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CD - Australian Fitness Network

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REGULAR FEATURE<br />

COMMON INJURIES: 5 TIPS TO SAVE YOUR SHOULDERS<br />

It is also important to include exercises which encourage<br />

thoracic extension and rotation in all training programs. Some<br />

of my favourites include ball pullovers, one-arm dumbbell<br />

rows and standing one-arm cable rows.<br />

There may also be some limitation in techniques for sports<br />

practiced by your clients that need to be addressed in their<br />

sports coaching sessions. Some examples of sports technique<br />

modifi cation to reduce shoulder stress include increased body<br />

roll in freestyle swimming (again requiring thoracic spine<br />

mobility), modifi cation to the ball toss in the tennis serve, and<br />

improving the follow through in cricket fast bowlers.<br />

TIP 5: KEEP OUT OF THE IMPINGEMENT POSITION<br />

If abduction and external rotation is the ‘dislocation position’<br />

then abduction and internal rotation can be described as the<br />

‘impingement position’.<br />

Impingement is the term given to describe the ‘pinching’<br />

or ‘jamming’ of tissue between the acromion (the end<br />

point of the scapula) and the humerus. This jamming<br />

usually occurs as the arm is abducted at the shoulder<br />

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and is especially evident when the humerus is internally<br />

rotated. Chronic impingement can lead to a swelling of the<br />

aff ected tissues and a further reduction in the size of the<br />

space between the acromion and the humerus (this space is<br />

referred to as the sub acromial space).<br />

Common exercises that place the shoulder in the abducted<br />

and internally rotated position include the upright row<br />

(especially with close grip and high pull positions), lateral<br />

raises with thumbs to the fl oor and some barbell bench press<br />

techniques – especially with the a high bar position almost<br />

under the chin.<br />

SUMMARY<br />

The shoulder joint is a joint that can easily be overloaded and<br />

damaged in poorly constructed health and fi tness programs,<br />

so it is essential that the health professional understands the<br />

anatomy, physiology and common risk areas and exercises.<br />

Take particular note of the abovementioned points if your<br />

client has any past history of shoulder pain or pathology, as<br />

past history of injury is the biggest single indicator of injury<br />

risk in the exercising population.

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