Wednesday, March 2, 2011
Using the PCA to save time
The tests I used were:
1. Shoulder Liftoff
2. Shoulder IR (note: NOT an official PCA test)
3. Standing shoulder ER
4. Thomas Test 1.
The whole process only took me less than 5 minutes and gave me good information. The shoulder liftoff was expected- the athlete scored a "1", which would be consistent with weak lower traps. This is problematic, indicating this athlete cannot really get "hip to shoulder". What I didn't expect was the good performance on the standing shoulder ER, meaning the pec. minor was probably not a culprit. The Thomas Test 1 revealed a slightly tight same side iliopsoas (this would grade a "3", which normally isn't bad, but in throwers your really want a "5", meaning the thigh should drop below the table) which could theoretically prevent a good low trap load via poor torso extension. The internal rotation shoulder test will provide the athlete with a visible indication of their progress. This would grade a "1", which is undesirable for a thrower. This score indicates the possibility of shoulder & elbow injuries as per Donnelly.
My next step was to confirm my suspicions further by inspecting some of the myofascial centers of coordination about the scapula. Interesting the pec minor myofascial cc was indeed negative.
I'll only get to see this athlete a half of his lunch period 5 days a week. But with the help of a streamlined remedial program he should have a great season.