| Shoulder injuries are very common from young | | | | Tightness |
| athletes to seniors. One of the most common shoulder | | | | 1) Glenohumeral internal rotation deficit (GIRD) and |
| injuries is shoulder impingement. Shoulder impingement | | | | posterior shoulder tightness have been linked to internal |
| is when you move your shoulder and some of the | | | | shoulder impingement. |
| soft tissue structures in your should pinches | | | | 2) Clients with internal rotation impingement who had |
| underneath the bone in you shoulder. | | | | received stretching and mobilization for 3 to 12 weeks |
| Range of Motion versus Decreased Shoulder | | | | with a physical therapist had a decrease in shoulder |
| Tightness | | | | impingement symptoms. |
| After a course of physical therapy consisting of | | | | 3) In people that had a decrease in shoulder |
| stretching and mobilization exercises of the posterior | | | | symptoms after the stretching and mobilization, were |
| shoulder, research shows that complete resolution of | | | | the clients that had a decrease in posterior shoulder |
| internal impingement symptoms is associated with | | | | tightness. Improvement in GIRD did not affect |
| correction of posterior shoulder tightness but not with | | | | symptoms. |
| glenohumeral internal rotation deficit or GIRD | | | | Take Home Message (THE PART YOU MUST |
| improvement. | | | | READ!) |
| GIRD and posterior shoulder tightness have been | | | | It is important to have a qualified health care |
| suggested as causative factors in internal impingement | | | | professional perform mobilizations on your client that |
| of the shoulder, a shoulder injury mainly seen in | | | | has internal rotation impingement. It is also important for |
| throwing athletes. The tightening of posterior shoulder | | | | you to focus on stretching out the posterior aspect of |
| capsule results in abnormal motion of the humeral head | | | | the shoulder. |
| with passive shoulder flexion, which in turn, causes the | | | | Plus, what was not mentioned in the abstract was the |
| decrease of subacromial space during overhead | | | | subjects also did rotator cuff exercises and scapula |
| movements. | | | | stabilization exercises every day. These are exercises |
| GIRD is considered as an adaptive mechanism to | | | | that I give my clients and are the difference in |
| repetitive overhead motions, where gradual increase in | | | | overcoming shoulder impingement or not. |
| external rotation and decrease in internal rotation | | | | If you do all four things, then you have a good chance |
| occur. Shoulder pain and decreased full internal rotation | | | | of overcoming shoulder impingement. |
| of the shoulder develop when the rotator cuff tendons | | | | If they only focus on one, their chances don't look |
| or posterior labrum are pinched between the humeral | | | | good. |
| head and shoulder socket. | | | | Start doing the four things able and get rid of you |
| 3 Key Points about Range of Motion and Shoulder | | | | shoulder impingement pain. |