What muscle works closely with the anterior deltoid? Pectoralis major What muscle is involved in any lifting movements? Deltoid What is the major (strongest) extensor muscle? Latissimus Dorsi Name the four rotator cuff muscles. Subscapularis, Supraspinatus, Infraspinatus, and Teres minor. What muscle works closely with the infraspinatus? Teres minor Questions
Name the muscles for Horizontal Adduction Pect Major (both) Corachobrachialis Deltoid (anterior) Name the muscles for Horizontal Abduction Deltoid (post) Infraspinatus Teres minor Lats Practice
List the muscles that do flexion of the shoulder Coracobrachialis Pectoralis major (upper to 60°) Anterior Deltoid Practice • List the muscles that do extension of the shoulder • Latissimus dorsi • Teres major • Posterior deltoid • Pectoralis major (lower fibers to neutral)
List the muscles that do adduction of the shoulder Pectoralis major (lower and upper below 90°) Coracobrachialis Latissimus dorsi Teres major Practice List the muscles that do abduction of the shoulder • Deltoid (all sections) • Supraspinatus • Pectoralis major (upper past 90°)
List the muscles that do internal rotation of the shoulder Subscapularis Latissimus dorsi Teres major Anterior deltoid Pect. major Practice • List the muscles that do external rotation of the shoulder • Infraspinatus • Teres minor • Posterior deltoid
Name the muscle. Coracobrachialis Name the action Adduction of the shoulder Also, flexion and hor. add.
Name the muscle. Pectoralis Major
Name the muscle. Subscapularis Name the action Internal rotation of the shoulder
Name the muscle. Deltoid Name the action Abduction of shoulder
Name the muscle. Infraspinatus Name the action External rotation
Name the action Name the muscle. Adduction of scapula Teres Major
Name the muscle. Teres Minor Name the action if the humerus move directly to the posterior Extension of the shoulder
Name the muscle. Supraspinatus Name the action Abduction of the shoulder
Coracobrachialis Pect. Major Subscapularis Deltoid
Supraspinatus Teres Major Infraspinatus Teres Minor
What position is his right shoulder in? Horizontal Abduction and External Rotation
What rotation action is his shoulder performing as he continues to through the ball? Internal Rotation
What position are his shoulders in? Horizontal abduction or Extension
Position of their shoulders? 2. 1. Extension Flexion
What is the position of shoulders? Extension
Pectoralis major Push-ups Pull-ups Bench press Throwing Tennis serve Latissimus dorsi Chinning Robe climb Dips on parallel bars Pullover exercises Pulldown exercises Rowing Major Muscles of the Shoulder
Shoulder action = ? Shoulder muscle(s) = ? Deltoid Supraspinatus Abduction
Shoulder action = ? Shoulder muscle(s) = ? Flexion Ant Deltoid Upper Pect Major Coracobrach.
Shoulder action = ? Shoulder muscle(s) = ? Ant. Deltoid Pect. Major (both) Coracobrachialis Horizontal Add.
Shoulder action = ? Shoulder muscle(s) = ? Horizontal Abduction Latissimus Dorsi Post. Deltoid Teres Minor Infraspinatus
Shoulder action = ? Shoulder muscle(s) = ? Adduction Pect. Major (both) Coracobrachialis Latissimus Dorsi Teres Major
Shoulder action = ? Shoulder muscle(s) = ? Horizontal Add Ant. Deltoid Pect. Major (both) Coracobrachialis
Shoulder action = ? Shoulder muscle(s) = ? Extension Lats Teres Major Post. Deltoid Pectoralis Major (lower) Infraspinatus Teres minor
Shoulder action = ? Shoulder muscle(s) = ? External Rotation Infrspinatus Teres Minor Post. Deltoid
Name a shoulder muscle isolated with the following exercises. • Side arm dumbbell raises • Deltoid • Push-ups • Pectoralis major • Rowing and pull-overs • Latissimus dorsi
What is the action to the left? What muscles perform that action? External Rotation Internal Rotation Internal Rotation Subscapularis, Ant. Deltoid, Pect, Major, Lats. And Teres Major
Rotator Cuff Exercises External Rotation Internal Rotation External Rotation Abduction (to work the supraspinatus)
Shoulder Related Injuries • The shoulder is built for motion, not stability • Injury rate depends on… • Shallowness of glenoid fossa • Laxity of ligaments • Strength of muscles
Shoulder subluxation • Incomplete or partial dislocation • Shoulder dislocation • Complete dislocation of the GH joint • Most common anteriorly and inferiorly • Shoulder separation • Complete dislocation of the AC joint
Impingement Syndrome • A condition that decreases the subacromial space • Acromion process • Coracoacromial ligament • Causes • Swelling • Bone spurs • Anatomical structure
Rotator cuff • Subscapularis • Supraspinatus • Infraspinatus • Teres minor
Movement of RC Muscles • Subscapularis is an internal rotator of the arm. • Supraspinatus assists the deltoid in abducting the arm, with its greatest contribution being the initiation of abduction. • Infraspinatus and teres minor muscles both externally rotate the arm.
Rotator Cuff Injury • The throwing motion has been divided into five phases: wind-up, cocking, acceleration, and follow-through. • Cocking phase • Subscapularis fires in late cocking phase to decelerate the shoulder's external rotation. Also, it is stretched during the cocking phase.
Rotator Cuff Injury • Follow-through (muscles fire most intensely) • Subscapularis internally rotates the shoulder, • The infraspinatus and teres minor contract eccentrically to decelerate the arm and are stretched. • During this repetitive eccentric loading, the rotator cuff is prone to overload, fatigue, tendinitis, and even a partial undersurface tear.
Note: Surgery needs to be performed within 3 months or the supraspinatus muscle will atrophy and be too short to reattach