06/05/2020
Check out this interesting webinar about the upper limb quadrant. Main points:
- Always take the Kinetic Chain into account in your strength/rehab/prevention training. "80% of the power of throwing actions comes from the lower quadrant and the trunk!"
Beliefs and daily living pattern (sleep, stress) can influence your training performance
- The clavicle in shoulder rehabilitation:
Action of Acromion-Clavicular Joint enables optimal positioning of scapula. The clavicle is important for shoulder elevation, it posteriorly elevates, and acts as a crank to elevate acriomion. If we don't get posterior rotation of the clavicle, there will be not elevation or upward rotation of the scapula, causing less force transfer and eventually reduces load on local structures.
The important role of the upper trapezius, rotator cuff, deltoid and serrarus anterior in the optimalization of scapula position
the role of thoracic spine rotation in throwing mechanism (unilateral movements), which in the cocking position is dominant together with adduction, max external rotation and thoracic extension
- Return to sport (RTS) in overhead athletes
Tests: shoulder strength and mobility, throwing motion and technique, aerobic capacity, sport seprcific workload
the throwing program in handball players to RTS is controlled more about intensity of velocity then distance and number of throws
Examples of incorporating...
-trunk & shoulder strength/stability
-heavier loading of the shoulder in throwing position
-heavier power training
-heavier acceleration/deceleration training
-Return to sport criteria:
-full ROM under load without player's pain
-At least 20% stronger dominand vs non dominant
-At least 80% stronger external rotation vs internal rotation
-restore aerobic capacity
-pain free return to throwing test 3 times in one week
- super confident of playing match
https://vimeo.com/410927297/e42f80ab0d
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