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

Lumbar spine – Understanding the science behind both movement and dysfunction

The spine is a complex structure, comprised of nerves, connective tissue, bones, discs, muscles and other essential integrative components. Whether it getting out of a chair or car, lifting or carrying items, some 29 muscles around the pelvic girdle and lumbar spine, provide stability. In this article, we will review the anatomy of the spine, common injuries to the lumbar spine, functional assessments and training strategies to work with clients with previous injuries.

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