shoulders: Rotator cuff etc

four muscles with both move and support the shoulder joint. tests see if any of the four movements are impaired at all:

rotator cuff tear

1. lateral thumb down lift with resistance (empty can test)
2. drop arm test (self-test) to let down slowly
3. elbows at 90 degrees resistance in
4. lift away in internal rotation

impingement

1. lift are grab right shoulder and lift up
2. hawkins /kennedy test (funky chicken movement)
3. mears test: hold down shoulder blade, internally rotate arm and lift
4. moores test: externally rotate with them on their back. Lift arm over their head, then bring to ear and internally rotate (straight arm)

treatment:

stretching

• shoulder squeezes
• dd on a chair walking back and forward
• chest openers (doorway lean, 1 or two arms- variations)
• arms behind back
• heartbench variations

strengthening

• ustrasana superman/goal post/T/ reverse Y (lifting arms
• resistance band-external rotation elbows in/internal rotation
• chest opening

tendonitis

Scapula problems:

look to increase mobility in the shoulder blades

size

• head mobility
• chin tucks as warm-up
• extensions (watch range)
• side bending with chin tuck
• avoid head forward posture
• head is too heavy (neck hurts)
• test: shoulders and head against the wall
• massage suboccipital and hold shoulders to extend neck
• with towel or hands support shoulder depression for extension

Bursitis (inflamation)

NEEDS REST

McKenzie Approach

• centralize pain and then relieve it
• method
• supine: chin back