: Rehabilitation often targets only the joints or muscle groups that exhibit symptoms, such as pain or restricted range of motion. The body, however, functions as a unit, with each joint and muscle group comprising a segment of the #kineticchain , and symptoms in one link can be the result of instability or disfunction in another link. #theotherdayiread an article by Han and colleagues that illustrates this principle beautifully. Han et al found a significant benefit of lumbar stabilization exercises on shoulder pain and range of motion. The lumbar spine, pelvis, and abdominal muscles form the foundation of all movement. If there are instabilities in this foundation it may result in compensation by other areas that can lead to poor movement mechanics and chronic injury. Before these symptoms can be addressed, a stable foundation must be built. Above is a progression for a combined lumbar stabilization and shoulder mobility exercise. The resistance from the band during the pull over motion engages the lats and allows for practice of eccentric control of the muscle group, while the ground serves as a cue for retracted and depressed shoulder blades. Simultaneously the core is challenged to maintain an abdominal brace with the spine in a neutral position (head on a small lift and lumbar spine supported by a towel) while performing increasingly difficult lower extremity movements.
: Rehabilitation often targets only the joints or muscle groups that exhibit symptoms, such as pain or restricted range of motion. The body, however, functions as a unit, with each joint and muscle group comprising a segment of the #kineticchain , and symptoms in one link can be the result of instability or disfunction in another link. #theotherdayiread an article by Han and colleagues that illustrates this principle beautifully. Han et al found a significant benefit of lumbar stabilization exercises on shoulder pain and range of motion. The lumbar spine, pelvis, and abdominal muscles form the foundation of all movement. If there are instabilities in this foundation it may result in compensation by other areas that can lead to poor movement mechanics and chronic injury. Before these symptoms can be addressed, a stable foundation must be built. Above is a progression for a combined lumbar stabilization and shoulder mobility exercise. The resistance from the band during the pull over motion engages the lats and allows for practice of eccentric control of the muscle group, while the ground serves as a cue for retracted and depressed shoulder blades. Simultaneously the core is challenged to maintain an abdominal brace with the spine in a neutral position (head on a small lift and lumbar spine supported by a towel) while performing increasingly difficult lower extremity movements.
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