FIX PROGRAM SHOULDER REHAB-U REHAB-U.COM About Mai-Linh Dovan Mai-Linh Dovan has been involved in the strength and conditioning close to 20 years. She holds a Bachelor’s degree in Athletic Therapy and a Master’s degree in Exercise Science from Concordia University, where she worked in collaboration with the Department of Psychology and the Centre for Research in Human Development. With her experience in Athletic Therapy and Clinical Rehabilitation, she has developed an approach geared towards functional training with integrated rehabilitation. She has used this approach with many elite athletes, working on their (p)rehabilitation during the off-season. An entrepreneur and having taught at Concordia University, she values the sharing of knowledge, presenting at various conferences and workshops and offering continuing education courses and collaborating with world reknown strength coach Christian Thibaudeau and Thibarmy.com. She is the founder of Rehab-U | Movement and Performance Therapy, an online resource for innovative movement optimization and (p)rehabilitation tools and services for athletes and active individuals, as well as trainers and coaches looking to refine their practice. Get yourself: Renewed. Robust. Resilient. REHAB-U.COM Program introduction Why have we created a Shoulder Fix Program? Shoulder dysfunction is commonplace in training, specifically for overhead movement. The shoulder girdle is a complex system, which involves not only the shoulder (glenohumeral) joint itself, but also the thoracic spine and scapulothoracic joint (movement of the scapula on the thorax). The Shoulder Fix Program is designed to improve shoulder function by addressing proper mobility of the regions above and below the shoulder and restoring optimal scapular function. This program can replace your upper body training and should be done 2-3 times per week. For optimal longterm results, the Mobilization and Activation blocks should be performed as frequently as possible. REHAB-U.COM Program Overview This program is designed to restore scapular function and movement quality of the shoulder complex for optimal performance. • The program is 12-weeks long • The plan is designed as an upper body workout. Direct arm training can be added as desired. REHAB-U.COM PHASE 1 | WEEKS 1-4 MOVEMENT RESTORATION / RE-PROGRAMMINGMMING The main goal of Phase 1 of the Shoulder Fix Program is to restore proper scapular function. Appropriate scapular motion requires attention to soft tissue quality. The upper trapezius, and pectoralis minor are common sites of myofascial tightness and hypertonia and can limit normal scapular motion. Tight and/or facilitated rhomboids can also maintain the scapula in a position of elevation and downward rotation. In the Mobilization block of Phase 1, attention is directed towards addressing soft-tissue limitations and downregulating facilitated musculature that limits scapular motion. Cervical and thoracic spine mobility are also addressed to create optimal space for shoulder movement. The Activation block focuses on accessing and controlling scapular motion to create awareness and a mind-muscle connection with the scapular muscles. The Integration block utilizes open-chain stabilization in positions that help avoid compensation via the scapular elevators. This is also where we integrate appropriate variations of the fundamental lower body movement patterns exercises. EXERCISE SETS REPS NOTES BLOCK 1 - MOBILIZATION A. Corner PNF pec stretch 1 3 Hold-Relax (hold for 10s, relax and deepen the stretch, repeat 3 times) B. Upper trap inhibition exercise 1 10 Hold the peak position for 2 sec C. Laterally flexed cervical rotations 1 10 / side D. Sidelying T-spine rotations 1 10 / side BLOCK 2 - ACTIVATION A. Prone retract and reach 2 6-8 / side Peel the shoulders off the floor, do not over-retract the scapulae Lying prone on a bench will leave you with more wiggle room asyou improve your ROM in external rotation B. Prone T-W’s 2 6-8 / side C. Supine band FABER 2 6-8 / side BLOCK 3 - INTEGRATION A. Sidelying screwdrivers 2 6 / side Slight pressure at end range external rotation B. Half-kneeling bottoms-up KB holds 2 20s / side You can slightly externally rotate the shoulder to increase the difficulty of this exercise C1. TRX row holds (bottom) 3 20-30 sec Slight external rotation torque C2. TRX push-up hold (top) 3 20-30 sec 20-30s rest between C1 and C2 D1. Pendlay row 3 8 Hold top 3 sec + 4 sec eccentric D2. DB floor press 3 8 Dead stop on bottom + 4 sec eccentric 30s rest between D1 and D2 E1. DB carry 3 20 m E2. Band pull-aparts (supinated grip) 3 12 You can add direct arm training as desired. *In this first phase, we want to limit overhead work to avoid compensation. REHAB-U.COM PHASE 2 | WEEKS 5-8 ACCUMULATIONG In Phase 2 of the Shoulder Fix Program we shift the focus to closed-chain scapular control and we start to progress towards overhead movement. Normal overhead elevation of the arm in flexion or abduction requires adequate length of the pectoralis major, latissimus dorsi, teres major and rhomboids. To verify if your lats are tight, perform the following lats length test. To verify if your pecs are tight, perform the following functional pec length test. In the Mobilization block of Phase 2, attention is directed towards soft-tissue limitations of the lats, pecs and/or rhomboids, and active range of motion of the shoulder, with or without assistance. The Activation block shifts towards scapular activation, targeting mainly the serratus anterior and middle and lower traps. The Integration block utilizes loads and positions towards overhead progressions. This is also where we integrate appropriate variations of the fundamental lower body movement patterns exercises. EXERCISE SETS REPS NOTES BLOCK 1 - MOBILIZATION A. SMR for pecs/lats if needed 1 1 min / area Foam roller, lacrosse ball, etc. B. Wall lats PNF stretch 1 3 Hold-Relax (hold for 10s, relax and deepen the stretch, repeat 3 times) C. Wall T-spine rotation with arm sweep 1 8 / side D. Seated chin tuck with shoulder flexion 1 8 Can be done with or without a dowel BLOCK 2 - ACTIVATION A. Serratus arm glide 2 6-8 / side B. Forearm wall slide 2 6-8 / side C. 1-arm plank & rotate 2 6-8 / side BLOCK 3 - INTEGRATION A. DB ¼ get-ups 2 6 / side B. Wall walk-out hold 2 20 sec Can be done from push-up position to increase difficulty C1. Half-kneeling landmine press 3 8 / side Hold top 3 sec + 4 sec eccentric C2. Bent-over 1-arm row (band) 3 8 / side Hold peak 3 sec + 4 sec eccentric 30s rest between D1 and D2 D1. Bent-over supinated wide-grip row 3 8 Hold top 3 sec + 4 sec eccentric D2. Inclined DB press 3 8 Hold peak 3 sec + 4 sec eccentric 30s rest between D1 and D2 E1. DB/KB front racked carry 3 20 m E2. Band face pulls 3 12 You can add direct arm training as desired. REHAB-U.COM PHASE 3 | WEEKS 9-12 INTENSIFICATIONMMING In Phase 3 of the Shoulder Fix Program, you get back to overhead work, but in selected positions that ensure there is no compensatory movement. In the Mobilization block of Phase 3, the focus is on active shoulder range of motion with the goal of maintaining the ranges you have acquired in the first two phases. The Activation block is meant to challenge and improve your overhead stability to promote endurance and robustness. The Integration block utilized loads and positions that promote endurance for overhead movement, helping prevent the breakdown of form. This is also where we integrate appropriate variations of the fundamental lower body movement patterns exercises. EXERCISE SETS REPS NOTES BLOCK 1 - MOBILIZATION A. SMR for pecs/lats if needed 1 1 min / area B. Prone active T-spine extension 1 8-10 C. Tall sitting arm saw 1 8 / side D. Prone lift-offs 1 8-10 Foam roller, lacrosse ball, etc. BLOCK 2 - ACTIVATION A. DB or BB overhead scap presses 2 6-8 B. Hanging scap retractions 2 6-8 C. Plank pike & reach 2 6-8 / side You can progress from a seated position to a full hang BLOCK 3 - INTEGRATION A. Half kneeling bottoms-up KB press 2 8 / side B. Arms overhead plank 2 20 sec C1. DB or BB Z press 3 8 Hold top 3 sec + 4 sec eccentric C2. Band lat pulldown 3 8 Hold peak 3 sec + 4 sec eccentric 30s rest between D1 and D2 D1. Isometric pull-up 3 20-30 s Hold top – with elastic band assistance if necessary Can be replaced by pulldowns D2. Isometric dip 3 20-30 s Hold bottom – with elastic band assistance if necessary 30s rest between D1 and D2 E1. DB/KB overhead carry 3 20m E2. TRX Y raises 3 12 You can add direct arm training as desired. Congratulations for committing to the Rehab-U | Shoulder Fix Program ! We hope you got out of this program what you were looking for! We’d love to hear about your results Please share on social media : Tag @Mai_rehabu and #RehabU , #movementoptimization For more information: mai@rehab-u.com Visit rehab-u.com to see all the available training options 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.