Are pullups bad for your shoulders?

[WalkingDysfunction]

Originally Posted by UConnJulie

I mean that the RTC will attempt to act as a stabilizer if the stabilizers aren't doing their job.

You are making things way too complicated ... and it is tough to make generalizations as every person's dysfunction is unique. But I will stand by my statement that chinups/pullups are not inherently bad for the shoulder.

Yea I know it's tough to make generalizations, it would be better if I had a patient to discuss over with a PT. I just wanted to get a better understanding about shoulder functioning for my last clinical affil. I know school prepares you for the boards and I'm not sure if this topic is on there....so, it's pretty much considered extra learning. Sorry if I was overcomplicating the scenario. How were you treating pt's during your orthopaedic affil and as a new graduate?

[UConnJulie]

Originally Posted by WalkingDysfunction

Yea I know it's tough to make generalizations, it would be better if I had a patient to discuss over with a PT. I just wanted to get a better understanding about shoulder functioning for my last clinical affil. I know school prepares you for the boards and I'm not sure if this topic is on there....so, it's pretty much considered extra learning. Sorry if I was overcomplicating the scenario. How were you treating pt's during your orthopaedic affil and as a new graduate?

Depended upon what I found upon evaluation. I would lengthen the short, mobilize the joint if needed, and would strengthen the weak. Improve posture, thoracic mobility. If acute, U/S, DFM, ice massage, joint mobs.

I had fair success.

For many years now I have been looking at the whole chain as well as scapular resting position and stabilizer function.

I will likely continue to evolve my approach as I learn new things. Gray taught me a bunch of stuff this past weekend which I plan to incorporate immediately.

My advice: although you need to look at everything and dissect the information with a microscope, sometimes it is good to step back a take a global look at the client. In other words, if you watch them walk, and they hike their right shoulder everytime they step with their left leg, are you going to tackle the leg/hip or the shoulder?

[WalkingDysfunction]

Originally Posted by UConnJulie

Depended upon what I found upon evaluation. I would lengthen the short, mobilize the joint if needed, and would strengthen the weak. Improve posture, thoracic mobility. If acute, U/S, DFM, ice massage, joint mobs.

I had fair success.

For many years now I have been looking at the whole chain as well as scapular resting position and stabilizer function.

I will likely continue to evolve my approach as I learn new things. Gray taught me a bunch of stuff this past weekend which I plan to incorporate immediately.

My advice: although you need to look at everything and dissect the information with a microscope, sometimes it is good to step back a take a global look at the client. In other words, if you watch them walk, and they hike their right shoulder everytime they step with their left leg, are you going to tackle the leg/hip or the shoulder?

I remember reading something from Bill mentioning how hip dysfunction and shoulder dysfunction are related at times or something, but I never understood why. I guess further learning will explain this concept over time. For a pt with knee issues, I've learned to step back and look at the foot for possible reasons for knee pain. I haven't learned or experienced yet to take a more global look at something like in the shoulder example you've mentioned. Knowing me, I would've just examined only the shoulder complex.

I'm just going to need more experience and hopefully a good mentor to expand my view on treatment approaches.....thanks for the advice!

[UConnJulie]

No problem ... remember that even though you started with anatomy and are likely learning the body in a regional/joint approach ... the body works together. All parts synchronously.

How do you jump? It is a triple extension movement, right? But you have to flex first. And what do your arms do? Are they completely relaxed or do they react as well? And what about your abs? And your cervical flexors?

Go back and look at the anatomy ... remember that WE (medical professionals) are the ones who decided where muscles started and stopped (ie origin and insertion) ... look at how the calf interacts with the hamstrings ... the glutes with the lats ... the pecs with the abs ... it's all connected fascially. WE are the ones who decided that this muscle starts on that tubercle.

The body doesn't know or care ... it just functions as best it can.

[WalkingDysfunction]

doesn't that have something to do with anatomy trains? something about the body being connected by fascial tissues.

[UConnJulie]

Never took that course nor read that book ... but makes sense, right?

Think embryologically ... before the derotation occurs ...

[WalkingDysfunction]

One example of anatomy trains I think was the thoracolumbar fascia and how bird dogs are a good exercise because it tightens this fascia or something involving it. I'm going off memory here, but it did mention that fascia. Add another book to the reading pile....it never ends huh?

[UConnJulie]

That is exactly what I described ... I am just not familiar with that terminology.

But seriously ... break out Netter and look at the anatomy ...

[WalkingDysfunction]

I will.....thanks for the lesson professor.

[UConnJulie]

[Gradstudent78]

Originally Posted by kinney1

Unfortuneately my pullup bar is just a straight bar - so I can't do neutral grip pullups.

You could do towel pull-ups by draping a towel over the bar and grabbing on to both ends for your pull-ups. It would probably put you in more of a neutral position.