiv. Scapulothoracic–scapulasittinguponthethorax
b. TheRotatorCuff
i. Supraspinatus
1. Stabilizationoftheglenohumeraljoint2. ____________________________________________
ii. Infraspinatus
1. Stabilizationoftheglenohumeraljoint2. _____________________________________________
iii. Teresminor
1. Stabilizationoftheglenohumeraljoint2. ______________________________________________
*recallthattheinfrapsinatusandteresminorwilltranslatethehumeralhead_______________________________
iv. Subscapularis
1. Stabilization2. Internalrotationofthehumerus
*recallthatthesubscapulariswilltranslatethehumeralhead_________________________________
v. Thebicepsbrachiialsoblendsintotheshoulderjointmakingita
partoftherotatorcuff1. Stabilizationoftheglenohumeraljoint–itprovides
________________________________________ofthehumeralhead2. Elbowandshoulderflexion
Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com
3. TheScapula
a. Whatistheoptimalpositionofthescapula?
i. Upwardrotationandposteriortilt
1. Thispositioniscontrolledbythe_________________________________________________________.
Downwardrotationandanteriortiltisthepositionoftheforwardshoulder.
Thispositioniscausedbythe________________________________________________________.
b. ROM:Doesyourclienthavegreaterinternalorexternalrangeof
motion?Howdoyouknow?Youhavetomeasure.i. IR:shouldbeabout______________________________
ii. ER:shouldbeabout_____________________________
iii. Overheadmotion:yourclientshouldbeabletoreachupto_______________________________beforetheirribspopupandtheirspineshouldnotarchoffthefloor.Cantheydothat?
4. TheIntegrativeMovementSystem™
a. Asystematicapproachtoaddressingpostureandmovementbased
upontheprinciplesthatgovernhumanmovement
b. 3GuidingPrinciples:TheFoundationalA,B,C’s
i. Alignment:mustalignthethoracopelviccylinder,thentheshoulder.
ii. Breathing:breathingrecruitstheproperrespiratorymuscles
andhelpsalignandstabilizethethorax
iii. Control:mustusethemusclestoalignandcontrolupwardrotationandposteriortilt
5. Thecorrectiveandintegrativeexercisepatternstoimprovingrotatorcufffunction:
Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com
a. Correctiveexercisepatternsi. HappyBabywithbreathing
ii. ModifiedWallPlank
iii. RotatorCuffexerciseswithresistiveband
iv. Supportedwallplank:staticholdandwithrotation
v. Suspensionstraporbarrotations
b. Integrativeexercisepatterns–thesepatternsshouldreinforceoptimalalignmentandcontrolofthescapulai. Pushingpatterns–horizontal,vertical,andangled
• Keystooptimalperformanceofrotatorcuff:
ii. Pullingpatterns–horizontal,vertical,andangled
• Keystooptimalperformanceofrotatorcuff:
Exercisestoabsolutelyavoidinclientswithrotatorcufforscapulardysfunction:_____________________________________________________________________________________________NOTES:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Rock Solid Rotator Cuff: Corrective Exercise Strategies
Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com
QUESTION:DoyouworkwiththeBabyBoomerandSeniorPopulations?Dr.EvanOsarisaninternationallyrecognizedlecturer,author,andindustryexpertinassessment,correctiveexercise,andimprovingfundamentalmovementpatterns.WhatmakesDr.EvanOsarsouniqueinthisindustryisthathehasdedicatedhislifetostudyingandsynthesizingtheverybestinformationfromthefieldsofrehabilitation,conditioning,andperformanceandpackageditintoasystemthatthehealthandfitnessprofessionalcaninstantlyusewiththeirmostchallengingclients.Earlyinhiscareer,Dr.Osarrecognizedthattherewasn’tasystemavailabletothefitnessprofessionalthatadequatelyaddressedthespecificneedsofthegeneralpopulation.HedevelopedtheIntegrativeMovementSystem™,theindustry’sfirstassessmentandcorrectiveexercisestrategythatcanbeseamlesslyintegratedintothefitnessprofessional’scurrentrehabilitativeorconditioningstrategy.Dr.Osarprovidesthestrategiesanddistinct‘perspective’thatthehealthandfitnessprofessionalrequiretosuccessivelyworkwiththebabyboomer,seniorpopulations,aswellasthepre/postnatalandpre/postrehabilitationclientele.
Additionally,Dr.OsarandhiswifeJeniceMattek,LMT,IMScreatedIntegrativeCorrectiveExerciseApproach™,thefirston-lineresourceentirelydedicatedtoprovidingthehealthandfitnessprofessionalthatworkswiththegeneralpopulationwithastrategyforimplementingcorrectiveexerciseintotheirtrainingprograms.Ifyouarelookingtoestablishyourselfasthego-toexpertinworkingwiththegeneralpopulationwithposturalandmovementdysfunctionandbecomepartofthe‘movement-basedsolutiontothehealthcarecrisis’,IntegrativeCorrectiveExerciseSpecialist™andtheIntegrativeMovementSpecialist™certificationswerecreatedforyou.
Formoreinformationincludingfreevideoresources,visitwww.IIHFE.com.
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