Holla , Rehab studs. This weekly blog happens to be my first video blog ever (on the downside I paid a decent buck to upload these videos so feel free to share if you like)!!! You may see only four videos here but I had to re-take them multiple times as I didn’t want to upload YouTube videos here and I am clearly not a natural in front of the camera as you will see shortly (apologies, however I will get better). The reason for uploading my own videos is that physios are great observers and I wanted to have some of your expert feedback on my techniques, cues etc. Quick disclaimer – I made these drills on common patterns I often find and the correctives I use for them as a continuation of the first part. These are not the only interventions and their selection depends upon a thorough evaluation ( this disclaimer was for any trolls out there, a prudent therapist knows this all to well).
1. Mobility drills for that gnarly exaggerated thoracic kyphosis- I find most of my patients love these drill after the initial discomfort they feel when their poor upper back is moved into the extended position. Some patients also report feeling more upright and a little taller after the intervention. Important point to remember is discomfort is acceptable but this intervention should not be painful. Progress slowly.
Lets not neglect rotation-
2. The ‘W’ exercise for rotator cuff weakness- though there are a number of exercises for strengthening the rotator cuff this one is my favorite. As mentioned in the video, I don’t like to knock out 3 sets X 10 reps. I would rather train the rotator cuff for endurance with longer holds in the externally rotated shoulder position ( actually depending upon patient tolerance I might do both). Lets not forget the primary goal of the RC is supporting the head of the humerus into the glenoid and secondary action is IR/ER. What is your one favorite ‘go-to’ exercise for RC training?
3. The ‘Y’ exercise for lower traps- I have seen big guys benching close to 200 lbs struggle during this exercise with a tiny pink 5lbs dumbbell attempting full shoulder scaption ; hence give this exercise it’s due respect.
Remember that we only scratched the surface with this blog posts. We also must think about other big players like the serratus anterior, lat dorsi, Levator scapula etc. To work on the pec minor I use different manual therapy techniques which is a blog post for another day. I would love to hear some of the exercises you commonly use during your rehab. Feel free to post links of videos if you can. I envision this blog not just as a medium for me to express my thoughts but a common ground to exchange ideas. Until next time.
Abhijit Minhas PT
(Ps- I wear my physical therapy shirt with pride).