Treatment | Â | Aim | Exercise | Description |
---|---|---|---|---|
Session 1 | Retrain scapular movement patterns. | Scapular stability/retraining: optimise the position of the scapular and humeral head during shoulder motion, restoring normal scapulo-humeral rhythm. | Scapular setting. Scapular shrugs. | Scapular setting in standing at 0° with scapular rotation/ tilt correction (based on individual deficits). Build scapular stability-progression to scapular shrugs. |
Session 2 | Improve rotator cuff strength. | Improve rotator cuff strength (in optimal scapulo-humeral movement pattern). | Shoulder external rotation strengthening in neutral. | External rotation in standing with elastic (isotonic) or rigid (isometric) resistance band. Shoulder adducted to side and elbow at 90°. |
Session 3 | Improve rotator cuff strength. | Improve rotator cuff strength (in optimal scapulo-humeral movement pattern). | Shoulder internal rotation strengthening in neutral. | Internal rotation in standing with elastic (isotonic) or rigid (isometric) resistance band. Shoulder adducted to side and elbow at 90°. |
Session 4 | Build posterior musculature and restore flexibility. | Improve posterior muscle strength. | Standing rows at 45° or 90°. | Bilateral standing rows progressing from 45° to 90° shoulder abduction with resistance band. |
Improve flexibility of upper quadrant soft tissues. | Anterior shoulder stretch. Active thoracic extension. Lateral neck stretches. | Bilateral anterior chest stretch using room corner/door jamb. Sternal lift in sitting with lumbar-thoracic dissociation. Neck stretches in stand/sit. |