Question

You’re working with a throwing athlete who's recently had rotator cuff surgery and a total of 12 PT sessions. Your referral pad suggests gradual strengthening and stretching over 3 months. By then the athlete wants to be on a basic strength routine to get back to their pre-season training program. List the ROM exercises, modified strength exercises and routine you’d use for this athlete. Site examples from the literature of at least 2 programs for athletes following a published training format.

Answer 1

ROTATOR CUFF MUSCLES:The muscles of Rotator Cuff are Supraspinatus Muscle,Infraspinatus Muscle,Subscapularis Muscle,Teres Minor,Teres Major and Pectoralis Minor.

• They provide strength and stability during motion of the shoulder.

EXERCISES FOR ROTATOR CUFF SURGERY:

GENERAL EXERCISES: Pendulum Exerercises, Squeeze Ball,Pulley flexion and extension,Isometric Shoulder Abduction,Adduction,Extension and Flexion,Neck Stretches

ROM EXERCISES: Active Shoulder Abduction exercise,Active Horizontal Abduction exercise,Active Shoulder External Rotation Exercise,Active shoulder Internal Rotation,Active Shoulder flexion and extension.

STRENGTHENING EXERCISES: Started with light and progress to high resistance exercises with theraband and weights.Progressive Resistance Exercises with weights during shoulder flexon,extension,abduction and adduction

STRETCHINGS: Neck stretches, Parallel Arm shoulder Stretch, Reverse Shoulder Strecth,Above Head Stretch

TRAINING PROGRAMME:1

1. Safety is given the first priority and the progamme constitute plan for general development of strength,mobility,endurance and basic technique
2. A Week of should have 3 training days with 2 recovery days and 2 days rest
3. WARM UP ON TRAINING DAY: Skipping,shoulder girdle Mobility,Lateral and backward sprint drills
4. THOWING TECHNIQUES ON TRAINING DAY:Power throws and drills,Full throws
5. STRENGTH TRAINING ON TRAINING DAY: Chest press,shoulder Flexion and extension exercises with weights,Push ups
6. WARM UP ON RECOVERY DAY: Walking, shoulder girdle mobility
7. STRENTGH TRAINING ON RECOVERY DAY: Body weight lifting, circuit training,Core weight training,Squats
8. All the sessions are completed after a cool down session with whole body relaxation and stretches

TRAINING PROGRAMME:2

1. A week with 4 days training and 3 days rest
2. WARM UP: Skipping, Active shoulder ROM exercises,Neck Stretches
3. THROWING TECHINQUES: Power Throws,Full throws
4. STRENGTH TRAINING EXERCISES: Back squats,Bench Press,Dumbbell shoulder press,Hang clean,clean Pulls,Push Jerk ,Single Arm Dumbbel rows
5. The above programme has to be done for 2 days in a row and take rest for 1 day
6. WARM UP: Skipping,Shoulder ROM Exercises,Neck Stretches
7. STRENGTH TRAINING TECHNIQUES: Front squats,deadlifts,incline press,Barbell-bent over rows,seated military press,Hand snatch,split hang clean
8. Each session ends with cool down session with whole body relaxation and stretches for shoulder and chest .