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Old 07-28-2004, 01:21 PM   #2 (permalink)
Bill Hartman
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Join Date: Apr 2003
Location: Indianapolis
Posts: 2,175
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Most forms of pulling should be okay as long as they are below shoulder level.

The big issue is why are you impinging. If the capsule has too much laxity, your cuff needs to be quite strong to maintain the humerus in its optimal position. That means internal rotation is also beneficial.

Scapular stabilizers are also important. Lower and mid trapezius, serratus anterior, and the cuff must all be strong.

Avoid all overhead loading. PNF diagonals with cables are the exception unless they are painful.

Push-ups are just as bad as BP where the impingment is concerned.

You may want to check your internal rotation and horizontal adduction range of motion.

Reach behind your back and see if you can easily touch the opposite shoulder blade. If not, no pressin until you get that flexiibility back. Next pull your arm across your body at chest level (as if you were stretching the back of the shoulder). If your shoulder blade moves as you pull the arm across, the posterior capsule and the external rotators are tight. The test is also a stretch. You can block the shoulder blade by pressing your back into a wall as you stretch.

Hope that helps.

Bill

Bill
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