If I am reading this correct, this person has a tendency to constantly "shrug"--meaning the scapula elevates during active and passive movement? Then I suggest creating an environment where the scap stabilizers are trained...
I have a lot of desk workers that constantly sit at their desk with elevated scapulae. I don't look at it as a "shrug" because that is too pronounced, but enough that the scapulae cannot stabilize especially when called upon to move the arm or lift a load.
Lots of serratus work with low trap work (YTMLs, low trap raises, push up pluses). Depression with loaded retraction: standing rows, kneeling rows, 1-leg rows)Then we move to working with the arms overhead: reverse shrugs on lat pulls, OH squats, and bench presses with scap ab/add.
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John Izzo, NASM-CPT, PES
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