165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

How PRECISE should my rehabilitation exercise program be?

If I go to a physical therapist, chiropractor, massage therapist or physician, and he or she hands me a sheet of exercises will I get better?  Will corrective exercises from a personal trainer do the trick?  Or does my health care provider need to provide very specific exercises for my problem to help me improve? 

It matters HOW you exercise, WHICH muscles you strengthen and stretch, and IN WHAT ORDER! The evidence is coming out more and more that muscles actually unplug when you have an injury and pain.  How does that information get to you?  Training is available to physical therapists that provide us this information.  We, in turn, provide that to you in the right order and amount to progress you from your injury to wellness. 

Here is an example:   If you have neck pain and headaches it can be from an actual injury to the neck muscles but it can ALSO be due to shoulder blade muscle problems.  If you go look in the mirror now you can see the way your shoulder blade and shoulder hangs from your neck.  If you shoulder looks like a ski slope, chances are the muscles which hold your shoulder blades up are too long and stretched (such as the serratus anterior, trapezius and levator scapulae) and the muscles which pull it down are too tight (such as the latissimus dorsi and pectoralis muscles).    (Here is one article which emphasizes the importance of this idea:  “A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache”  A Case Report”  JOSPT 2005, authors:  McDonnell, Sahrmann and Van Dillon). 

Our  three physical therapists at Comstock Physical Therapy have all attended many courses on precise and corrective exercise programs to help you feel better.  Give us a call today at 455-8014. 

(Here is one article which emphasizes the importance of this idea:  “A Specific Exercise Program and Modification of Postural Alignment for Treatment of Cervicogenic Headache”  A Case Report”  JOSPT 2005, authors:  McDonnell, Sahrmann and Van Dillon). 

Depressed shoulder blades

Depressed shoulder blades

Comstock
Physical Therapy

165 Lilly Rd. NE, Suite B
Olympia, Washington 98506

360.455.8014

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7 hours ago

Comstock Physical Therapy

We have a rebounder at Comstock PT

Enjoy the video below. Funny ending! :)

5 Tool Sport
UPPER EXTREMITY PLYOMETRICS (wait til the end 😂)
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Plyos are a mainstay exercise for athletes in the mid-to-late stages of rehab for upper or lower extremity injuries (or can also be used for prevention)😏. They begin to prepare the affected structures and tissues to tolerate forces and stress more closely related to sport. For the #thrower 🥎⚾️, we like to use these as a precursor before interval throwing programs.
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There are many ways of accomplishing this, but here we show how to use a rebounder/trampoline to achieve dynamic shoulder plyos.
1️⃣ Chest pass
2️⃣ Diagonals
3️⃣ Overhead chop
4️⃣ 0° IR
5️⃣ 90° IR
6️⃣ 0° ER
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All incorporate a controlled concentric to eccentric phase and have the added bonus of adjusting to an external object. What others do you like??
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🔹Swanik et al. The effect of shoulder plyometric training on amortization time and upper extremity kinematics. JSR. 2016.
🔹 Wright, et al. Exercise prescription for overhead athletes with shoulder pathology: a systematic review with best evidence synthesis. BJSM. 2018.





#shoulder #upperextremity #plyometrics #overheadathlete #baseball #softball #baseballrehab #throwingrehab #sports #sportsrehab #sportsrehabilitation #sportsperformance #physicaltherapy #physicaltherapist #physiotherapy #DPT #studentphysicaltherapist #physio #sportsphysicaltherapist #sportsphysio #sportsphysicaltherapy #athletictrainer #athletictraining #ATC #sportsmedicine #rehabilitation #continuingeducation #exercise #strength
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Comstock Physical Therapy
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