Understanding the Rotator Cuff:
Before diving into exercises, it’s helpful to understand the anatomy of the rotator cuff. It comprises four muscles:
- Supraspinatus: Helps lift the arm to the side. (Shoulder Abduction)
- Infraspinatus: Assists in rotating the arm outward. (External Rotation)
- Teres Minor: Works with the infraspinatus to rotate the arm outward.
- Subscapularis: Allows the arm to rotate inward. (Internal Rotation)
Isometric Rotator Cuff Strengthening Exercises:
1. External Rotation @90 Degrees
- Setup: Lay on your back with your arm bent to 90 degrees
- Action: Keeping your elbow at a 90-degree angle and close to your body, rotate your arm away from your body into a barrier, such as a yoga block. Think about spinning from the shoulder and keep your elbow to your side.
- Repetitions: Perform 2-3 sets of 10-15 second isometrics per arm without pain.
- Considerations: Slowly increase tension to 100% if possible. Always remember to breathe.
2. External Rotation @90/90
- Setup: Lay on your back with your arm bent to 90 degrees and shoulder at 90 degrees
- Action: Keeping your arm at a 90-degree angle like an “L”, rotate your arm back into a barrier, such as a yoga block. Think about spinning from the shoulder like a rotisserie.
- Repetitions: Perform 2-3 sets of 10-15 second isometrics per arm without pain.
- Considerations: Slowly increase tension to 100% if possible. Always remember to breathe.
3. Internal Rotation @90/90
- Setup: Lay on your back with your arm bent to 90 degrees and shoulder at 90 degrees
- Action: Keeping your arm at a 90-degree angle like an “L”, rotate your arm forward into a barrier, such as a yoga block. Think about spinning from the shoulder like a rotisserie.
- Repetitions: Perform 2-3 sets of 10-15 second isometrics per arm without pain.
- Considerations: Slowly increase tension to 100% if possible. Always remember to breathe.
4. Shoulder Abduction
- Setup: Lay on your back with your arm bent to 90 degrees and shoulder at 90 degrees
- Action: Keeping your arm at a 90-degree angle like an “L”, slowly start to move it up towards your ear. Push into a barrier, such as a yoga block. Make sure to keep the “L” position while moving into the block.
- Repetitions: Perform 2-3 sets of 10-15 second isometrics per arm without pain.
- Considerations: Slowly increase tension to 100% if possible. Always remember to breathe.
Conclusion:
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