Greatest gains will be made when the muscles are warm. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Notes for exercises perform each exercise slow and controlled ice for 20 minutes 2 times a day if shoulder is sore. Scapular stabilization exercises sensational yoga poses. Because i start a lot of my yoga classes on the floor, in seated positions, table top is often one of my first scapular stabilization exercises. What is a winged scapula and best exercises to fix it. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your. Lie on your stomach with your arms down by your sides. Strengthening exercises mammoth orthopedic institute. Alisha fey and her research team 3 also noted the important roles played by the serratus anterior, the lower trapezius, and the middle trapezius in producing scapular upward rotation, posterior tilting, and external rotation of the scapula. Stabilization exercises have been a focus and mainstay of many therapeutic and performance training programs in the past decade.
Scapula strengthening program exercise title exercise sets and repetitions sternal lift 4 x 8 begin with knees and trunk slightly bent forward stand up straight and pull shoulder blades together without shrugging shoulders. All exercises should be completed as three sets of 10 repetitions, unless otherwise noted. A thorough rehabilitation program for shoulder injuries should include the prescription of flexibility or rangeofmotion exercises, scapularstabilization exercises, rotatorcuff exercises, and sportspecific training including plyometrics. Improving shoulder stability and strength darrell barnes, lat, atc, cscs st. The scapula, the largest bone of your shoulder girdle, connects the humerus to the clavicle. Scapular winging, sometimes called a winged scapula, is a condition that affects the shoulder blades. Point your toes away from your body and fully extend your. Rotator cuff and scapular stabilization strengthening. Because the scapula plays such a critical role in your posture and the mobility of your arms and shoulders, scapular winging causes deformity that leads to pain in your back and shoulders. To do this exercise, start by standing tall with the back straight. Periscapular strengthening program lawnmower 2 x 12 begin with arm down. I want to emphasise from the beginning that this blog aims is to compare and contrast rehabilitation programs for the scapula, which can be used as one component for the treatment of shoulder impingement.
Background o the scapula is the base of support to shoulder joint and all movements of the upper extremity o poor scapular stabilization can contribute to a variety of upper quadrant syndromes such as. The serratus anterior and rhomboid muscles hold this bone flat against the rib cage. Pdf this article highlights exercise prescription to enhance scapular stabilization during the initial phase of rehabilitation, with additional tips. Scapular stabilization exercises the scapula aka shoulder blade is the origin of the shoulder joint. Damage to these muscles can lift your scapula, a condition referred to as winging. Whether the focus is core stabilization for the spine or scapular stabilization, clinicians and trainers alike have endorsed these programs, largely on the basis of conceptual theory and anecdotal experience. Efficacy of abdominal control feedback and scapula. To ensure that the program is safe and effective for you, it should be performed under your doctors supervision. Strengthening exercises were progressively performed for three sets, with 10 to 15 repetitions. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them.
I reached out recently to jason dierking, the strength and conditioning coach for the swim team at the university of louisville, for his favorite scapular stability exercises for swimmers. Shoulder strengthening exercises should be completed 12 times per day, 5 days a week, and should be done to both sides. The scapula, commonly referred to as the shoulder blade, is a large, flat bone that sits on top of the rib cage and is held in place by the many muscles of the shoulder girdle. Table 2 lists the top exercises for some key scapula muscles as determined from elect roniyographic. This video shows four simple scapula strengthening exercises that can be done in early phases of postoperati. Exercises for scapula fracture or broken shoulder blade. When your scapula gets lazy or weak the shoulder tends to become malaligned and unstable. Identify physical imbalances that may lead to shoulder injury andor decreased performance learn exercises that will improve shoulder stabilitystrength and decrease the chance. One of my most popular programs is the scapular stabilisation exercises program i really like it when i get emails from people that are working on the program so i can help tailor the program for them, so they get the results they are looking for.
It is the result of numerous causes, including traumatic, iatrogenic, and idiopathic processes that most often result in nerve injury and paralysis of either the serratus anterior, trapezius, or rhomboid muscles. Squeeze the shoulder blades together as much as possible without aggravating pain. For those who wish to improve their scapula as well as their control over their shoulder blades, there are several exercises that you can perform. The effect of manual therapy and stabilizing exercises on. Scapula stabilization rehab exercise prescription digital. If strengthening exercises become too easy, the repetitions should be increased until muscle. Lie prone on your stomach on a mat, with your arms and legs fully extended. The emphasis given to strengthening the scapular muscles in throwing athletes is undervalued and immensely underaddressed. These scapular stabilization exercises will keep them healthy.
Your therapist will show you how and where to attach the band to get the most benefit during exercise. Compared with scapular protraction, scapular retraction has been shown to both increase subacromial space width and enhance supraspinatus force production during humeral elevation. Whenever you are starting to learn a new motion, its. These muscles are primarily those which power your shoulder blade or scapula.
As a result, strengthening the muscles around the scapula is essential for rehabilitating your shoulder. Scapular winging is a rare debilitating condition that leads to limited functional activity of the upper extremity. Exercises that selectively restore balance to the trapezius muscle video sidelying forward flexion exercises video. Periscapular strengthening exercises home exercise program all exercises should be completed as three sets of 10 repetitions, unless otherwise noted. Evan osar discusses scapular stabilization, exercise for shoulder pain, rotator cuff injuries and more. Scapula strengthening exercises early shoulder rehab. Scapular stability exercises the following scapular stability exercises are designed to improve the strength and control of the muscles of the shoulder blade scapula. These scapular stabilization exercises are great for building rock solid, stable and healthy shoulders.
Treatment will, of course, largely depend on its underlying cause. Attach the theraband at waist level to a doorknob or post. In order to fix your scapular dyskinesis, youll need to perform exercises to restore proper mobility, stabilize your scapula, retrain proper movement patterns and strengthen the muscles surrounding the glenohumeral joint. Program for rotator cuff and scapular stabilization strengthening. Place your little fingers on the wall with your elbows straight. The head of the humerus upper arm bone is the ball and the scapula shoulder blade forms the socket where the humerus sits.
This is a general conditioning program that provides a wide range of exercises. Gently squeeze your shoulder blades together and down as you lift your arms away from the wall. Proper scapular stabilization exercises can help strengthen your serratus anterior and rhomboid muscles, which in turn will protect your scapula from long term damage. The scapula aka shoulder blade is the origin of the shoulder joint. Keep arm at waist level while twisting trunk to help pinch shoulder blade scapula towards spine. The stretching part of the exercises was done with the purpose of increasing the flexibility of the pectoralis and the cervical neck extensors muscles pectoralis stretch, chin tuck. Scapular stabilisation exercises exercises for injuries. The third component of the reconditioning program for your shoulder is to train the muscles that balance the ball in the socket. To make the exercise harder you can step away so the band is tight then recommence your exercises. Rotator cuff and shoulder conditioning program orthoinfo aaos. I often start with easy table top, with the hips on the floor. Some exercises that your therapist will teach you include. Effects of scapular stabilization exercise training on scapular.
Home exercises for the unstable shoulder uw orthopaedics. These exercises are a good start for just about anyone looking to improve scapular retraction at a basic level. Scapula is the anatomical term for the shoulder blade. Shoulder rehabilitation western orthopaedic clinic. The inventor, joseph humbertus pilates, taught his method to a relatively small group of people in his new york studio, located. Stabilization of the scapula was emphasized during instruction. The scapula plays a vital role in athletes shoulder function.
The scapula and arm are connected to the body by multiple muscle and ligament attachments. Prone scapular shoulder stabilization series i, y, t. Earlyintervention prescription article pdf available in athletic therapy today 115. Periscapular strengthening program sports and ortho. Program for rotator cuff and scapular stabilization strengthening blackburn exercises. Shoulder stabilization exercises standing lower trap stand facing a wall.
Periscapular strengthening exercises connecticut childrens. I will be listing down some of the best scapula retraction exercises that you can do in your home or at the gym. Theyll help prevent painful injuries and training setbacks, plus the embarrassment of a crumbling arm when your shoulder gives out on the court or in the gym something wed all rather avoid. A winged scapula is a shoulder blade that is protruding outward from your back rather than lying flat.
Some of the exercises done postsurgery for scapular stabilization are. Welcome to the third part of the shoulder impingement series, as we take a closer look at exercises for scapula control. Efficacy of abdominal control feedback and scapula stabilization exercises in participants with forward head, round shoulder postures and neck movement impairment. While the evidence to support this approach is still emerging. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.
If you experience pain and swelling, as the first line of defence you can apply cold pack along this area along the medial surface of the scapula. Here they are with jasons pointers for doing them properly. Shoulder strengthening exercises should be completed 34 times per day and should be done to both sides. Snapping scapula syndrome exercises for treatment vigor. Scapula position and humeral rotation can affect injury risk during humeral elevation. Scapularperiscapular exercises table slides abduction 2 x 10 slide arm and body together across table. The front of the scapula acromion is also connected to the clavicle collarbone through the acromioclavicular joint. Snapping scapula syndrome treatment aims to improve the patients muscle strength and balance, address poor posture, and strengthen the patients core. Just make sure you double check with him or her first to make sure youre cleared for physical activity and to get more personalized recommendations. After an injury, your doctor or physical therapist may advise doing daily scapular stabilization exercises similar to the ones listed below at home. Scapular, shoulder and elbow theraband exercises these theraband exercises will help improve your strength and endurance. When the shoulder is injured, the muscles that control. While the exercises below are designed to help you to work on the stability of the scapula and mobility in the shoulder, you should be aware that if there are dysfunctional links lower down in the kinetic chain then these will also need correcting to help you swing that golf club as fast as you possibly can. These scapular stabilizing muscles control the position and movement of the scapula which are vital to arm health and performance.