Sunday, September 27, 2009

FMR Left Shoulder


Sorry I haven't been posting. The hours & work load have been brutal, plus the school system blocking all blogs.


Out on the field there is a soccer game going on; I have a rehab circuit going on with 7 kids in the corner by the high jump, and I'm doing some manual therapy against the nearby fieldhouse. The athlete has an anteriorly subluxing shoulder. The itiology is scapular dyskinesis, primarly due to some muscle imbalances between the rhomboids & serratus anterior. You will see this quite a bit with athletes that do a lot of bench press. Yes I'm doing quite a bit of neuromuscular work. However, a positional fault of the humeral head in the glenoid fossa has been created. It requires direct & indirect work on the capsule itself.


The athlete is doing what I call a "windshield wiper" wallslide. He begins facing the wall, then takes a cross step with his left foot. The hips & shoulder are moving out of sync. The technique is FMR-to be specific I'm doing an posterior/inferior glide to this athlete's L GH joint. If you are familiar with a Mulligan N.A.G., it is very similar. The motion of the body enhances it.

4 comments:

Brian said...

Hey Joe...How's the football team doing? I must say I miss American football. Any chance of some of these activities getting video links? Is this movement pattern similar to previous post?

Brian said...

I understand what is going on with the trunk and how that creates a movement/position with the UE but what is the active movement of the UE during this activity....? Thanks in advance!

Joe Przytula said...

Videos?! I barely have time to take a dump! Maybe in another life I'll have the time to put a book & website together. Until then:

The arm is moving clockwise from 10 to 4 & back. The foot is cross stepping in opposition to the hand. I'm applying the mobe as the GH joint enters the "transformational zone".

Brian said...

Fair enough....I hope you at least have time to wipe..! I'm interested in GAIN 10 is a good idea to look into that now? Cheers...