Rock Solid Rotator Cuff: Corrective Exercise Strategies

Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com

1. Whydosomanyclientsexperienceshoulderjointtightnessanddiscomfort?

a. It’stheirhabits!It’showtheyliveourlives,howtheyexercise(or

don't),howtheyworkonthecomputer,thecompensationstheyhavedevelopedfrominjuries,surgeries,and/ortraumas.

2. ImprovingFunction:TheShoulderComplex

a. Thejoints:

i. Sternoclavicularii. Acromioclaviculariii. Glenohumeral–ballandsocketiv. Scapulothoracic–scapulasittinguponthethorax

b. TheRotatorCuff

i. Supraspinatus

1. Stabilizationoftheglenohumeraljoint2. ____________________________________________

ii. Infraspinatus

1. Stabilizationoftheglenohumeraljoint2. _____________________________________________

iii. Teresminor

1. Stabilizationoftheglenohumeraljoint2. ______________________________________________

*recallthattheinfrapsinatusandteresminorwilltranslatethehumeralhead_______________________________

iv. Subscapularis

1. Stabilization2. Internalrotationofthehumerus

*recallthatthesubscapulariswilltranslatethehumeralhead_________________________________

v. Thebicepsbrachiialsoblendsintotheshoulderjointmakingita

partoftherotatorcuff1. Stabilizationoftheglenohumeraljoint–itprovides

________________________________________ofthehumeralhead2. Elbowandshoulderflexion

Rock Solid Rotator Cuff: Corrective Exercise Strategies

Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com

3. TheScapula

a. Whatistheoptimalpositionofthescapula?

i. Upwardrotationandposteriortilt

1. Thispositioniscontrolledbythe_________________________________________________________.

Downwardrotationandanteriortiltisthepositionoftheforwardshoulder.

Thispositioniscausedbythe________________________________________________________.

b. ROM:Doesyourclienthavegreaterinternalorexternalrangeof

motion?Howdoyouknow?Youhavetomeasure.i. IR:shouldbeabout______________________________

ii. ER:shouldbeabout_____________________________

iii. Overheadmotion:yourclientshouldbeabletoreachupto_______________________________beforetheirribspopupandtheirspineshouldnotarchoffthefloor.Cantheydothat?

4. TheIntegrativeMovementSystem™

a. Asystematicapproachtoaddressingpostureandmovementbased

upontheprinciplesthatgovernhumanmovement

b. 3GuidingPrinciples:TheFoundationalA,B,C’s

i. Alignment:mustalignthethoracopelviccylinder,thentheshoulder.

ii. Breathing:breathingrecruitstheproperrespiratorymuscles

andhelpsalignandstabilizethethorax

iii. Control:mustusethemusclestoalignandcontrolupwardrotationandposteriortilt

5. Thecorrectiveandintegrativeexercisepatternstoimprovingrotatorcufffunction:

Rock Solid Rotator Cuff: Corrective Exercise Strategies

Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com

a. Correctiveexercisepatternsi. HappyBabywithbreathing

ii. ModifiedWallPlank

iii. RotatorCuffexerciseswithresistiveband

iv. Supportedwallplank:staticholdandwithrotation

v. Suspensionstraporbarrotations

b. Integrativeexercisepatterns–thesepatternsshouldreinforceoptimalalignmentandcontrolofthescapulai. Pushingpatterns–horizontal,vertical,andangled

• Keystooptimalperformanceofrotatorcuff:

ii. Pullingpatterns–horizontal,vertical,andangled

• Keystooptimalperformanceofrotatorcuff:

Exercisestoabsolutelyavoidinclientswithrotatorcufforscapulardysfunction:_____________________________________________________________________________________________NOTES:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Rock Solid Rotator Cuff: Corrective Exercise Strategies

Dr. Evan Osar 2017 ECA 360 INSPIRE Ó2017 Institute for Integrative Health and Fitness Education – www.IIHE.com

QUESTION:DoyouworkwiththeBabyBoomerandSeniorPopulations?Dr.EvanOsarisaninternationallyrecognizedlecturer,author,andindustryexpertinassessment,correctiveexercise,andimprovingfundamentalmovementpatterns.WhatmakesDr.EvanOsarsouniqueinthisindustryisthathehasdedicatedhislifetostudyingandsynthesizingtheverybestinformationfromthefieldsofrehabilitation,conditioning,andperformanceandpackageditintoasystemthatthehealthandfitnessprofessionalcaninstantlyusewiththeirmostchallengingclients.Earlyinhiscareer,Dr.Osarrecognizedthattherewasn’tasystemavailabletothefitnessprofessionalthatadequatelyaddressedthespecificneedsofthegeneralpopulation.HedevelopedtheIntegrativeMovementSystem™,theindustry’sfirstassessmentandcorrectiveexercisestrategythatcanbeseamlesslyintegratedintothefitnessprofessional’scurrentrehabilitativeorconditioningstrategy.Dr.Osarprovidesthestrategiesanddistinct‘perspective’thatthehealthandfitnessprofessionalrequiretosuccessivelyworkwiththebabyboomer,seniorpopulations,aswellasthepre/postnatalandpre/postrehabilitationclientele.

Additionally,Dr.OsarandhiswifeJeniceMattek,LMT,IMScreatedIntegrativeCorrectiveExerciseApproach™,thefirston-lineresourceentirelydedicatedtoprovidingthehealthandfitnessprofessionalthatworkswiththegeneralpopulationwithastrategyforimplementingcorrectiveexerciseintotheirtrainingprograms.Ifyouarelookingtoestablishyourselfasthego-toexpertinworkingwiththegeneralpopulationwithposturalandmovementdysfunctionandbecomepartofthe‘movement-basedsolutiontothehealthcarecrisis’,IntegrativeCorrectiveExerciseSpecialist™andtheIntegrativeMovementSpecialist™certificationswerecreatedforyou.

Formoreinformationincludingfreevideoresources,visitwww.IIHFE.com.