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Brian Schiff’s Blog

Injury Prevention, Sports Rehab & Performance Training Expert

Tag: shoulder rehab

One of my favorite tools I use in the gym with my clients is the BOSU.  Admittedly, it is really easy to get carried away with various tools and equipment when training clients or ourselves.  But, the BOSU is awesome if you are into building strong stable shoulders and safeguarding them against injury.

Many people focus on open chain (the hand is free in space) shoulder training, but in overhead athletes such as swimmers, volleyball players and throwers, it is essential to build a solid level of scapular strength to absorb force and enable the shoulder to move freely and effectively generate power.

I routinely include BOSU stability work in the following ways:

  1. Dynamic warm-up
  2. Core training
  3. Upper body work & scapular strengthening

One of my favorite exercises is what I term the “BOSU clock.”  I wrote a column on this exact exercise for PFP Magazine a few months back.

bosu-clock-start

Click here to read more and learn how to use this exercise to improve shoulder stability and reduce pain and/or injury risk related to shoulder instability, rotator cuff pathology and muscular imbalances.

This is just one great way to use the BOSU in your training.  If you are interested in getting your very own BOSU, head on over to my OpenSky Shop and check it out – http://brianschiff.theopenskyproject.com/

I am sure you or someone you know has suffered with or been affected by a frozen shoulder at some point.  Known in the medical world as adhesive capsulitis, this condition can be downright miserable for folks.

Who gets it?  It is often brought on after injury or a period of immobilization (e.g. arm in a sling after surgery or dislocation).  However, it also comes on insidiously too.  Statistics indicate it more commonly affects women and those with diabetes are at more risk for getting it in both arms.

Some feel it may ultimately be an autoimmune reaction that triggers it.  So, what is it exactly?  Well, in plain terms your shoulder joint has folds of connective tissue we refer to as a joint capsule.  In frozen shoulder cases, the capsule becomes shortened and inflamed making arm movement painful and limited at best. 

There are three distinct phases:

  1. Freezing
  2. Frozen
  3. Thawing

These phases may progress over the course of months or in some cases last as long as 2-3 years to resolve.  In time, the condition will correct itself. 

Symptoms may include:

  • Stiffness
  • Difficulty sleeping
  • Pain along the shoulder or down into the arm
  • Certain movements more restricted than others
  • Progressive worsening of motion and decreasing pain

No one wants to suffer with this for any prolonged period of time.  So, how do you accelerate the healing process?  You must move the shoulder daily within your available range of motion.  But doing the right exercise is critical.

In addition, I believe having an experienced therapist do joint mobilizations is critical in loosening up the capsule provided it is done within pain tolerance of the patient and followed up by appropriate stretching.  For those without insurance or looking to avoid the grueling stretching some docs and PT’s advocate, I recommend looking at my home therapy guide.

Want more info?  Visit www.frozenshouldertherapy.com for success stories and more details on my proven home remedy.  You can also click on the image below:

frozen3dflat

In addition, I think you can complement rehab with a tool like the Rotater to help restore mobility.  I have trialed this product myself and I really like the ease of use and control the patient has with the stretching intensity.  For more details, click on the image below:

Discover the #1 Shoulder Rehab Tool

I have literally helped over 10,000 people rid themselves of shoulder problems in just the past 3 years with my Ultimate Rotator Cuff Training Guide. What has been the secret of my success? To be honest, it comes down to understanding how to systematically couple and progress specific exercises at definitive time intervals to deliver a positive rehab outcome.

Sounds easy enough, right? Well, I have found it is not. In the next few blog posts, I will share some critical shoulder exercises to incorporate into your program if you have weakness or pain related to poor rotator cuff and scapular muscle strength.

The first exercise today is seated dumbbell horizontal external rotation. It is imperative to keep the arm slightly forward of the plane fo the body (scapular plane is ideal) and move at a predictable pace through a pain free range of motion. Do not push back through pain as this only perpetuates inflammation.

This particular exercise is effective for increasing strength in the posterior cuff muscles and also for athletes participating in overhead sports such as volleyball, baseball, swimming, and golf to name a few. Do 2 sets fo 10-15 repetitions with a light weight. Tomorrow, I will reveal a more advanced progression of this exercise.