INSTAGRAM FEED
We use our Instagram account to post instructional videos and tutorials on physical therapy and sports performance techniques. Follow us for tips and tricks and learn how you can jump start your recovery.
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
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://
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
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
・・・
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.
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
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.
Great post regarding imaging and pain. Imaging has its place but let’s not devalue a comprehensive orthopedic clinical exam. This is often the only way to uncover the true pain generator. The world is full of symptom free individuals with “dysfunctional” findings on their MRI. We as clinicians need to focus on the abnormal clinical exam findings we uncover through examination and not formulate our plan of care simply based off the pictures provided by imaging. #Repost @physiocity with @make_repost
・・・
💥𝐈𝐦𝐚𝐠𝐢𝐧𝐠 & 𝐏𝐚𝐢𝐧💥
———
🔎This new study (citation at bottom of post) examined bilateral shoulder MRI findings in people with unilateral (one-sided) shoulder pain. This study matches up with others on the topic, which show that ‘dysfunctional’ findings are often seen in body regions where no pain is present. The MRI results in this study showed that issues like tendinopathy (see image) and partial rotator cuff tears occurred in almost equal numbers when comparing the painful side to the non-painful one.
-
📊Studies like this remind us that clinical decision making must not revolve around imaging alone. If more sinister conditions are not a concern and the clinical exam does not warrant further testing, then it may be best to wait on pursuing imaging studies and proceed with rehabilitation.
-
✅Thanks for reading and please let me know if you have any questions.
••••••••••
📚Barreto RPG, et al. Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain. J Shoulder Elbow Surg. 2019.
.
Credit:- @rehabscience
#physiocity #anatomy #pt #neet #physiotherapy #medical #medico #medicine #sportsphysio #pt #sportsphysio #physio #Biomechanics
#supraspinatus #muscle #RehabScience #rehab #physiotherapystudent
#physiotherapyindia #delhi #banglore #Sportsmedicine #nurse #medicalschool #medicalwomen
#Repost @natelilleypt with @make_repost
・・・
REHABBING THE THROWING ATHLETE: This will be a multi-post topic for the next few weeks focusing on the rehabilitation of the throwing athlete. Once full passive joint mobility of the glenohumeral joint and a balance of periscapular and rotator cuff strength are established we shift our focus to conditioning the shoulder for the specific phases of throwing.
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. Integrating deceleration training is imperative at this this point of rehab.
The HALF KNEELING EXTERNAL ROTATION DECELERATION and HALF KNEELING PNF DECELERATION are great additions to a throwers arm care program. Light med balls (1-2 pounds) are ideal and the focus should be on control throughout the whole range. More to come.
****This video was shot pre COVID-19 hence no masks in clinic!!! We miss those days.
#physiotherapy #shoulderrehab #baseballarmcare #overheadathlete #physioprofamily #rotatorcuffrehab #rotatorcuffexercise
“I find your lack of faith disturbing “. We are trying out a new COVID-19 respirator on Star Wars day!!! #maythe4thbewithyou #darthvader #starwars #physiotherapy #physioprofamily #beatcoronavirus👊👊👊
Is psyched for our new tabata circuit!!! WEEK 5! We have been using this form of training for years with our Wintervention classes. Tabata training is a high-intensity interval training (HIIT) workout, featuring four exercises that last four minutes total.
EXERCISE 1: LATERAL SKATERS
EXERCISE 2:THREAD THE NEEDLE SIDE PLANK
EXERCISE 3: BRIDGE KICKS
EXERCISE 4: JUMPING JACKS
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. #tabataworkout #hittworkout #physiotherapy
#Repost @rehabscience with @make_repost
・・・
💥𝐊𝐧𝐞𝐞𝐜𝐚𝐩 𝐃𝐢𝐬𝐥𝐨𝐜𝐚𝐭𝐢𝐨𝐧💥
———
👉Great video demonstrating what increased patellofemoral joint (PFJ) mobility and a subsequent lateral dislocation looks like.
-
🔎Kneecap dislocation: Occurs when the triangle-shaped bone (patella) covering the knee joint moves or slides out of place. The dislocation usually occurs towards the outside (lateral side) of the leg, most commonly after a sudden change in direction when your foot is planted on the ground. Dislocation may also occur as result of direct trauma.
-
🧠Treatment includes immediately stabilizing the knee with a splint and seeking medical attention. Your primary health care provider will examine your knee and attempt to straighten it out through distraction if warranted. This may confirm that the kneecap is dislocated. A knee x-ray and, sometimes, MRIs will be done to make sure that the dislocation did not cause a broken bone or cartilage damage. If tests show that you have no damage, your knee will be placed into an immobilizer or cast to prevent you from moving it.
-
🏋🏼♂️After this time, physical therapy can help build back your muscle strength, motor control and improve the knee's range of motion. If there is damage to the bone and cartilage, or if the kneecap continues to be unstable, you may need surgery to stabilize the kneecap.
.
#RehabScience
TABATA TIME!! WEEK 4. Tabata training is a high-intensity interval training (HIIT) workout, featuring four exercises that last four minutes total.
EXERCISE 1: Bronco Jumps
EXERCISE 2: V-Ups
EXERCISE 3: Prone Plank With Hip Extension
EXERCISE 4: High Knees
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. #tabata #hittworkout #physiotherapy #physioprofamily
#Repost @eporthopaedics with @make_repost
・・・
Awesome video of the ACL motion in vivo. There are many things we can learn from this video:
1. AM bundle is parallel to the PL bundle with the knee in extension. 2. In flexion the AM bundle rotates over the PL bundle making a 180deg turn. 3. The AM bundle is tighter in flexion. 4. The PL bundle is tighter in extension. 5. The blumensaat’s line correlates with the intra-articular length of the ACL ligament. #lac #acl #sportsmedicine #kneepain
TABATA TIME!! WEEK THREE Physio Pro’s new weekly TABATA CIRCUIT. Tabata training is a high-intensity interval training (HIIT) workout, featuring four exercises that last four minutes total.
EXERCISE 1: SQUAT JUMPS
EXERCISE 2: PUSH PLANKS
EXERCISE 3: CROSS COUNTRYS
EXERCISE 4: FLUTTER KICKS
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.
Multiple tabata timers are available at the App Store. We have used UltraTimer for years. #tabataworkout #hiitworkout #physioprofamily @stayathomeworkout
Is here again for your Tabata needs. Tabata training is a high-intensity interval training (HIIT) workout, featuring four exercises that last four minutes total.
EXERCISE 1: MOUNTAIN CLIMBERS
EXERCISE 2: SQUAT CHOPS
EXERCISE 3: STARFISH SIDE PLANK
EXERCISE 4: PLYO PUSHUPS
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.
#hiitworkout #tabataworkout #stayathomeburnout
#Repost @natelilleypt with @make_repost
・・・
I would like to thank my mom Pat Lilley for making awesome masks to protect me and my whole staff! Introducing the P95! Thanks mom. I love you and appreciate everything you are trying to do to keep us all safe and healthy. #beatcoronavirustogether❤️ #physiotherapy #physioprofamily #diymask #theshowmustgoon
is all about that TABATA!! If you're looking for a new program to add to your routine while at home , you may want to give Tabata try. Physio Pro will post a new weekly Tabata circuit moving forward. We have been using this form of training for years with our Wintervention classes. Tabata training is a high-intensity interval training (HIIT) workout, featuring four exercises that last four minutes total.
EXERCISE 1: Mogul jumps
EXERCISE 2: Side Plank Crunch
EXERCISE 3: Jumping Shoulder ER
EXERCISE 4: Push Up
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.
#hiitworkout #tabataworkout #stayhomeworkout
We are calling on our Physio Pro Family to consider donating to the cause. We are proud to have 10+ years of Wintervention and serving our Denver based ski community for the last 20!! LET’S DO THIS!! New and used goggles welcome. Drop off box is here at Physio Pro or call us (303-370-2670) and we can arrange a pick up!!!!! @gogglesfordocs #physioprofamily #wintervention
will open on Monday, April 6th with our new COVID-19 Safety Protocol in place. At all times will we follow CDC guidelines in our clinic. Telehealth appointments will still be available as well. To make your visit to our clinic is as safe as possible, we have implemented the following changes:
All therapists will be wearing masks during the manual therapy (hands on) portion of the patients treatment. WE ARE ASKING OUR PATIENTS TO DO THE SAME. If available, please bring a mask, handkerchief, bandana, or buff for this portion of your session. We have a very limited supply of masks at this time.
Before each session your therapist will take your temperature with a No-Touch Digital Thermometer.
We require all patients to sanitize their hands prior to entering the treatment area.
Your physical therapist is washing their hands with warm and soapy water for a minimum of 20 seconds before and after your session.
Every treatment table is cleaned with an approved disinfectant after every treatment.
All frequently touched area’s like doorknobs, pens, surfaces gets cleaned at least every hour.
We have minimized waiting times in the waiting room.
We have spaced the chairs in the waiting room to be at least 6 feet apart.
We will only provide one-on-one treatment sessions thus avoiding group situations.
We require all patients that don’t feel well to cancel their appointment and contact their healthcare provider;
We are doing everything possible to assist you with your physical therapy needs during these unprecedented times in the best way possible.
#physioprofamily #telehealth #physiotherapy #beatcoronavirus👊👊👊