Rehabilitation Cervical Spine.

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Presentation transcript:

Rehabilitation Cervical Spine

Motor Control Cervical Flexion Test Fail Pass (Just)

Motor Control Cranio-Cervical Retraining

Motor Control Cranio-Cervical Retraining

Motor Control Cranio-Cervical Retraining Notice the difference between the previous slide

Motor Control Scapular Positioning and Scapulohumeral Rhythm Common Faults Corrections Scapular Anterior Tilt (Inferior Angle Winging) Scapular Internal Rotation (Medial Border Winging) Scapular Downward Rotation Scapular Posterior Tilting Scapular External Rotation Scapular Upward Rotation

Motor Control Scapular Positioning and Scapulohumeral Rhythm

Motor Control Scapular Positioning Notice the inferior angle winging

Motor Control Scapular Positioning Shoulder back AND down to prevent winging This facilitates posterior scapular tilting

Motor Control Scapular Positioning Shoulder back AND down to prevent winging Lift hands into the air

Motor Control Scapular Positioning Shoulder back AND down to prevent winging 90 degrees abduction

Motor Control Scapular Positioning Notice how the upper trapezius are trying to take over. Ensure they stay relaxed and the lower trapezius does all the work

Motor Control Scapular Positioning Shoulder back AND down to prevent winging 110 degrees abduction so humerus is in line with fibres of lower trapezius

Motor Control Scapular Positioning Notice how rotation of the lumbar spine is occurring. The lumbar paraspinals could be trying to help stabilise or there may be a restriction in shoulder flexion due to reduced thoracic extension or latissimus dorsi tightness.

Motor Control Scapular Positioning- Medial Rotation during glenohumeral elevation Encourage serratus anterior activity in a closed chain with protraction of the shoulder blade to prevent winging

Motor Control Scapular Positioning- Medial Rotation during glenohumeral elevation Encourage serratus anterior activity and slide arms up wall. Maintain serratus activity to promote upwards and external scapular rotation

Upper Trapezius Endurance

Strengthen The Shoulder Girdle The Shoulder W

Strengthen The Shoulder Girdle Shoulder Press Chest Press Lateral Raise Horizontal Row Press Ups Pull Ups Lat Pull Downs

Strengthen The Shoulder Girdle Remember to ensure correct scapula and cervical positioning!!!!!!!!!!

Proprioception and Balance Be inventive and test motor control and strength while incorporating balance and proprioception