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Optimal Shoulder Performance – Now Available!

Optimal Shoulder Performance – Now Available!

I am happy to finally announce the introduction of my collaborative DVD box set with Eric Cressey, Optimal Shoulder Performance: From Rehabilitation to High Performance.  This is a 4-DVD box set of a lecture/lab presentation that Eric and I conducted over the winter. I want to give me readers a head start because we have [...]

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The Wrong Way to do Shoulder Exercises

A couple of weeks ago I posted on the relationship of shoulder impingement and poor ratios of upper and lower trapezius strength.  For those that follow my writings, you’ll know that I am constantly stating that we need to emphasize lower trapezius strength to optimize shoulder performance. I often see people recommending that their patients [...]

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Measuring Humeral Retroversion

Measuring Humeral Retroversion

Humeral retroversion is a well know entity in overhead athletes.  Several authors have done a great job exposing this phenomenon to us all.  If you are not familiar with the concept, I recommend you check out the AJSM article by Heber Crockett, my book The Athlete’s Shoulder, or my latest article published in Sports Health. [...]

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Upper and Lower Trapezius Imbalances May Cause Subacromial Impingement

Upper and Lower Trapezius Imbalances May Cause Subacromial Impingement

A new journal article in Physical Therapy in Sport (the journal I recently reviewed) discusses imbalance between upper and lower trapezius muscle activity and the association of subacromial impingement. The authors studied the EMG activity of the upper and lower trapezius in subjects with and without subacromial impingement.  Results show that subjects with impingement had [...]

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Does Asymmetry Mean Pathology?

Does Asymmetry Mean Pathology?

This is the question I recently asked in my webinar on assessing asymmetry in the overhead athlete, and I think it is an important question.  We are being flooded with information on symmetry, functional movement screens, posture examinations, and other hot topics.  Is it possible to be completely symmetrical?  Do we want to be?  This [...]

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What is the Best Stretch for the Pectoralis Minor?

What is the Best Stretch for the Pectoralis Minor?

This post came about from some of the live Q&A that we had following my webinar last week on “assessing asymmetry in the overhead athlete – does asymmetry mean pathology?” (the webinar is now recorded and available for download if you couldn’t make the live session).  We discussed some asymmetries with the scapula and talked [...]

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How Do You Rehab Your Rotator Cuff Repair Patients?

How Do You Rehab Your Rotator Cuff Repair Patients?

We have talked a few times about rotator cuff repair rehabilitation and how there is no conformity regarding the postoperative protocol and guidelines.  We had a lot of discussion following a post on rotator cuff repair last summer.  For some reasons, this continues to be an area where you may see large swings in preferences [...]

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Arthroscopic Rotator Cuff Repair – A Prospective Evaluation of Tendon Integrity at 1- and 2-Years

Arthroscopic Rotator Cuff Repair – A Prospective Evaluation of Tendon Integrity at 1- and 2-Years

The amount of arthroscopic rotator cuff repairs being performed has skyrocketed in recent years.  The last 20 years or so have seen the transition from a full open approach, to a combined arthroscopic and mini-open technique, to the current all-arthroscopic technique.  The implications on rehabilitation are enormous, as patients are recovering faster with less pain [...]

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