Rehab (2) Shoulder Impingement Syndrome: Scapular Stabilization
I’ve been working on my rotator cuff muscles & I am feeling better. Is there anything else I can add into my rehab?
Rehab for impingement syndrome should have a heavy focus in two areas:
- Rotator cuff & scapular muscle strengthening
- Stabilization exercises
Strengthening the rotator cuff muscles allows for a proper fit of the humeral head against the labrum of the shoulder. Without proper strength in these muscles, the humeral head loses its stabilization & can cause problems such as impingement syndrome. Scapular strengthening is extremely important as well considering that above 90 degrees of flexion or abduction of the shoulder, in relation to the thorax, is accomplished by a combination of shoulder & scapular movements. Therefore, scapular strengthening is just as important as rotator cuff strengthening for overhead athletes.
Our favorite exercise for scapular stabilization is called a wall push-up plus. In order to do this:
- Lean into a wall at about a 30 degrees angle
- Perform a normal pushup with scapulas being pulled together
- When the pushup is complete, round your shoulders out to push your arms forward as far as they will go (scapular protraction)
Give this exercise a try to help with scapular stability & advance your rehab program!
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