Read e-book online Mechanical Shoulder Disorders. Perspectives in Functional PDF

By James Porterfield, Carl DeRosa

ISBN-10: 0721692729

ISBN-13: 9780721692722

This new scientific reference presents a radical dialogue of the shoulder from the conventional and irregular standpoint with an emphasis at the anatomical and mechanical foundations of shoulder issues. through the textual content, the authors express how an knowing of tissue harm, the therapeutic approach, and the position of the neuromuscular approach of the trunk and shoulder advanced are the keys to profitable remedy. Readers will find out about the shoulder girdle complicated in the context of its courting to the encircling physique quarter, together with the neck and arm in addition to the trunk and decrease extremities. An accompanying DVD with interactive movement menus comprises one hundred twenty mins of video that exhibit scientific dissection of the shoulder.

  • The textual content contains over a hundred designated anatomical illustrations that increase the textual content descriptions of the anatomy, make clear innovations, and relief visible learners.
  • 60 cadaver photographs, positioned along the anatomical illustrations, aid the reader visualize musculature and anatomical structures.
  • Assessment versions and pictures for the shoulder girdle advanced offer step by step systems to aid practice a sufferer assessment.
  • More than 50 illustrated routines that could be utilized in sufferer therapy are designed to enhance the power, strength, and persistence of the worldwide and native muscular tissues linked to the shoulder girdle.

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Extra resources for Mechanical Shoulder Disorders. Perspectives in Functional Anatomy

Sample text

SUMMARY We have examined several aspects of nervous system function and dysfunction in the shoulder complex. We described disorders of neural tissue that can give rise to the perception of shoulder pain, such as nerve root disorders, peripheral nerve injuries, and pain referred 45 from structures outside the shoulder region. In addition, we considered the poorly understood phenomenon of sensorimotor integration over the shoulder. Very often shoulder pain is analyzed simply on the basis of a suspected mechanical etiology.

These exercises can also be effective in shoulder rehabilitation if carefully adapted to the specific patient needs. Examples using medicine balls of varying weights and circumferences with an emphasis on the rate of reversing the muscle action from the lengthening phase to the shortening phase include: ● ● ● ● ● ● Medicine ball “presses” from the bench press position or medicine ball presses from the incline bench position Two-handed soccer throws Underhand two-handed side throws, single-arm catch and throws, or push-ups (with knees on floor) to 4-inch block (being very aware of the potential for posterior shear at the glenohumeral joint (see Chapter 4) Push-ups (with knees on floor) from a 4-inch block to floor and back up to 4-inch block (again, aware of the posterior shear at the glenohumeral joint) Modifications of the plyometric push-ups with the patient “falling” toward a wall (as in a wall pectoralis major stretch) and pushing away quickly Plyometric sit-ups using elastic energy of muscles involved in push pressing activities or plyometric situps using elastic energy from shoulder extensors The last two exercises offer excellent ways to incorporate training of the shoulder girdle and abdominal mechanism.

Still others have a twisting or spiral course as the muscle links the two bony ends. In several key muscles of the shoulder complex, there is a twisting and spiral course. These muscles include the intricate trilaminar fiber arrangement of the pectoralis major tendon, the latissimus dorsi tendon, the muscle fibers of the levator scapulae, and the weaving of the muscle fibers of the infraspinatus. No muscle acts in isolation. Rather, a coordinated series of muscle contractions creates loads on all tissues in the region throughout the range of movement.

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Mechanical Shoulder Disorders. Perspectives in Functional Anatomy by James Porterfield, Carl DeRosa


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