Rehab progression

⭐️ Learn common sense active rehab phases of different lesions/issues in the human body! I am showing REAL PATIENTS WITH REAL ISSUES, AND THE REAL SOLUTIONS-RESULTS! Remember that I am showing only ONE PART of their current program!

‼️ If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

🙋🏻‍♂️ RATIONALE BEHIND THE CHOSEN EXERCISES?

I actually see and do lots of wrist fracture cases! Most people don’t know “how to fall properly on their arms”… We have here flexion-extension-pronation-supination, all the important and basic things to start with… Sure, lateral flexion and dynamic stability vars are also important, but this post is about the most important things in the beginning.

1. Building wrist extensors capacity, along with ligaments. Eccentric strength is one of the best things to do as it builds both mobility and strength (under control). Add concentric part over time.

2. Trying not to lift palm off (controlled descending). Very effective mobility drill, easier for practitioners first and foremost - as clients usually resist this wrist motion a lot. Plus, if they incline their body towards wall more = we get that ecc. strength as well!

3. Again mobility plus ecc. & conc. strength! Reaching max tolerable ROM is very recommended. Hard grip and 90deg maintenance between device and forearm is what matters most…

🙋🏻‍♂️ WHEN TO AVOID (or modify) SOME OF THESE?
If having 4+ out of 10 pain while performing the specific exercise.

📢 My friend, if you liked the post, I want you to share it with friend(s) who have aforementioned issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progress⬆️on,
Luka

‼️ If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

🙋🏻‍♂️ RATIONALE BEHIND THIS PHILOSOPHY?

Sure, exercises don’t need to be in the shown order, but it’s recommended to strengthen them in isolation first (weak cuff cannot stabilize). And, then, complex - multijoint stuff in order to get proper both static and dynamic stability. 6 exercises, 2 sets of each, 6-10 reps, 2-3 times a week is more than enough! When it comes to the each individual session: Train big moves first (as well as reactive stab.), and then isolating stuff (and don’t go to failure with isolated act. - cuff are postural muscles). PS: These are just one example (I am using a lot) from each category, there are hundreds of other exercises and variations! There are also many combos that come later during the rehab, where we mix isolated and complex work during 1 exercise, push and pull, quasi static/static and dynamic reactive stability, etc. Last but not least, all these exercises activate many more muscles…

1. The highest infrasp. EMG activity of all the ER vars. No side delts compensation to say the least… But, it activates posterior delts, scapular stabilizers (shoulder be only statically)… Put something under elbow for stability and neutral pos. (even better cuff activity).

2. Great subscap. activity! Layback throwing pos. without neck compensation. It also activates pecs, front delts… Controlled ecc. F is key (as well as keeping constant tension)!

3. Great supraspinatus activity (and other rotator cuff muscles)! It activates 6 more muscles besides supra. No need to lift above shoulder height (but you can if not painful and want delts help stabilization or involve front delts more).

4. Great cuff quasi ISO reactive activation drill, where all the cuff muscles need to be activated. Very safe CKC exercise, and particularly useful some of its variations. It activates big muscles in order to help stabilization as well (as well as scapular stabilizers).

5. Push movement with a plus engages posterior cuff pretty well (counteracting anterior ball translation). It also activates pecks, delts, triceps, serratus anterior… We just need to relax neck!

6. At least 45deg elbow lift will engage posterior cuff as well (including anterior cuff - subscap., in order to counteract posterior ball translation). More elbow lift = more direct posterior cuff conc.-ecc. act. It also activates lats, post. delts, scapular retractors… We just need to relax neck!

📢 My friend, if you liked the post, I want you to share it with friend(s) who have rotator cuff issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progress⬆️on,
Luka

⭐️ Learn common sense active rehab phases of different lesions/issues in the human body! I am showing REAL PATIENTS WITH REAL ISSUES, AND THE REAL SOLUTIONS-RESULTS! Remember that I am showing only ONE PART of their current program!

‼️ If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

🙋🏻‍♂️ RATIONALE BEHIND THE CHOSEN EXERCISES?

Her main goal is health, and playing racquet sports a bit. I was posting about her before, find it in my feed if interested. PS: The video is sped up 3-4x!

0. Warm-up: These are not the only ones done though, but they’re excellent mutiplanar moves for confidence as well, among other things (passive = very safe in this stage).

1. Active mobility here (till comfortable). We have a slight grip F here in order to activate rotator cuff 👌.

2. Reduced ROM front (big muscles, delts/pecs/serratus ant…), and back (posterior cuff) activation drill. Very safe and effective for both strength and mobility!

3. Multiplanar lighter (controlled) active stability exercise (CKC in this stage is 👌).

4. Light and safe joint mobility drill, preparing the shoulder joint for future mobility gains!

5. Isolated cuff strength is one of the most important things in the beginning!

6. Same here! Smart progression is needed overtime…

🙋🏻‍♂️ WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

📢 My friend, if you liked the post, I want you to share it with friend(s) who have aforementioned issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progress⬆️on,
Luka