Podcast
Questions and Answers
When performing the Caudal Glide self-mobilization technique for the shoulder, what action is emphasized?
When performing the Caudal Glide self-mobilization technique for the shoulder, what action is emphasized?
- Pushing the arm downwards while keeping the trunk still.
- Leaning the trunk towards the stabilized arm.
- Rotating the trunk while keeping the arm still.
- Leaning the trunk away from the stabilized arm. (correct)
Which area of the shoulder does the Anterior Glide self-mobilization technique primarily target?
Which area of the shoulder does the Anterior Glide self-mobilization technique primarily target?
- Rotator cuff muscles.
- Scapula.
- Trapezius.
- Humerus. (correct)
In the Cross-Chest Stretch, what action should be avoided to ensure proper form and prevent injury?
In the Cross-Chest Stretch, what action should be avoided to ensure proper form and prevent injury?
- Applying gentle pressure to deepen the stretch.
- Maintaining a straight posture throughout the stretch.
- Rotating the trunk while pulling the arm across the chest. (correct)
- Keeping the stretching arm fully extended.
During the 'Increase Flexion/Elevation of Arm' self-stretching technique, what indicates that the stretch is being performed correctly?
During the 'Increase Flexion/Elevation of Arm' self-stretching technique, what indicates that the stretch is being performed correctly?
What is the primary movement involved in the first part of the 'Increase External Rotation' exercise, when facing a doorframe?
What is the primary movement involved in the first part of the 'Increase External Rotation' exercise, when facing a doorframe?
What is the purpose of stabilizing the forearm with a table in the second variation of the 'Increase External Rotation' exercise?
What is the purpose of stabilizing the forearm with a table in the second variation of the 'Increase External Rotation' exercise?
Which activity primarily targets the wrist flexors and extensors through forearm rotation?
Which activity primarily targets the wrist flexors and extensors through forearm rotation?
Which exercise, performed in a closed chain, provides resistance through partial body weight and primarily targets elbow flexors?
Which exercise, performed in a closed chain, provides resistance through partial body weight and primarily targets elbow flexors?
Selecting from the options below, which activity best isolates the triceps brachii muscle group?
Selecting from the options below, which activity best isolates the triceps brachii muscle group?
Which of the following best represents the primary focus of the 'Lawn Mower Pull' exercise?
Which of the following best represents the primary focus of the 'Lawn Mower Pull' exercise?
In the context of wrist mobility, what action is involved in the self-mobilization of the ulnomeniscal-triquetral joint?
In the context of wrist mobility, what action is involved in the self-mobilization of the ulnomeniscal-triquetral joint?
What distinguishes mobilization with movement (MWM) from static stretching for wrist flexors and extensors?
What distinguishes mobilization with movement (MWM) from static stretching for wrist flexors and extensors?
How would you modify a standard wrist flexion/extension exercise to specifically challenge the forearm rotators?
How would you modify a standard wrist flexion/extension exercise to specifically challenge the forearm rotators?
A patient is performing a pectoralis major stretch by standing in a doorway with their forearm stabilized at 90 degrees. To effectively target the pectoralis major, what action should they perform?
A patient is performing a pectoralis major stretch by standing in a doorway with their forearm stabilized at 90 degrees. To effectively target the pectoralis major, what action should they perform?
How can triceps pushing activities be integrated into daily tasks?
How can triceps pushing activities be integrated into daily tasks?
When performing a levator scapulae stretch, which combination of head and hand movements is most effective?
When performing a levator scapulae stretch, which combination of head and hand movements is most effective?
Why is varying the joint angles important when performing multiple-angle isometric exercises?
Why is varying the joint angles important when performing multiple-angle isometric exercises?
In isometric scapular exercises, what is the purpose of applying manual resistance to elevation/depression and protraction/retraction of the scapula?
In isometric scapular exercises, what is the purpose of applying manual resistance to elevation/depression and protraction/retraction of the scapula?
To target the sternal portion of the pectoralis major with a self-stretch, what arm position is MOST appropriate?
To target the sternal portion of the pectoralis major with a self-stretch, what arm position is MOST appropriate?
During self-applied multiple angle isometrics for the shoulder, what is the MOST effective way to apply resistance if a weight is not available?
During self-applied multiple angle isometrics for the shoulder, what is the MOST effective way to apply resistance if a weight is not available?
Which modification to the levator scapulae stretch allows for a more aggressive stretch?
Which modification to the levator scapulae stretch allows for a more aggressive stretch?
A therapist is instructing a patient on self-administered isometric scapular exercises. What cue would BEST help the patient understand how to protract the scapula against resistance?
A therapist is instructing a patient on self-administered isometric scapular exercises. What cue would BEST help the patient understand how to protract the scapula against resistance?
In the context of mobilization with movement (MWM) for wrist flexors and extensors, what neurophysiological phenomenon BEST explains the immediate analgesic effect often observed?
In the context of mobilization with movement (MWM) for wrist flexors and extensors, what neurophysiological phenomenon BEST explains the immediate analgesic effect often observed?
Considering the 'Lawn Mower Pull' exercise, which biomechanical principle is MOST crucial for maximizing recruitment of the targeted upper extremity muscles while minimizing the risk of injury?
Considering the 'Lawn Mower Pull' exercise, which biomechanical principle is MOST crucial for maximizing recruitment of the targeted upper extremity muscles while minimizing the risk of injury?
When prescribing 'Triceps Pushing Activities' for a patient with limited shoulder range of motion, what modification would BEST accommodate their restriction while still effectively targeting the triceps brachii?
When prescribing 'Triceps Pushing Activities' for a patient with limited shoulder range of motion, what modification would BEST accommodate their restriction while still effectively targeting the triceps brachii?
What is the MOST critical factor to consider when progressing a patient from bilateral pull-ups with elastic resistance to modified chin-ups, ensuring a safe and effective transition?
What is the MOST critical factor to consider when progressing a patient from bilateral pull-ups with elastic resistance to modified chin-ups, ensuring a safe and effective transition?
In the Self-Mobilization of the Ulnomeniscal-Triquetral Joint, if a patient reports increased pain with medial glide of the triquetrum, yet limited pronation, what alternate mobilization strategy might be MOST appropriate?
In the Self-Mobilization of the Ulnomeniscal-Triquetral Joint, if a patient reports increased pain with medial glide of the triquetrum, yet limited pronation, what alternate mobilization strategy might be MOST appropriate?
During the Wrist Roller exercise, what adjustment in technique would MOST effectively target deeper forearm rotator cuff muscles while minimizing superficial muscle engagement?
During the Wrist Roller exercise, what adjustment in technique would MOST effectively target deeper forearm rotator cuff muscles while minimizing superficial muscle engagement?
When performing a modified push-up to strengthen the triceps, what scapular position will MOST effectively optimize triceps brachii activation, while mitigating the risk of anterior shoulder impingement?
When performing a modified push-up to strengthen the triceps, what scapular position will MOST effectively optimize triceps brachii activation, while mitigating the risk of anterior shoulder impingement?
In the progression of tennis swing simulation using wall pulleys, what kinematic adaptation would BEST mimic the kinetic chain sequencing of an actual tennis serve, enhancing power and reducing the risk of upper extremity injury?
In the progression of tennis swing simulation using wall pulleys, what kinematic adaptation would BEST mimic the kinetic chain sequencing of an actual tennis serve, enhancing power and reducing the risk of upper extremity injury?
In the 'Increase Internal Rotation' exercise performed lying on the affected side (sleeper stretch), what biomechanical principle MOST directly contributes to augmenting the stretch intensity?
In the 'Increase Internal Rotation' exercise performed lying on the affected side (sleeper stretch), what biomechanical principle MOST directly contributes to augmenting the stretch intensity?
When performing the 'Increase Extension of Arm' exercise using a table for support, what neurophysiological mechanism is primarily responsible for the increased range of motion achieved during the squat and elbow flexion?
When performing the 'Increase Extension of Arm' exercise using a table for support, what neurophysiological mechanism is primarily responsible for the increased range of motion achieved during the squat and elbow flexion?
During the 'Increase Abduction/Elevation of Arm' exercise, the concurrent lateral flexion of the cervical spine towards the arm and movement of the thorax away from the table are designed to specifically target which component of shoulder complex mobility?
During the 'Increase Abduction/Elevation of Arm' exercise, the concurrent lateral flexion of the cervical spine towards the arm and movement of the thorax away from the table are designed to specifically target which component of shoulder complex mobility?
In the Latissimus Dorsi Stretch, what is the MOST critical rationale for stabilizing the pelvis with hip and knee flexion before applying the stretch?
In the Latissimus Dorsi Stretch, what is the MOST critical rationale for stabilizing the pelvis with hip and knee flexion before applying the stretch?
During the Pectoralis Major Stretch, why is it crucial to monitor and maintain a neutral head and neck position?
During the Pectoralis Major Stretch, why is it crucial to monitor and maintain a neutral head and neck position?
When performing the Levator Scapulae Stretch, the patient is instructed to contract the muscle against resistance during inhalation. What is the primary neurophysiological rationale underpinning this technique?
When performing the Levator Scapulae Stretch, the patient is instructed to contract the muscle against resistance during inhalation. What is the primary neurophysiological rationale underpinning this technique?
In the Upper Trapezius Stretch, why is it important to stabilize the scapula by having the patient place the ipsilateral hand behind their back?
In the Upper Trapezius Stretch, why is it important to stabilize the scapula by having the patient place the ipsilateral hand behind their back?
When applying the Upper Trapezius Stretch, what is the theoretical basis for incorporating cervical flexion, rotation to the tight side, and side bending away from the tight side?
When applying the Upper Trapezius Stretch, what is the theoretical basis for incorporating cervical flexion, rotation to the tight side, and side bending away from the tight side?
In a 'Push-up with Plus' exercise, what biomechanical adaptation occurs at the scapulothoracic joint, and how does it contribute to enhanced serratus anterior activation?
In a 'Push-up with Plus' exercise, what biomechanical adaptation occurs at the scapulothoracic joint, and how does it contribute to enhanced serratus anterior activation?
During scapular depression exercises, what neurophysiological mechanism is responsible for increased lower trapezius activity, and how can manual resistance be strategically applied to optimize its effects?
During scapular depression exercises, what neurophysiological mechanism is responsible for increased lower trapezius activity, and how can manual resistance be strategically applied to optimize its effects?
In the context of scapular upward rotation with depression, how does the concurrent activation of upper, middle trapezius, and serratus anterior orchestrate complex force couples, and what specific proprioceptive feedback loops are engaged to maintain scapulohumeral rhythm?
In the context of scapular upward rotation with depression, how does the concurrent activation of upper, middle trapezius, and serratus anterior orchestrate complex force couples, and what specific proprioceptive feedback loops are engaged to maintain scapulohumeral rhythm?
Considering the biomechanics of shoulder external rotation exercises, which specific alteration in scapular orientation would most significantly compromise infraspinatus and teres minor activation, and what compensatory strategies might the neuromuscular system employ?
Considering the biomechanics of shoulder external rotation exercises, which specific alteration in scapular orientation would most significantly compromise infraspinatus and teres minor activation, and what compensatory strategies might the neuromuscular system employ?
During shoulder internal rotation exercises, what specific kinematic chain dysfunction could inhibit subscapularis recruitment, and how might aberrant glenohumeral arthrokinematics contribute to secondary impingement syndromes?
During shoulder internal rotation exercises, what specific kinematic chain dysfunction could inhibit subscapularis recruitment, and how might aberrant glenohumeral arthrokinematics contribute to secondary impingement syndromes?
Given the potential for supraspinatus impingement during shoulder abduction, how does performing the 'full can' exercise (arm abducted in the scapular plane with external rotation) mitigate this risk, and what biomechanical principle underlies its effectiveness compared to the 'empty can' variant?
Given the potential for supraspinatus impingement during shoulder abduction, how does performing the 'full can' exercise (arm abducted in the scapular plane with external rotation) mitigate this risk, and what biomechanical principle underlies its effectiveness compared to the 'empty can' variant?
Considering the military press exercise, what modulation of grip width and elbow position would most effectively target specific deltoid fiber subgroups while minimizing recruitment from synergistic muscles, and what neurophysiological principles dictate this optimization?
Considering the military press exercise, what modulation of grip width and elbow position would most effectively target specific deltoid fiber subgroups while minimizing recruitment from synergistic muscles, and what neurophysiological principles dictate this optimization?
When performing shoulder extension exercises, what specific postural adjustment could preemptively mitigate the risk of lumbar hyperextension, and how might the application of proprioceptive neuromuscular facilitation (PNF) techniques augment rhomboid recruitment during the concentric phase?
When performing shoulder extension exercises, what specific postural adjustment could preemptively mitigate the risk of lumbar hyperextension, and how might the application of proprioceptive neuromuscular facilitation (PNF) techniques augment rhomboid recruitment during the concentric phase?
In the context of MWM (Mobilization with Movement) applied to MCP and IP joints, what biophysical principle MOST directly underpins the observed analgesic effect during active finger flexion or extension?
In the context of MWM (Mobilization with Movement) applied to MCP and IP joints, what biophysical principle MOST directly underpins the observed analgesic effect during active finger flexion or extension?
When employing 'Tendon-Gliding (Flexor)' exercises, the 'tabletop position' (MCP joints flexed, IP joints extended) is MOST crucial for preferentially engaging which specific anatomical structure, considering its unique biomechanical role at that joint angle?
When employing 'Tendon-Gliding (Flexor)' exercises, the 'tabletop position' (MCP joints flexed, IP joints extended) is MOST crucial for preferentially engaging which specific anatomical structure, considering its unique biomechanical role at that joint angle?
During 'Tendon-Blocking (Flexor) Isolated MCP Flexion' exercises, what neurophysiological mechanism is MOST critical for achieving isolated MCP joint flexion while mitigating compensatory movements from synergistic muscles?
During 'Tendon-Blocking (Flexor) Isolated MCP Flexion' exercises, what neurophysiological mechanism is MOST critical for achieving isolated MCP joint flexion while mitigating compensatory movements from synergistic muscles?
In 'Tendon-Blocking (Flexor) Isolated MCP Extension' exercises, hooking the fingers around a pencil while extending the MCP joints MOST directly challenges what specific aspect of extensor mechanism function, beyond simple muscle strength?
In 'Tendon-Blocking (Flexor) Isolated MCP Extension' exercises, hooking the fingers around a pencil while extending the MCP joints MOST directly challenges what specific aspect of extensor mechanism function, beyond simple muscle strength?
When performing Terminal-Range Extension of IP Joints, what is the MOST biomechanically relevant rationale for positioning a pencil or block under either the proximal or middle phalanx?
When performing Terminal-Range Extension of IP Joints, what is the MOST biomechanically relevant rationale for positioning a pencil or block under either the proximal or middle phalanx?
During Extensor Tendon-Gliding exercises, the act of passively flexing the MCP and IP joints of one finger while actively maintaining the others in extension MOST specifically assesses and trains what aspect of the extensor digitorum communis (EDC)?
During Extensor Tendon-Gliding exercises, the act of passively flexing the MCP and IP joints of one finger while actively maintaining the others in extension MOST specifically assesses and trains what aspect of the extensor digitorum communis (EDC)?
When stretching individual finger joints by positioning a phalanx at the edge of a table and applying a stretch force against the distal bone, what is the MOST critical consideration regarding force application to prevent iatrogenic injury?
When stretching individual finger joints by positioning a phalanx at the edge of a table and applying a stretch force against the distal bone, what is the MOST critical consideration regarding force application to prevent iatrogenic injury?
In 'Self-Stretching Lumbricals and Interossei', actively extending the MCP joints and flexing the IP joints, followed by a passive stretch, indirectly targets which specific aspect of intrinsic hand muscle adaptation to repetitive gripping tasks?
In 'Self-Stretching Lumbricals and Interossei', actively extending the MCP joints and flexing the IP joints, followed by a passive stretch, indirectly targets which specific aspect of intrinsic hand muscle adaptation to repetitive gripping tasks?
A patient presents with documented supraspinatus tendinopathy. Considering the principles of isometric exercise and functional rehabilitation, at what specific angle of abduction should isometric resistance be initially applied to optimize therapeutic effect while minimizing risk of exacerbation, assuming pain provocation between 60-90 degrees?
A patient presents with documented supraspinatus tendinopathy. Considering the principles of isometric exercise and functional rehabilitation, at what specific angle of abduction should isometric resistance be initially applied to optimize therapeutic effect while minimizing risk of exacerbation, assuming pain provocation between 60-90 degrees?
When performing self-resistance isometric shoulder rotation exercises, a patient reports experiencing inconsistent levels of resistance despite maintaining a constant perceived effort. Assuming no change in hand placement or body position, which biomechanical principle MOST likely contributes to this variability?
When performing self-resistance isometric shoulder rotation exercises, a patient reports experiencing inconsistent levels of resistance despite maintaining a constant perceived effort. Assuming no change in hand placement or body position, which biomechanical principle MOST likely contributes to this variability?
In the context of open-chain scapular stabilization exercises performed in side-lying with the affected extremity draped over the therapist's shoulder, which modification would BEST facilitate progressive overload specifically targeting serratus anterior activation while mitigating compensatory upper trapezius engagement?
In the context of open-chain scapular stabilization exercises performed in side-lying with the affected extremity draped over the therapist's shoulder, which modification would BEST facilitate progressive overload specifically targeting serratus anterior activation while mitigating compensatory upper trapezius engagement?
When executing static closed-chain stabilization exercises, a patient with chronic shoulder instability exhibits excessive scapular winging during weight-bearing. Which of the following neuromuscular strategies would be MOST effective in addressing this compensatory pattern, immediately?
When executing static closed-chain stabilization exercises, a patient with chronic shoulder instability exhibits excessive scapular winging during weight-bearing. Which of the following neuromuscular strategies would be MOST effective in addressing this compensatory pattern, immediately?
A powerlifter recovering from a subscapularis tear is performing isometric shoulder extension exercises. Which adjustment to the humerus position during the exercise would BEST target the lower fibers of the subscapularis muscle while minimizing anterior glide of the humeral head?
A powerlifter recovering from a subscapularis tear is performing isometric shoulder extension exercises. Which adjustment to the humerus position during the exercise would BEST target the lower fibers of the subscapularis muscle while minimizing anterior glide of the humeral head?
A patient is performing self-resistance isometric shoulder flexion exercises. What modification to hand placement on the resisting arm would MOST effectively increase the challenge to the stabilizing muscles of the scapula?
A patient is performing self-resistance isometric shoulder flexion exercises. What modification to hand placement on the resisting arm would MOST effectively increase the challenge to the stabilizing muscles of the scapula?
When implementing self-resistance isometric shoulder abduction, a patient consistently exhibits a substitution pattern involving upper trapezius dominance and compensatory trunk lean. Which cueing strategy would be MOST effective in immediately mitigating this unwanted movement?
When implementing self-resistance isometric shoulder abduction, a patient consistently exhibits a substitution pattern involving upper trapezius dominance and compensatory trunk lean. Which cueing strategy would be MOST effective in immediately mitigating this unwanted movement?
In the context of proximal joint stabilization during static closed-chain exercises for the shoulder, what neurophysiological principle BEST explains the observed improvement in distal upper extremity motor control following consistent weight-bearing?
In the context of proximal joint stabilization during static closed-chain exercises for the shoulder, what neurophysiological principle BEST explains the observed improvement in distal upper extremity motor control following consistent weight-bearing?
In manual stretching of extrinsic finger muscles, what is the biomechanical rationale for initiating the stretch at the most distal joint and progressing proximally?
In manual stretching of extrinsic finger muscles, what is the biomechanical rationale for initiating the stretch at the most distal joint and progressing proximally?
During self-stretching of the adductor pollicis, what neurophysiological phenomenon is primarily being exploited to enhance muscle relaxation and increase web space?
During self-stretching of the adductor pollicis, what neurophysiological phenomenon is primarily being exploited to enhance muscle relaxation and increase web space?
In the context of self-stretching extrinsic finger flexors, what is the underlying principle that makes stabilizing over the distal joints crucial for isolating the stretch?
In the context of self-stretching extrinsic finger flexors, what is the underlying principle that makes stabilizing over the distal joints crucial for isolating the stretch?
When employing wrist flexion/extension exercises with elastic resistance in a clinical rehabilitation setting, what is the MOST critical consideration for ensuring optimal therapeutic outcomes and preventing iatrogenic injury?
When employing wrist flexion/extension exercises with elastic resistance in a clinical rehabilitation setting, what is the MOST critical consideration for ensuring optimal therapeutic outcomes and preventing iatrogenic injury?
In wrist radial/ulnar deviation exercises with a weighted bar, what specific biomechanical adaptation is facilitated by pronating or supinating the forearm respectively, beyond simply resisting the deviation?
In wrist radial/ulnar deviation exercises with a weighted bar, what specific biomechanical adaptation is facilitated by pronating or supinating the forearm respectively, beyond simply resisting the deviation?
During isolated abduction/adduction of each finger with resistance, what is the neurophysiological underpinning explaining why resistance is applied at the distal end of the proximal phalanx rather than more proximally?
During isolated abduction/adduction of each finger with resistance, what is the neurophysiological underpinning explaining why resistance is applied at the distal end of the proximal phalanx rather than more proximally?
When performing self-resistance exercises for extrinsic finger flexors, what is the biomechanical rationale for simultaneously flexing the wrist while resisting finger flexion?
When performing self-resistance exercises for extrinsic finger flexors, what is the biomechanical rationale for simultaneously flexing the wrist while resisting finger flexion?
In the context of self-resistance exercises for improving extrinsic finger flexor strength, how does applying resistance with the opposite hand while flexing the wrist simultaneously influence the sensorimotor cortex, potentially leading to enhanced motor learning?
In the context of self-resistance exercises for improving extrinsic finger flexor strength, how does applying resistance with the opposite hand while flexing the wrist simultaneously influence the sensorimotor cortex, potentially leading to enhanced motor learning?
Flashcards
Wrist Flexion
Wrist Flexion
Bending the wrist to decrease the angle between the palm and the forearm.
Wrist Extension
Wrist Extension
Straightening the wrist to increase the angle between the palm and the forearm.
Wrist Flexors
Wrist Flexors
Muscles that allow wrist flexion by pulling downward.
Wrist Extensors
Wrist Extensors
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Wrist Roller
Wrist Roller
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Modified Chin-Ups
Modified Chin-Ups
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Triceps Brachii
Triceps Brachii
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Self-Mobilization of Ulnomeniscal-Triquetral Joint
Self-Mobilization of Ulnomeniscal-Triquetral Joint
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Pec Stretch
Pec Stretch
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Shoulder External Rotation
Shoulder External Rotation
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Caudal Glide
Caudal Glide
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Anterior Glide
Anterior Glide
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Cross-Chest Stretch
Cross-Chest Stretch
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Increase Flexion/Elevation of Shoulder
Increase Flexion/Elevation of Shoulder
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Shoulder External Rotators
Shoulder External Rotators
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Posterior Glide
Posterior Glide
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Pectoralis Major Self-Stretch
Pectoralis Major Self-Stretch
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Clavicular Portion Stretch
Clavicular Portion Stretch
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Sternal Portion Stretch
Sternal Portion Stretch
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Levator Scapulae Self-Stretch
Levator Scapulae Self-Stretch
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Upper Trapezius Self-Stretch
Upper Trapezius Self-Stretch
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Multiple-Angle Isometrics
Multiple-Angle Isometrics
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Self-Applied Isometrics
Self-Applied Isometrics
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Isometric Scapular Exercises
Isometric Scapular Exercises
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Sleeper Position
Sleeper Position
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Shoulder Extension
Shoulder Extension
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Shoulder Abduction
Shoulder Abduction
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Latissimus Dorsi Stretch
Latissimus Dorsi Stretch
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Pectoralis Major Stretch
Pectoralis Major Stretch
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Levator Scapulae Stretch
Levator Scapulae Stretch
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Upper Trapezius Stretch
Upper Trapezius Stretch
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Isometric Resistance in Elevation
Isometric Resistance in Elevation
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Isometric Shoulder Extension
Isometric Shoulder Extension
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Isometric Shoulder Adduction
Isometric Shoulder Adduction
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Isometric Shoulder Abduction
Isometric Shoulder Abduction
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Self-Resistance Isometric Flexion
Self-Resistance Isometric Flexion
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Self-Resistance Isometric Abduction
Self-Resistance Isometric Abduction
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Open-Chain Stabilization
Open-Chain Stabilization
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Static Closed-Chain Stabilization
Static Closed-Chain Stabilization
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Push-ups with Plus
Push-ups with Plus
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Serratus Anterior
Serratus Anterior
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Lower Trapezius
Lower Trapezius
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Scapular Upward Rotation
Scapular Upward Rotation
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Military Press-Up
Military Press-Up
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Wrist Flexion/Extension Activity
Wrist Flexion/Extension Activity
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Bilateral Pull-Ups
Bilateral Pull-Ups
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Modified Push-Up
Modified Push-Up
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Seated Push-Up
Seated Push-Up
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Triceps Pushing Activities
Triceps Pushing Activities
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Tennis Swings
Tennis Swings
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Ulnomeniscal-Triquetral Joint Mobilization
Ulnomeniscal-Triquetral Joint Mobilization
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Wrist Mobilization with Movement (MWM)
Wrist Mobilization with Movement (MWM)
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Medial/Lateral Glide of Phalanx
Medial/Lateral Glide of Phalanx
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MCP and IP Joint Stretching
MCP and IP Joint Stretching
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Flexor Digitorum Profundus (FDP)
Flexor Digitorum Profundus (FDP)
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Tendon-Gliding Exercises
Tendon-Gliding Exercises
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Tendon-Blocking for MCP Flexion
Tendon-Blocking for MCP Flexion
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Finger Extensors Movement
Finger Extensors Movement
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Terminal-Range Extension of IP Joints
Terminal-Range Extension of IP Joints
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Self-Stretching Lumbricals
Self-Stretching Lumbricals
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Interossei
Interossei
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Extrinsic Finger Muscles
Extrinsic Finger Muscles
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Self-Stretching Interossei
Self-Stretching Interossei
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Adductor Pollicis
Adductor Pollicis
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Wrist Radial/Ulnar Deviation
Wrist Radial/Ulnar Deviation
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Self-Resistance Extrinsic Finger Flexors
Self-Resistance Extrinsic Finger Flexors
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Wrist Flexors/Extensors
Wrist Flexors/Extensors
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Combined Abduction/Adduction
Combined Abduction/Adduction
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Study Notes
Shoulder Exercises
- Pec Stretch: Lean into a corner, hands at 90-degree angles, maintaining straight posture to stretch the chest muscles.
- Shoulder External Rotation: Place a rolled towel between the inner arm and side, fist clenched, gently rotating the arm outwards to engage shoulder back muscles.
- Caudal Glide: Sit, grasping fingers under an edge and lean away from the stabilized arm to stretch the humerus area.
- Anterior Glide: Sit with both arms behind the body, lie supine, supported on a solid surface, lean on the arms to stretch the area.
- Posterior Glide: Prone, propped up on both elbows, shift weight downwards between arms to stretch the humerus area.
Self-Stretching Techniques for Increased Shoulder ROM
- Cross-Chest Stretch (Posterior GH joint): Sitting/standing, adduct tight shoulder across chest, apply sustained pressure drawing the arm to the chest, maintaining no rotation.
Manual Stretching Techniques
- Shoulder flexion/Elevation of Arm: Sitting sideways to a table, forearm rest along the edge, slight elbow bend, slide forearm forward while bending from waist to increase flexion.
- Shoulder external rotators: Standing, facing a doorframe, elbow at 90°, back of hand against the frame. Turn away and towards the hand, respectively.
- Shoulder internal rotators: Lie on affected side, with shoulder and elbow at 90°, arm internally rotated, push forearm toward table with opposite hand.
- Shoulder extensors: Facing a table, hands grasping the edge with fingers forward, start to squat and allow elbows to flex.
- Shoulder abductors: Sitting by a table, forearm resting on table, palm up, point towards opposite side of table, slide arm across table, and head down.
Self-Stretching Techniques
- Latissimus Dorsi Stretch: To stretch the latissimus dorsi, keep your head and scapula stabilized. Have the patient breathe in and pull against a resistance. As they relax, depress the rib cage and scapula.
- Pectoralis Major Stretch (Clavicular portion): Stand with arms in a reverse-T position, stretching the clavicular portion of the muscle.
- Pectoralis Major Stretch (Sternal portion): Stand with arms in a V-position, stretching the sternal portion of the muscle.
- Levator Scapulae Stretch: Stand with head tilted and rotated away from the tight side; place ipsilateral hand behind head and bent elbow against a wall.
Isometric Exercises
- Multiple-Angle Isometrics: Apply isometric resistance at various joint angles to target shoulder muscles. Vary intensity and repetitions.
- Self-Applied Multiple Angle Isometrics: Independently apply isometric resistance using the opposite hand or a stationary object.
Isometric Scapular Exercises
- Apply manual resistance: For elevation/depression and protraction/retraction movements.
- Vary intensity and repetitions: Based on strength, stage of recovery, and pathomechanics
Dynamic Strengthening Exercises: Scapular Muscles
- Scapular muscular activation: Various positions including side-lying, sitting, and standing with resistance. This can vary based on the specific exercises involved.
Dynamic Strengthening Exercises: Glenohumeral Muscles
- Shoulder External Rotation: Use elastic resistance, free weights, or a pulley system in various arm positions, vary positions and resistance level.
- Shoulder Internal Rotation: Side-lying, partial flexion; lift, internally rotate (free weights, elastic resistance, or pulley system).
- Shoulder Abduction: Shoulder abduction in scapular plane (full can exercise), not the empty can. Keep scapulae controlled.
- Shoulder Extension: Prone, arm over table, 90 degrees flexion, lift weight up, extending the shoulder, free weight or elastic resistance / sitting or standing, pull against a resistance. Vary positions and resistance level.
- Elbow Flexion (Biceps Curl): Sit or stand, flex elbow while holding weight in a supinated position, maintaining a stable arm position. Vary resistance level
Functional Progression for the Shoulder Girdle
- PNF Pattern (D2 Flexion): Emphasizes flexion, abduction, external rotation using elastic resistance (progress this based on patient capabilities.).
- Simulated Rowing Motion: Mimic rowing motion against elastic resistance.
- Pushing a Weighted Cart: Standing, use proper body mechanics, incrementally increase weight and uneven surfaces.
Elbow and Forearm Exercises
- Biceps Brachii Self-Stretch
- Long Head of Triceps Self-Stretch
- Mild Elbow Extension Contracture Self-Stretch
- Mild Elbow Flexion Contracture Self-Stretch
- Closed-Chain Stabilization - Various positions to improve stabilizing muscles; progress positions based on the patient's tolerated movements.
- Elbow and forearm muscles - Exercises to improve strength in various positions, and for different ranges of motion.
- Wrist Flexion/Extension: Exercises to improve wrist strength and flexibility (include various hand and wrist positions).
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Description
Explore a variety of shoulder exercises and stretching techniques to improve range of motion and flexibility. Includes pec stretches, shoulder external rotations, and caudal glides. Learn both self-stretching and manual stretching methods for optimal shoulder health.
