Jason Chipman, Author at Physio Pro

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About Jason Chipman

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May 2014
March 2014
February 2014
January 2014
December 2013

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General
Hip
Knee
Lumbar Spine
Orthopedic Disorders and Treatment
Shoulder

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May 29

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TREATMENT OF THE STIFF SHOULDER: The following diagram depicts the capsuloligamentous restraints of the glenohumeral joint. Adhesions will form in response to trauma, surgery, or inflammation. Depending on where the adhesions form, you will see a relative loss of motion in the corresponding plane. This knowledge is very important when treating patients. This can help you formulate a maximally beneficial stretching program and direct your joint mobilization direction with these patients. Knowing where to stretch to the most effective means of regaining normal range of motion and capsular mobility. The diagram is color coded. Here are the specific zones surrounding the joint and what motions will be limited if adhesions are present within each zone.

GREEN: Limited early range Flexion, Abduction, Extension and ER @ 0 degrees of Abduction
BLUE: Limited External Rotation @ 45 degrees of Abduction
PINK: Limited External Rotation @ 90 degrees of Abduction
RED: Limited End Range Elevation and Flexion
YELLOW: Limited Internal Rotation @ 90 degree of Abduction
ORANGE: Limited Internal Rotation @ 0 and 45 degrees of Abduction

#shoulderrehab #jointmobilization #jointmobility #shoulderrangeofmotion #physiotherapy #physicaltherapy #glenoh #glenohumeral #glenohumeraljoint #denverphysicaltherapist #physioprophysicaltherapy #sportsmedicine #athletictraining #frozenshoulder #physiotherapy #physioprofamily #assessdontguess

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May 26

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REHABBING THE THROWING ATHLETE: This is another post focusing on eccentric control/conditioning for the posterior rotator cuff. ⁣⁣
⁣The arm deceleration phase begins at ball release and ends at maximum shoulder internal rotation. This phase puts the highest stain on the shoulder. This phase requires decelerating the forward progression of the arm through eccentric control of the posterior rotator cuff. Due to the high forces generated in this phase, the posterior muscles are highly susceptible to tensile overload, articular sided cuff tears, Long head of the bicep/labrum pathologies as well as internal impingement. Building resiliency to these loads are imperative for injury prevention.
⁣⁣
⁣The PRONE ER CATCH and ECCENTRIC SCAPTION exercises eare great additions to a throwers arm care program. ⁣⁣
⁣****This video was shot pre COVID-19 hence no masks in clinic!!! We miss those days. ⁣
⁣⁣
⁣ #physiotherapy <https://www.instagram.com/explore/tags/physiotherapy/> #shoulderrehab <https://www.instagram.com/explore/tags/shoulderrehab/> #baseballarmcare <https://www.instagram.com/explore/tags/baseballarmcare/> #overheadathlete <https://www.instagram.com/explore/tags/overheadathlete/> #physioprofamily <https://www.instagram.com/explore/tags/physioprofamily/> #rotatorcuffrehab <https://www.instagram.com/explore/tags/rotatorcuffrehab/> #rotatorcuffexercise <https://www.instagram.com/explore/tags/rotatorcuffexercise/> #exercises <https://www.instagram.com/explore/tags/exercises/> #shoulderpain <https://www.instagram.com/explore/tags/shoulderpain/> #performancehealth <https://www.instagram.com/explore/tags/performancehealth/> #rehabilitation <https://www.instagram.com/explore/tags/rehabilitation/> #litecure <https://www.instagram.com/explore/tags/litecure/>
#normatec <https://www.instagram.com/explore/tags/normatec/> #nterecovery <https://www.instagram.com/explore/tags/nterecovery/> #physicaltherapy <https://www.instagram.com/explore/tags/physicaltherapy/> #sportsmedicine <https://www.instagram.com/explore/tags/sportsmedicine/> #athletictrainer <https://www.instagram.com/explore/tags/athletictrainer/> #strengthtraining <https://

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May 19

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TREATMENT OF THE STIFF SHOULDER: Adhesive Capsulitis or a frozen shoulder can be difficult to manage. In these cases, adhesions form around the capsule and can form contractures that severely limit the accessory glides and overall mobility of the shoulder. Joint contractures resulting in shortening of the capsular or periarticular tissues occur from structural damage to the joint caused by trauma, inflammation, surgery or prolonged immobilization.
One method used to reduce contractures is low-load long duration stretching (LLLD). This requires the use of an apparatus that holds the joint in a position of stretch for a given duration. This form of stretching is done briefly at the start of treatment and for progressively longer periods as the treatment advances.
@physiopro we like to position the shoulder at 90 degrees of abduction and put the shoulder at the end range of external rotation. A fixed rope attached to a solid anchor holds this position in place. This puts maximal stress on the anterior/inferior capsule which is the most common site for capsular adhesions to form. At the same time we like to use moist heat in the axilla to help the patient relax and to promote tissue creep. We start with the stretch for 3 minutes and progress up to 10 minutes. We follow the LLLD with joint mobilization and passive ROM to end range. We have had great results with this intervention. Your apparatus should be a fixed rope or a belt. Tubing or theraband will not work as they will increase the tone of the shoulder. Give this a try if you have a stiff and stubborn shoulder you are managing. #frozenshoulder #stiffshoulder #jointmobility #shoulderrecovery #shoulderrehab #shoulderphysio #shoulderrehabilitation #physiotherapy #physio #athletictraining #sportsrehab #sportsrehabilitation #lowloadlongduration #physicaltherapy #physicaltherapy

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May 18

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This is an awesome video depicting the huge footprint the subscapularis has on the humerus. It’s ability to internally rotate and depress the humeral head is amazing. No wonder it’s tough to balance with the Infraspinatus and Teres minor. That coupled with the Pec Minor and Latissimus Dori adding IR strength and humeral head depression makes us think to check their mobility and balance with the posterior cuff first before conditioning this hyper dominant complex. #Repost @ericcressey with @make_repost
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Here's a cool visual of the subscapularis, the largest of the rotator cuff muscles. In this video, you'll see its ability to internally rotate the humerus. More importantly, though, you have to appreciate what isn't seen here: the pectoralis major and latissimus dorsi muscles. You see, these powerful internal rotators (and others) attach further down on the humerus, which means that they don't have any direct control over the head of the humerus as they create that internal rotation, whether it's in a throwing motion, dumbbell bench press, or some other IR movement. The subscapularis absolutely has to be the largest of the rotator cuff muscles because it has to "keep up with" the largest muscles of the upper body to maintain keep the humeral head (ball) centered on the glenoid fossa (socket) during internal rotation. If it doesn't do its job, the humeral head glides can glide forward and irritate the structures at the anterior aspect of the joint: long head of the biceps tendon, glenohumeral ligaments, nerve/vascular structures, etc.
👇
This is a perfect illustration of arthrokinematics (subtle motions at joint surfaces: rolling, rocking, gliding) vs. osteokinematics (larger movements between bones: flexion/extension, abduction/adduction, ER/IR). Every gross movement of the body relies heavily on a finely tuned interaction between these two kinds of movement - and you'd be hard pressed to find a better example than subscapularis.

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May 14

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REHABBING THE THROWING ATHLETE: This is another post focusing on eccentric control/conditioning for the posterior rotator cuff. ⁣⁣
⁣The arm deceleration phase begins at ball release and ends at maximum shoulder internal rotation. This phase puts the highest strain on the shoulder. This phase requires decelerating the forward progression of the arm through eccentric control of the posterior rotator cuff. Due to the high forces generated in this phase, the posterior muscles are highly susceptible to tensile overload, articular sided cuff tears, Long head of the bicep/labrum pathologies as well as internal impingement. Building resiliency to these loads are imperative for injury prevention.
⁣⁣
⁣The SUPINE ECCENTRIC ER and SUPINE PNF D2 PATTERN are great additions to a throwers arm care program. ⁣⁣
⁣****This video was shot pre COVID-19 hence no masks in clinic!!! We miss those days. ⁣
⁣⁣
⁣ #physiotherapy #shoulderrehab #baseballarmcare #overheadathlete #physioprofamily #rotatorcuffrehab #rotatorcuffexercise #exercises #shoulderpain #performancehealth #rehabilitation #litecure
#normatec #nterecovery #physicaltherapy #sportsmedicine #athletictrainer #strengthtraining #strengthandconditioning #strength
#performancetraining #conditioning #rehab #athletes

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May 11

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WEEK 6 TABATA is finally here. This is a good one!! Tabata training is a high-intensity interval training (HIIT) workout, featuring four exercises that last four minutes total. This is the last of a six week series we have been running. Enjoy!! EXERCISE 1: SUPERMANS
EXERCISE 2: SUMO HOPS
EXERCISE 3: PLANK JACKS
EXERCISE 4: CURTSY LUNGES

The structure of the program is as follows:
* Work out hard for 20 seconds
* Rest for 10 seconds
* Complete 8 rounds

You push yourself as hard as you can for 20 seconds and rest for 10 seconds. This is one set. You will go through each exercise twice for a total of 8 sets. Tabatas can easily be adapted if you are injured or recovering from injury in the later parts of your rehab.
A timer is very helpful for this type of Training.

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