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Shoulder Muscle Re-Education Program

All exercises should be performed in a smooth, controlled and precise manner


Initially the exercises should be performed three times per day with 8-10min intervals rather than a full
For colour images see ‘Resources & Programs’ at: 30min workout. The initial volume should be restricted to 3 sets of 6-8-10 reps with a 1min rest period
between reps. The Initial goal should be 3 sets of 12 reps with ultimate goal of 3 sets of 20 reps
www.allanmcgavinphysio.com
Focus on – smooth movements, power square form, no ante-tilt

John Owen Pavilion War Memorial Gym Plaza of Nations


3055 Wesbrook Mall 6081 University Blvd B103-750 Pacific Blvd
Vancouver, B.C. Vancouver, B.C. Vancouver, B.C.
V6T 1Z3 V6T 1Z1 V6B 5E7
Tel: 604-822-6833 Tel: 604-822-0150 Tel: 604-642-6761
Fax: 604-822-9058 Fax: 604-822-0151 Fax: 604-642-6762
INCORRECT – ante tilt CORRECT - Power
and anterior humerus Square Position

1. Hockey Stick – Wide 3 Zones 2. Hockey Stick – Narrow 3. Band Drills – 3 Zones
Light resistance by a partner at: Light resistance by a partner at: Keeping arms straight, separate tubing with
a) Forehead b) Shoulder c) Diaphragm smooth, controlled motion at:
a) Forehead
b) Shoulder a) Forehead
c) Diaphragm b) Shoulder
d) Off-set 45° c) Diaphragm
right and left

4. Band Drills – Transitions 5. Co-contraction – 2 sets of bands 6. Wipers – Supine


 Tension the  With feet shoulder Reach for the ceiling and complete 3 motions:
band at the width apart, cross a) Oval Circles b) Reach right then left
diaphragm bands around ankles c) Move north and south
 Maintain  Raise arms
tension as you overhead, keeping
move up them straight
through the  Simultaneously
shoulder to the tension all three tubes
forehead zone *Repeat in both directions*
 Release tension

Allan McGavin Sports Medicine Centre – Physiotherapy holds the copyright to all information on this form. None of this material may be commercially reproduced
7. Four Corners 8. Hawkins Supine 9. Hayden Punches
 Start high right  Engage the  Punch arm up towards the
and move the scapula, reach ceiling with smooth, controlled
weight to the left hip towards the ceiling motion
 Then high left and and make precise,  Emphasize the reach
move the weight to controlled circles towards the ceiling at the top
the right hip  Complete 5 circles  Switch arms slowly and with
in each direction x 5 control

10. Pec Flies 11. Scissors 12. Diagonals


 Start with arms  Start with arms  Start with arms
over shoulders raised up over high right and left
 Lower arms shoulders, palms  One at a time,
out to the side facing in move weight
with control,  With control, raise across body to
keeping them in one arm overhead opposite hip in
line with the while lowering the smooth, controlled
shoulders other towards waist manner
 Reverse direction  Alternate arms

13. Skull Crushers 14. Hawkins Lateral 15. Side Lying External Rotation
 Start with weight  Support the elbow
above shoulders  Keep arm perpendicular with a rolled up towel
 Slowly lower and in line with shoulder joint  Lower weight slowly,
weight down to  Make precise and with control to a count
forehead by controlled circle patterns of 5 seconds
bending elbows  Lift up and repeat
 Return to start
position and repeat

16. Prone Series of 3 – Scapular Exercises


 Lift head and neck off bed with arms at side and neck
in neutral. Reach towards feet with brief hold
 Move arms to shoulder height and squeeze shoulder
blades together
 Transition arms overhead and lift up, squeezing
shoulder blades down towards opposite pocket
 Return to start and repeat

Allan McGavin Sports Medicine Centre – Physiotherapy holds the copyright to all information on this form. None of this material may be commercially reproduced
17. Scapular Push-up 18. V Plank 19. Lateral Plank
 Start in plank position,  Start on all 4s with hands  Position arm below shoulder
either on toes or on knees under shoulders and knees  Engage shoulder blade and push up into
 Ensure shoulder blades under hips plank position
are flat against back (may  Push up into V-plank  Keep shoulders square and spine straight
need to have a partner to engaging shoulder blade
check positioning – no and keeping back flat
“winging”)
 Perform single arm
holds (check that
 Keeping hips stable, supporting arm is
sag through the upper firm)
back until shoulder  Open up to the side
blades wing in power square
 Push back up into position
flat shoulder blade
position
 Repeat

20. Wax on/off 21. Forearm Wall Walks 22. Serratus Anterior Hug
 Press hands into cloths on  Forearms flat on the wall,  Tie tubing in a
wall keeping shoulder band held between hands doorway
blades flat on upper back with tension  Hold tubing and
 Draw circles and reach  Shoulder blades flat on perform a “hugging”
side to side and up/down thoracic wall motion, reaching
 Ensure shoulders stay  Alternate forearm forward maximally
down and blades stay movement up and down the  Perform reach at
engaged on back (no wall (couple inches) with different heights
winging) control and tension on band  Can repeat with
single arm reaches

23. Laying over Half Roll 24. Anterior Chest Stretch 25. Traction Stretch
 Lay with spine  Standing in  Hold door frame, with feet
centered on roll. doorway with close to door and lean out in
 Knees should be forearm against controlled manner
bent with feet flat frame lean forward  Keep shoulder and arm in
on bed with slight twist of line with each other
 Arms can be body away from arm  Do not let shoulder roll
opened to side or  Don’t let shoulder forward
hugged gently into roll forward
chest

Allan McGavin Sports Medicine Centre – Physiotherapy holds the copyright to all information on this form. None of this material may be commercially reproduced
26. Throw Downs with Medicine Ball 27. Throwers External Rotation 28. Supine Series of 3
 Hold ball over head  Start from  Laying on back or sitting up in a chair:
with both arms (keep power square 1. Take deep breath in, expanding lower
shoulders down)  Stay co-linear ribs up and out
 Throw ball down with on both arms as 2. Lengthen neck by sublty tucking chin
controlled effort 6 you turn trunk 3. Pinch shoulder blades together
inches away from body  Keep elbows
 Catch ball and repeat up and in line  Let breath out, while “letting off” above steps
with shoulder in opposite order (shoulders – neck – ribs)
 Repeat

ADVANCED DRILLS

29. Prayer on Ball 30. Walk off Ball 31. Open up off Ball
 Start in plank position on ball  Walk off ball  Walk off ball until hips are
 Ensure starting from balanced on ball
shoulder blades chest and moving  Open up into power square
are flat and core to shins posture, maintaining balance
engaged  Ensure shoulder on the ball
 Challenge blades and core  Ensure stable arm is firm
shoulder and are engaged and upper arm is in power
core stability by throughout (no square (like on V-plank)
rolling ball winging of blades
forward and side to side from elbows or lifting one or exaggerated
leg off the ground curve in lower back)
 Reverse direction and repeat
32. Wipers with Core 33. Divers’ Drill
 Start with weight over  Hook handles
shoulders (lifted around feet and grasp
towards the ceiling) and band with two hands
knees over hips at midline of body
1. Bring legs and arms  Keeping elbows
out to opposite pointing towards feet
sides, ensuring and band close to the
smooth motion. Reverse to other side body, raise band
2. Bring arms overhead
overhead while  Release slowly and
lowering legs with control
towards the
ground. Reverse

Allan McGavin Sports Medicine Centre – Physiotherapy holds the copyright to all information on this form. None of this material may be commercially reproduced

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