Increasing the range of shoulder flexion, abduction, and external rotation.

— The patient moves the arm to the end of the range of flexion-abduction-external rotation. "Open your hand and lift your arm up as high as you can."

— Resist an isotonic contraction of the pattern of extension-adduction-internal rotation. "Squeeze my hand and pull your arm down and across. Keep turning your hand down."

— Allow enough motion to occur for both you and the patient to know that all the muscles in the pattern, particularly the rotators, are contracting. "Keep pulling your arm down."

— After resisting the contraction (for a sufficient amount of time), both you and the patient relax. "Relax, let everything go loose."

— Now, resist the patient's motion into the newly gained range. "Open your hand and lift your arm up farther."

— When no more range is gained, exercise the agonistic and antagonistic patterns, either in the new range or throughout the entire range

O Fig. 3.7. Hold-Relax or Contract-Relax. a Direct treatment for shortened shoulder extensor and adductor muscles. b Indirect treatment for shortened shoulder extensor and adductor muscles

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Fire Up Your Core

Fire Up Your Core

If you weaken the center of any freestanding structure it becomes unstable. Eventually, everyday wear-and-tear takes its toll, causing the structure to buckle under pressure. This is exactly what happens when the core muscles are weak – it compromises your body’s ability to support the frame properly. In recent years, there has been a lot of buzz about the importance of a strong core – and there is a valid reason for this. The core is where all of the powerful movements in the body originate – so it can essentially be thought of as your “center of power.”

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