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Old 04-22-2005, 06:32 PM   #4 (permalink)
Bill Hartman
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Join Date: Apr 2003
Location: Indianapolis
Posts: 2,175
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If these are nerve related injuries, the healing of the nerve will determine progress.

The long thoracic nerve supplies serratus anterior via the C5-7 nerve root and the triceps is off of C7 so that's not an uncommon finding that both are involved. You may want to palpate up around the middle scalene for adhesions as well...the long thoracic travels around/through the middle scalene. If it's entrapped, you may be able to restore function a little quicker.

Anything that requires scapular stability will influence serratus anterior

Quadruped exercises
Front raise
any press
lateral raise
Scaption
Push up plus
Active protraction

You need to attend to the scapular rhythm and adjust posture (reduce effects of gravity) and resistance to minimize faulty movement patterns and substitutions. You can also manually assist scapular movement to help restore scapular mobility.

Bill
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