Shoulder Rehabilitation
The shoulder complex requires coordinated movements to take place at several joints, the rotator cuff, and the scapular stabilizer muscles in order to function properly. The shoulder joint allows for high degrees of mobility which requires dynamic stabilization of the muscular system. Any pathology changes at the joints, it's surrounding soft tissse (labrum, capsule, tendons, bursa) or the movement dysfunctions of the muscular system will result in pain syndromes.
Rehabilitation considerations incorporate the principle of STRUCTURE versus FUNCTION. Goals and progression for rehabilitation need to be customized for the individual based on the principle that if the body is balanced, then the body is able to control the forces the most effectively.
The key to recovery is motion. The primary reason for loss of motion is pain which will inhibit the muscles. After the pain is reduced, pain free motion can be introduced. Once motion is regained, emphasis is on strengthening, neuromuscular control and muscle re-education. This muscle re-education requires "specificity of training" to restore proper motor patterns and force couples.
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