Shoulder Impairment Power Point display that incorporates techniques based off the National Academy of Sports Medicine Corrective Exercise Specialists Certification.

1. KatyFitness.com Seminar Series Pain Management : Shoulder Impairment

4. ©2006 Life Time Fitness Common Injuries Associated with Shoulder Impairment Local Injuries Injuries Above Shoulder Injuries Below Shoulder Biceps Tendonitis Supraspinatus Tendonitis Impingement Syndrome Anterior and Posterior Shoulder Pain Cervical Injuries and Headaches LPHC Low Back Pain Sacroilliac Joint Dysfunction Hamstring, Quadriceps, and Groin Strain Knee Patellar Tendonitis (jumper’s knee) IT Band Tendonitis (runner’s knee) Medial, Lateral, and Anterior Knee pain Chondromalacia patellae Foot Plantar Fasciitis Achilles Tendonitis Posterior Tibialis Tendonitis (shin splints)

5. ©2006 Life Time Fitness Common Injuries Associated with LPHC Impairment Local Injuries Injuries Above LPHC Injuries Below LPHC Low Back Pain Sacroilliac Joint Dysfunction Hamstrings, Quadriceps, and Groin Strain Cervical Injuries and Headaches Knee Patellar Tendonitis (jumper’s knee) IT Band Tendonitis (runner’s knee) Medial, Lateral, and Anterior Knee pain Chondromalacia patellae Foot Plantar Fasciitis Achilles Tendonitis Posterior Tibialis Tendonitis (shin splints)

6. ©2006 Life Time Fitness Common Injuries Associated with Knee Impairment Local Injuries Proximal Injuries Distal Injuries Patellar Tendonitis (jumper’s knee) IT Band Tendonitis (runner’s knee) Medial, Lateral, and Anterior Knee pain Chondromalacia patellae Low Back Pain Shoulder and Upper Extremity Injuries Hamstrings, Quadriceps, and Groin Strain Plantar Fasciitis Achilles Tendonitis Posterior Tibialis Tendonitis (shin splints)

7. ©2006 Life Time Fitness Common Injuries Associated with Foot & Ankle Impairment Local Injuries Proximal Injuries Plantar Fasciitis Achilles Tendonitis Posterior Tibialis Tendonitis (shin splints) Patellar Tendonitis (jumper’s knee) IT Band Tendonitis (runner’s knee) Low Back Pain Hamstring, Quad, and Groin Strain

8. ©2006 Life Time Fitness Functional Anatomy Probable Over- and Underactive Muscles for Shoulder Impairment Region Compensation Overactive Underactive Upper Body Arms Fall Forward Latissimus Dorsi Pectoralis Major/Minor Coracobrachialis Teres Major Mid/Lower Trapezius Rhomboids Posterior Deltoid Rotator Cuff

9. ©2006 Life Time Fitness Functional Anatomy Latissimus Dorsi Pectoralis Major Pectoralis Minor

10. ©2006 Life Time Fitness Functional Anatomy Coracobrachialis Teres Major

11. ©2006 Life Time Fitness Functional Anatomy Middle & Lower Trapezius Rhomboids Posterior Deltoid

12. ©2006 Life Time Fitness Functional Anatomy Subscapularis Teres Minor Infraspinatus Supraspinatus

14. ©2006 Life Time Fitness

15. ©2006 Life Time Fitness Corrective Exercise Strategy Sample Corrective Exercise Program for Shoulder Impairment Phase Modality Muscle(s) Acute Variables Inhibit SMR Latissimus Dorsi Thoracic Spine Hold on Tender Area for 30 seconds Lengthen Static Stretching or NMS Posterior Cuff Latissimus Dorsi Pectoralis Major 30-sec hold OR 7-10-sec isometric contract, 30-sec hold Activate Positional Isometrics and/or Isolated Strengthening Rotator Cuff Middle and Lower Trapezius 4 reps of increasing intensity 25, 50, 75, 100% OR 10-15 reps with 2-sec isometric hold and 4-sec eccentric Integrate Integrated Dynamic Movement Squat to Row 10-15 reps under control

16. Final Thoughts / Questions ©2006 Life Time Fitness

17. Contact Us ©2006 Life Time Fitness Jason Hodge [email_address] 281-536-6415 Doniece Russell [email_address] Marcia Noyes [email_address] Patrick Richardson [email_address] www.KatyFitness.com