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Supraspinatus, Lat and Teres Major: Restoring Limited Shoulder Abduction (eCourse)


Learn to Treat A Very Common and Challenging Type of Shoulder Dysfunction

Learn to work with the muscles involved in a critical dimension of shoulder motion: abduction, which painfully limits range in most moderate to severe cases of shoulder dysfunction, particularly complaints identified as "frozen shoulder". By understanding how to work with limited abduction, you will gain a key skill that will transform your work with shoulder pain.

Treating severe shoulder pain can be intimidating and challenging for therapist and client. This course is a very focused exploration of how to discover and treat the many potential sources of limited abduction, a condition that is present in many cases of shoulder pain. The Coaching the Body approach positions the therapist as an advocate, discovering exact sources of limitation and helping the body attain normal movement.

Discover What Can Go Wrong With Abduction and How to Fix It

Assessing scapular rotation during abduction

In order to fully abduct the arm, the scapula must upwardly rotate, or the motion would be limited by impingement at the acromion. This requires extensive coordination and collaboration between the scapular muscles and the movers of the arm. Even the muscles of the rotator cuff, such as subscapularis and infraspinatus, must participate strongly in abduction as humeral head stabilizers.
Thus, there are many potential limiters and things that can go wrong with the body's orchestration of this motion. The supraspinatus is a prime initiator of abduction, and is also a relatively small muscle that is vulnerable to impingement due to reduced joint space at the acromion. It is opposed by the lat and teres major, which may limit abduction on stretch.

Coach The Body Back To Healthy Shoulder Abduction

We show you how to work with the body as an advocate, and work confidently to earn your client's trust. Muscles can easily begin to develop trigger points due to factors like acute overload, chronic postural disturbance, or poor ergonomics. Once a pain pattern begins to develop, the body tends to respond by developing taut fibers and trigger points in antagonists and further locking the joint motion down.
In this course, you will learn to follow the clues to the body's adaptations that have led to reduced motion, and address them as each is revealed – our goal is to get significant improvement in a single session.


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