How to Isolate Shoulder External Rotation | Tim Keeley | Physio REHAB
Channel: Physio Fitness | Physio REHAB | Tim Keeley
Date: 2020-09-23

#shoulderexercises #rotatorcuff #shouldersurgery

Sometimes post-operatively there can be ongoing weakness in tendons that can be masked by other muscles and the type of workouts. With my shoulder - I am 8 months post-op but that's only 5 months of real rehab because you can really only load the tendon until the 3 month mark.

So, as we Joe and I have discovered I am still lacking a significant amount of strength in my supraspinatus (the operated / repaired tendon). External rotation was down about 50%!. What has happened is my deltoid became very trigger pointy and compensated during the rehab phase. This effect has actually reduced the tendon strength my shoulder as the load was too much each rehab session and was getting 'overloaded' over a period of time. Just like how tendinopathies happen - and I already had a tendinopathy from the surgery.

⚒ So, solution? head to the  floor to take out the deltoid work and need for stability out of the equation and simply isolate the external rotation for the next 4 weeks - at the load that it can handle. I am starting with isometric work against a physio ball on the floor, as well as long light theraband from a height. 

Both into "my' end range - and being careful not to force into range that I don't have just yet (or I'll overload it again).
In 2 weeks I will head to standing and keep the same exercises going. We'll strength test it at that point and show you all the results!

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