#7114 Restoring Shoulder Rotation before Elevation

 

One of the most important functional movements of the shoulder is active elevation. Restoring elevation in a time-efficient manner remains a challenging problem. The rehabilitation specialist needs to be a detective and figure out why a joint is not moving and/or what is causing the pain. Shoulder elevation is one of the most complicated movements in the body.  The treatment of a stiff and painful should not reproduce the pain that the patient has come to physical therapy to get ride of. f we analysis the shoulder motions it is made up of moving parts all responsible for the functional movement patterns that the joint allows. There are three major moving parts of the shoulder, the scapula, humerus, and the clavicle, making up three moving joints. The glenohumeral (G-H) and the acromio-clavicular (AC) are synovial joints, where as the scapula-thoracic (ST) is a sesamoid bone floating around the ribs.  We believe that restoring rotation of the glenohumeral joint, acromio-clavicular and scapula thoracic articulation before elevation is the safest and most efficient methods of treating patients with stiff and painful shoulders. Forcing a shoulder joint that is painful and stiff into elevation is dangerous.

 

Instructor:Robert Donatelli, Ph.D, PT

 

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#7114 Restoring Shoulder Rotation before Elevation

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