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The serratus punch is an exercise that works scapular protraction using the serratus anterior muscle and to a lesser extent the pectoralis minor. [ 1 ] [ 2 ] The exercise even performed at maximum voluntary isometric contraction did not increase pain in one study in people with shoulder pain. [ 3 ]
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"The rotator cuff could be injured by this movement." Physical therapist Brett Russell agrees. "There are better ways to attempt a pull-up, such as an assisted pull-up machine," he says.
“This compound movement first works on the upper back and scapular muscles that can impact posture, then works on shoulder rotation to help strengthen the rotator cuff,” Germano explains.
Muscle groups such as serratus anterior, trapezius, and rhomboid major/minor need to be strengthened to allow for shoulder function. By stabilizing these muscles there is more alignment which causes a reduction in strain and protects the joints. Glenohumeral exercises are focused around strengthening the rotator cuff muscles.
Exercises that strengthen the back muscles include rows, pull-ups, and shoulder blade squeezes. Exercises like doorway stretches for the chest can help stretch out tension that contributes to rounded shoulders. Synergistically implementing muscle strengthening and stretching can effectively prevent the development of rounded shoulders. [47] [48]
Rotator cuff tear and surgical repair. Benefits of surgery are unclear as of 2019. [10] Several instances when surgery may be recommended include: 20 to 30-year-old active person with an acute tear and severe functional deficit from a specific event [61] 30 to 50-year-old person with an acute rotator cuff tear secondary to a specific event [61]
Musculoskeletal injury; A rotator cuff tear injury results in the muscles, ligaments and tendons being disturbed which in-turn restricts regular movement. Specialty: Physiotherapy: Symptoms: Mild to severe aches and pains, numbness, weakness, tingling and atrophy: Complications: Loss of movement, disability: Duration: Dependent on injury, 2-10 ...