ROTATOR CUFF – SUPRASPINATUS 12-WEEK REHAB PROGRAM Disclaimer: The information contained in this document is presented to improve movement, not treat medical conditions. This information is not a substitute for medical advice or treatment of specific medical conditions. REHAB -U SAMPLE PHASE I PROGRAMMING – SUPRASPINATUS METHOD/ TEMPO MOBILIZATION WEEK 1 WEEK 2 WEEK 3 WEEK 4 REST SETS REPS SETS REPS SETS REPS SETS REPS A. Soft tissue release 1 1-2 mins 1 1-2 mins 1 1-2 mins 1 1-2 mins --- B. Joint mobilization above 1 1 min 1 1 min 1 1 min 1 1 min --- C. Joint mobilization below 1 1 min 1 1 min 1 1 min 1 1 min --- hold or oscillate 1 2 mins 1 2 mins 1 2 mins 1 2 mins --- oscillate 1 1 min 1 1 min 1 1 min 1 1 min --- SETS REPS SETS REPS SETS REPS SETS REPS slow 1 8 1 8 1 8 1 8 --- isometric holds 1 5x10s 1 5x10s 1 10x10s 1 10x10s --- isometric holds 1 5x10s 1 5x10s 1 10x10s 1 10x10s --- external rotation resistance 1 6/side 1 6/side 1 8/side 1 8/side --- SETS REPS SETS REPS SETS REPS SETS REPS isometric hold 4 20s 4 20s 4 30s 4 30s 60-90s sub-max overcoming isometrics 4 15-20s 4 20s 4 20-30s 4 max 60-90s C. Bent-over supinated wide grip row 3 12 3 12 3 12-10-8 3 12-10-8 90-120s D. DB neutral grip bench press 3 12 3 12 3 12-10-8 3 12-10-8 90-120s E1. Front-racked carry 3 15s 3 15d 3 20s 3 30s --- E2. Supinated band pull apart 3 12 3 12 3 12 3 12 60-90s BLOC A – SOFT TISSUE + CLEARING BLOC B - ARTICULAR A. Posterior glide with KB B. Inferior glide ACTIVATION SCAPULAR: A. Prone retract & reach B. Prone external rotation w/ abduction ROTATOR CUFF: A. Side lying screwdriver B. Tall kneeling Pallof press INTEGRATION A. Feet-elevated isometric push-up (top) B. Isometric overhead press (*bottom*) SAMPLE PHASE II PROGRAMMING – SUPRASPINATUS METHOD/ TEMPO MOBILIZATION WEEK 1 WEEK 2 WEEK 3 WEEK 4 REST SETS REPS SETS REPS SETS REPS SETS REPS 1 1 min 1 1 min 1 1 min 1 1 min --- 1 1 min 1 1 min 1 1 min 1 1 min --- SETS REPS SETS REPS SETS REPS SETS REPS BLOC A - ARTICULAR A. Seated T-spine extension BLOC B - ACTIVE ROM B. Prone overhead reach ACTIVATION A1. Reach, roll & lift isometric holds 1 5x10s 1 5x10s 1 10x10s 1 10x10s A2. Horizontal chop slow eccentric 5-1-2-1 2 6/side 2 6/side 2 8/side 2 8/side B1. Shoulder tap 2 15s 2 20s 2 30s 2 30s --- B2. Ball catch & release 2 15s 2 20s 2 30s 2 30s --- SETS REPS SETS REPS SETS REPS SETS REPS INTEGRATION --- A. Feet-elevated isometric push-up (midrange) isometric hold 4 20s 4 20s 4 30s 4 30s 60-90s B. Isometric overhead hold isometric hold 4 20s 4 20s 4 30s 4 30s 60-90s C. Pendlay row back-off sets 4 10,8,6,10 4 10,8,6,10 4 10,8,6,10 4 10,8,6,10 90-120s externally paced 5-sec eccentric 4 8 4 8 4 6 4 6 90-120s 3 15s 3 15s 3 20-30s 3 30-45s --- 3 8 3 8 3 8 3 8 60-90s D. Half kneeling landmine press E1. Inverted row “Dead” hang E2. Supine face pulls hold peak 2 secs SAMPLE PHASE III PROGRAMMING – SUPRASPINATUS METHOD/ TEMPO MOBILIZATION WEEK 1 WEEK 2 WEEK 3 WEEK 4 REST SETS REPS SETS REPS SETS REPS SETS REPS A. Tall sitting shoulder dislocates 1 1 min 1 1 min 1 1 min 1 1 min --- B. Prone active T-spine extension 1 1 min 1 1 min 1 1 min 1 1 min --- SETS REPS SETS REPS SETS REPS SETS REPS 1 5x10s 1 5x10s 1 10x10s 1 10x10s --- A1. Bent-over 1-arm KB swing 2 10s 2 10s 2 15s 2 20s --- A2. Bent-over medball slams 2 6 2 8 2 10 2 12 45-60s SETS REPS SETS REPS SETS REPS SETS REPS beginning + just before end range 4 6 4 6 4 8 4 10-12 60-90s B. Pull-ups clusters sets 4 3/1/1/1 4 3/1/1/1 4 1/1/1/1/1 4 1/1/1/1/1 120-180s C. Overhead press from pins clusters sets 4 3/1/1/1 4 3/1/1/1 4 1/1/1/1/1 4 1/1/1/1/1 120-180s D1. HBT overhead carries 3 20s 3 30s 3 30s 3 45-60s --- D2. Straight-arm pulldown 3 8 3 8 3 8 3 8 90-120s ACTIVATION ROM CONTROL: A. External rotation control DYNAMIC: INTEGRATION A. 2-pause concentric push-up