Title : COMMON MISTAKES WITH SHOULDER ASSESSMENT
link : COMMON MISTAKES WITH SHOULDER ASSESSMENT
COMMON MISTAKES WITH SHOULDER ASSESSMENT
The evaluation in the field of health and fitness it can be complicated and fraught with numerous (common) mistakes some fitness professionals ago.
This is especially true when we started talking shoulders.
Mistake # 1 :. The shoulder is not only the shoulder
As :. It's not just one. "The" Actually we are referring to a "complex" shoulder is thus complex
The "shoulder" consists of four separate joints (glenohumeral joint , the sternoclavicular joint, acromioclavicular joint and scapulothoracic) joint, all-nicey playing well together in order to perform a wide range of motion (s).
Everyone deserves their time under the microscope evaluation.
Mistake # 2 :. However, while all areas are important, I find that assess and address the scapular function / positioning is often the key to unlock responses
Unfortunately, it is often the area he is less looked about shoulder pain / dysfunction.
Mistake # 3 :. Assessment shoulder can - and should be - attacked from some points of view
Too often, meeting, fitness professionals have a static view of what's happening and that's all. It will be a person with individual there stands in the middle of a room, uttered some "mmm and ahhh" write a few schmancy words like "internal rotation", "kyphosis" or "I have my work for me," and that's all.
Full evaluation.
Lets go squat!
When, in fact, evaluation shoulder should be divided into a few disparate - but not entirely separate - components :. static evaluation, inclusive evaluation, and dynamics
assessment
Not to mention one's ability to complete a smedium shirt. Very important.
The three provide relevant information that can help determine the right plan of attack when it comes to movement dysfunction, pain, and / or improved performance within the shoulder complex.
I got 99 problems (shoulder) and ....
... ..My shoulder blades are the reason for all they.
At this time, I'm not Jay-Z. And I know just Butchered one of his classic hits.
But it was the only way he could think of no better articulate my point.
The scapula (shoulder blades) are kind of a big deal when we started talking about the health of the shoulder. Is an arbitrary number that'm throwing out there with no research to back it up - so please do not quote ME1 - but 90-95% of the subjects "Shoulder" direction have helped in the past when I was a coach Cressey Performance Sports, as well as the present (now that I'm on my own), can be correlated back to the placement of the scapula and function.
Evaluation Static
- the scapula should be in slight rotation upwards. As you can see in the picture above, this individual is slight downward rotation statically (both lower medial edges (the lower two x) of the scapula are within the upper medial borders.
- both the scapula should rest between T2-T7. the upper half "x" is T2 and you can see that this person is below that point and slight depression in the shoulder.
- the medial borders themselves should rest between 1-3 inches from the spine.
If you only use static evaluation would be easy to assume that this person is f **** d. Many professionals fitness would see this, hyperventilate in a brown paper bag, and go immediately to the correction mode
But as Mike Reinold has sharply pointed again and again.
"statically, shoulder blades around the world begin in a different position (high vs depressed, internal rotation vs. external rotation, adduction hijacked off facing the front post entitled inclined Autobots against the Decepticons), and it is arguable that take static position at face value. "
Furthermore, the picture above is of me, and when this was filmed / taken me presented with pain in the zero shoulder. This does not mean that I have nothing to work with, but it does show that the static posture itself alone will not tell you everything you need to know
integrative assessment
once we start adding movement. - looking glenohumeral rhythm (the interaction between the humerus and scapula) or one's ability to raise your arms above your head. - sometimes, people who self-correct really well
what is presented as "bad" defective "or" shit (<- depending on classification system). statically, it may well be acceptable or very good, after adding movement
looking shoulder lifting / bending, for example, makes scapula posterior tilt, turn up enough (usually looking at 55-60 degrees upward rotation), and making the bottom corner wrap around the chest the midline of the body?
This is something that can not be determined if you are looking only in the static posture.
Dynamic Evaluation
This is basically the part of the evaluation in which I ask the person to do things. Instead of someone bored to tears poking and prodding for an hour and what he or she feels like a patient, I prefer to move and do certain exercises demonstrating.
The push-up tells me a lot. It not only gives me an insight on their ability to move your shoulder blades (often are "trapped" in adduction), but also provides details about your lumbo-pelvic-hip control.
Because something like this makes my corneas want to jump into a pool of acid:
Note: I understand the point of the video above was deliberately show a bad push-up. Mission accomplished.
More importantly, if someone comes to me with this pain, have them demonstrate how they perform certain exercises provides an unrivaled knowledge of what needs to be fixed.
A common theme I see among many apprentices are allowing their shoulders to roll forward during the execution of the exercises.
A brief review: When we raise the arms above the head tilt shoulders back (to embrace the rib cage) and upward turn. Reversing the action requires the anterior tilt of the scapula and the rotation down.
Many people "feeding" the excessive downward rotation / tilt prior to allowing the shoulders roll forward during common exercises like rows, squats, curls, triceps and downs Press .
stop
said, enough!
The "solution" here is easy:
me to Customer ". okay, show me how you want to make a row standing cable and triceps press down"
Customer: ". Um, okay"
[then proceeds to emulate the technique of previous videos.]
"Yes, it hurts."
Me to Customer: ". Stop doing that way"
[Puts customer in a better position ... apart shoulders with posterior slope]
client to me. "Wow, that feels much better you're so elegant and attractive.".
that's not all
What has been described above is by no means a comprehensive approach to assessing shoulder, but I hope that at least opened my eyes to the idea that is more multi-faceted than many give him credit for.
And on that note, I would be remiss not to point people in the direction of guys like Eric Cressey, Mike Reinold, and Dr. Evan Osar.
Functional Training Stability - Upper body is an excellent resource for a clearer view on the assessment of shoulder and corrective exercise
Similarly, integrative approach corrective Exercise Dr. Osar is an excellent resource.
And pimping myself a little, covering the other mentioned issues and many related shoulder in the mine and full of hip and shoulder Workshop Dean Somerset near the Toronto area in a couple of weeks (1 week left to take advantage of the Early Bird Special), Seattle, and two stops in Europe in May.
Go here for dates and to register.
did what you just read to make your day? ¿Arruínalo? Either way, you should share it with your friends and / or comments below.
Source: http://tonygentilcore.com/2016/02/common-mistakes-with-shoulder-assessment/
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