Training the Impingement Client

The shoulder is a complex joint involved with everyday activities such as reaching and sport specific movements. Evidenced based research and my clinic experience as a physical therapist, supports that shoulder impingement is a common movement dysfunction seen in men. This article will review the following about shoulder impingement:

• Pathophysiology
• Common signs and symptoms and contributing factors
• Physical therapy management
• Program design
• Exercises that are contraindicated with rationale

Tee Time Talk

The first lesson I learned in golf fitness, I learned the hard way. I completed the Golf Fitness Trainer program sponsored by ISSA in the spring of 2002. The launch of my first program was scheduled for early summer. I worked at a golf resort and knew it would be a big hit. I put out a sign up sheet at my facility and was devastated when only 2 people signed up. I began asking around as to what I had done wrong. Did I have a poor marketing plan, not enough advertising, lack of name recognition? I had made friends with a young man who frequented our fitness center and had just turned pro. He confessed that he wanted to join my group but simply couldn’t afford to learn or try anything that might make him sore or cause him to reevaluate his swing while he was in high season. He urged me to reconsider offering this program again in the winter. This required a tremendous amount of patience to wait another 6 months for something I had worked so long for. I heeded his advice and it has paid off in spades. I launched my new and improved golf fitness program at a local private golf club and at the resort where I work. At my first public speaking engagement 50 avid golfers showed up. At the launch of my new golf school, my classes filled up and I am maintaining a wait list. They are already asking if I can offer a sequel to what they are learning. Here’s how we can help the off season golfer.

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