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You are in the sub-theme Physiotherapy of Impingement Syndrome. You will find the start page of this topic under Physiotherapy of impingement syndrome. You will find the medical-orthopedic part under our sub-topic Impingement Syndrome.
Technique Muscle strengtheningMuscle building
Shoulder joint instability is often caused by a combination of different factors. Since the shoulder joint is a joint with a large range of motion and is mainly guided by muscles, capsule and ligaments, too lax a joint capsule, ligament instability or functional disorders of the shoulder joint rotation, abduction and stabilization muscles (rotator cuff) can lead to shoulder joint instability with the risk of subluxation or luxation. Previous injuries to the ligaments, the capsule or a reduction in muscle strength due to trauma or immobilization are the cause of tissue instability.
If the rotator cuff does not work sufficiently and in time with the beginning of arm movement, the shoulder joint head does not center itself sufficiently in the joint, slips forward and puts painful pressure on the tendons under the acromion. In addition to targeted strength training of the rotator cuff, the therapist should treat the shoulder joint capsule using manual therapy. By stretching the parts of the capsule that are too taut, the areas of the shoulder joint capsule that are too lax are released.
The following exercises are strengthening exercises for joint stability and also serve to fix the shoulder blade on the rib cage during arm spreading and lifting movements. Chest dosage to improve intramuscular coordination: training with low weight or low elastic resistance, 30-40 repetitions per series, 3-4-exercise units/week dosage to improve strength endurance: training with higher weight or elastic resistance, 3 series of 10 – 15 repetitions with a break of 30 sec. after a series, holding time of approx.
7 – 10 sec. Starting position: sitting on a stool or straddled stand with slightly bent knee joints, a Theraband is held above the head with spread arms Exercise: the Theraband is pulled under tension behind the head with bent arms, the shoulder blades pull down towards the back of the trouser pockets Effect: strength training of the shoulder blade stabilizersStarting position: sitting on a stool or straddled stand with slightly bent knee joints, a Theraband is held wrapped around both hands in front of the body, the elbows are in approx. 90° position without lifting the arms in the shoulder joint Exercise: both forearms are moved outwards simultaneously against the pull of the band, the elbows remain on the body Effect: Strengthening of the rotator cuff
