PHYSICAL THERAPY EXERCISES FOR THE UPPER ARM

Kenneth Hutto gives a few exercises to help with upper arm issues. We are constantly using and moving our arms, so that movement can take a toll on the muscles. Try these exercises, and then come visit us at San Diego Sports Physical Therapy for more exercises.

Rotator cuff injuries account for over half of the total reported shoulder problems in the US.

According to AAOS, the American Academy of Orthopaedic Surgeons, 7.5 million people saw their doctor for a shoulder problem in 2006. AAOS points out that upper extremity problems can be caused by anything from playing sports to simply doing household tasks like washing walls. If you report shoulder pain to your doctor, you are likely to be referred to a physical therapist for treatment. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!
ASSISTED EXERCISE
If you are experiencing pain, a physical therapist will often prescribe assisted exercises for your arms first. The exercise is “assisted” because you will use the one arm to move the other through a comfortable range of motion. This allows your shoulder to move freely without stressing your muscles, tendons or ligaments. To go through assisted shoulder flexion, find a dowel that is roughly three feet long and hold it in your right hand at one end; with your other hand, grasp the dowel in the center. Relax your right shoulder and allow your left arm to push it straight in front of your body through a pain-free range of motion. Repeat for the opposite arm.

ISOMETRIC EXERCISE
Isometric exercises are used by physical therapists to begin strengthening the muscles of your upper arm. During an isometric exercise you will contract the muscle you are targeting without moving any joints. According to the “Journal of Orthopaedic Physical Therapy,” strength in the external rotators of your shoulders is extremely important in the rehabilitation of upper arm injuries. To strengthen your external rotators, stand so your shoulder and the length of your arm are touching a wall. Bend your elbow to 90 degrees while keeping the arm against the wall. Press into the wall with the back your hand — concentrate on your shoulder acting as a hinge so the pressure is on your hand, not your elbow. Hold the contraction for five seconds, rest and repeat 10 times on each arm.

ACTIVE EXERCISE
Active exercises involve contracting your muscles to move joints through a range of motion. Weak elbow flexors in your upper arm could lead to shoulder injury. To strengthen your elbow flexors actively, sit or stand with your elbows straight and your palms facing forward. Lift your hands up to your shoulders and slowly lower them to your sides. If this motion is easy, hold a light dumbbell in each hand. You can lift both arms at the same time or one at a time. Begin with three sets of 10.

STRETCH
Stretching muscles in addition to strengthening them is very important for the function of your upper extremities. To stretch your elbow flexors, sit on the floor or on top of a mat with your arms behind you — your palms should be touching the floor with your fingers pointing away from your body. Scoot your hips forward so they are further away from your hands; you should feel a stretch in your biceps. When you feel a light stretch, hold the position for 30 seconds, rest and repeat three times.

REFERENCES
American Academy of Orthopaedic Surgeons: Common Shoulder Injuries Brigham and Women’s: Total Shoulder Arthroplasty / Hemiarthroplasty Protocol Journal of Orthopaedic Physical Therapy: Concentric Isokinetic Shoulder Internal and External Rotation Baseball Pitchers American Academy of Orthopaedic Surgeons: Shoulder Surgery Exercise Guide Sloan-Kettering: Upper Extremity Exercise Program
Article reviewed by Manisha Parmar Last updated on: Oct 21, 2013

Read more: http://www.livestrong.com/article/365909-physical-therapy-exercises-for-the-upper-arm/#ixzz2ikVDrlSF

What are Good Exercises for Those with Bad Knees?

We’re always talking about knees and knee pain, but how can you not when your knees do so much for you? If you have knee pain, here are a couple exercises by Brian Sabin to try at home. If you’re experiencing more pain, come see us at San Diego Sports Physical Therapy today!

Knee pain often indicates problems elsewhere.

THE ANSWER
First, realize how often “bad knees” are indicative of a problem elsewhere. Picture a factory with three employees who need to perform different tasks in order for the factory to run efficiently. If two of the employees neglect their job duties, the remaining employee has to perform tasks that aren’t in the original job description. This means the factory would not run as efficiently as possible and, eventually, the overworked employee would complain to management. If only the other two employees would buckle down, the problem would be solved.

In the factory of the human musculoskeletal system, the employees can be considered the hip, knee and ankle. In the case of bad knees, the hips and ankles may lack strength and mobility. The muscles in the feet and core may also not be functioning properly. If any element in that chain is off, your knees may suffer. So do these two exercises to put everybody to work.

SINGLE-LEG ROMANIAN DEADLIFT
Stand on your left foot with the left knee slightly bent. Keeping your hips level, bend forward as far as you can while maintaining a straight line from head to your heel. Do as many repetitions as possible without letting your knee cave inward, then switch sides. Do two to three sets.

HEEL-UNSUPPORTED MINI-SQUATS
Stand on the edge of a step, your weight in the ball of one foot. Let your heel sink down and pause for a second straight-legged. Then, keeping your heel down and making sure your knee doesn’t cave inward, do a mini squat by bending your knee and pushing your hips back. Repeat on the other side for 12 to 20 reps for two to three sets.

ABOUT THE EXPERT
Scott Lynn, PhD, associate professor of kinesiology at California State University in Fullerton, Calif.

9 Tips to Perfect Your Walking Form

Perfect form is key to avoiding pain and injuries! Read this article from ACE Fitness by Michele Stanten about good walking form.

Good posture will make it easier to go the distance. Here are some posture pointers for stronger striding during your next walk.

Tip #1: Stand up tall. Imagine that a wire attached to the crown of your head is gently pulling you upward. Walking erect will keep you moving at a brisker pace.

Tip #2: Keep your eyes on the horizon. This will help you to stand taller and avoid stress on your neck and low back.

Tip #3: Lift your chest and tighten your abs. Using muscles in the front of your body to straighten up will take pressure off your back.

Tip #4: Bend your arms. You’ll be able to swing your arms faster, which helps increase your speed. It also prevents swelling caused from blood pooling in your hands as you walk longer distances.

Tip #5: Relax your shoulders. Your arms will swing more freely, and you’ll avoid upper back and neck tension.

Tip #6: Maintain a neutral pelvis. Don’t tuck your tailbone under or overarch your back.

Tip #7: Keep your front leg straight but not locked. You’ll have a smoother stride and be able to propel yourself forward more easily.

Tip #8: Aim your knees and toes forward. Proper alignment will reduce your chances of injury.

Tip #9: Land on your heel. This facilitates the heel-to-toe walking motion that will carry farther and faster than if your foot slaps down on the ground with each step.

That may seem like a lot to think about, but you don’t have to do it all at once. Start from the top of the list and focus on one tip at a time. Pay attention to this area of your body at the beginning of your walk, and then periodically check about every 15 to 20 minutes (don’t constantly focus on it) to see if you’re maintaining good posture. If not, simply get back in alignment. Do this for about a week and then move onto the next tip. Some changes may happen quickly while others may take some time to become habit.

Walking coach Michele Stanten is the author of Firm Up in 3 Weeks and Walk Off Weight, co-author of Walk Your Butt Off, and creator of mywalkingcoach.com. As the former Fitness Director of Prevention magazine, she created a marathon walking program and coached thousands of readers to walk full and half marathons. Michele has also created walking and fitness programs for leading brands and organizations such as Avon and Reader’s Digest. She is also an ACE board member, ACE-certified group fitness instructor, and member of the Every Body Walk Collaborative. Michele has also produced and appeared in more than a dozen exercise DVDs and created numerous walking audio workouts.