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	<title>Academy Blog &#187; shoulder</title>
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	<copyright>Copyright &#xA9; Academy Blog 2011 </copyright>
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	<itunes:summary>Research and News</itunes:summary>
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	<itunes:author>Academy Blog</itunes:author>
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		<item>
		<title>A better exercise for trapezius muscle balance?</title>
		<link>http://www.hygenicblog.com/2011/08/29/trac-2011-a-better-exercise-for-trapezius-muscle-balance/</link>
		<comments>http://www.hygenicblog.com/2011/08/29/trac-2011-a-better-exercise-for-trapezius-muscle-balance/#comments</comments>
		<pubDate>Mon, 29 Aug 2011 05:01:40 +0000</pubDate>
		<dc:creator>Dr. Phil Page</dc:creator>
				<category><![CDATA[Thera-Band Elastic Resistance]]></category>
		<category><![CDATA[TRAC 2011]]></category>
		<category><![CDATA[EMG]]></category>
		<category><![CDATA[Exercises]]></category>
		<category><![CDATA[lower trapezius]]></category>
		<category><![CDATA[shoulder]]></category>

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		<description><![CDATA[Trapezius muscle balance is important for normal shoulder function. Often in patients with impingement, the lower trapezius is much weaker than the upper trapezius. Traditional exercises to strengthen the lower trapezius such as prone shoulder flexion may cause further impingement, creating a “catch 22” for clinicians: Is there a better exercise for the lower trapezius&#8230;]]></description>
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			<enclosure url="http://www.hygenicblog.com/wp-content/uploads/2011/08/sue.falsone_TRAC2011.mp3" length="1" type="audio/mpeg" />
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		<itunes:subtitle>Trapezius muscle balance is important for normal shoulder function. Often in patients with impingement, the lower trapezius is much weaker than the upper trapezius. Traditional exercises to strengthen the lower trapezius such as prone shoulder flexi[...]</itunes:subtitle>
		<itunes:summary>Trapezius muscle balance is important for normal shoulder function. Often in patients with impingement, the lower trapezius is much weaker than the upper trapezius. Traditional exercises to strengthen the lower trapezius such as prone shoulder flexion may cause further impingement, creating a “catch 22” for clinicians: Is there a better exercise for the lower trapezius that doesn’t impinge the shoulder?
Scientific Advisory Board member, Sue Falsone, PT, ATC, Vice President of Athletes’ Performance in Phoenix presented a pilot study of EMG activation of the upper and lower portions of the trapezius muscle during prone flexion with a cuff weight and 3 novel Thera-Band® tubing exercises at the 13th annual TRAC meeting in San Francisco, California.
The “vector” principle of elastic exercise prescription creates vectors of resistance more specific to muscle function. Vector exercises for lower trapezius were developed to create a line of resistance in the direction of the fibers of the lower trapezius, and in the opposite direction of its action of retraction and depression.
In Falsone’s pilot study, 10 healthy subjects without shoulder pain performed these 4 exercises in random order while Noraxon surface EMG data was captured and then normalized to a maximal contraction:

Prone shoulder flexion with 3 pound cuff weight
Vector scapular retraction with green Thera-Band tubing
Vector scapular retraction plus step back with green Thera-Band tubing
Vector scapular retraction plus scaption with green Thera-Band tubing

She found that lower trapezius activation was greater in all 3 vector exercises, while the upper trapezius activation was less than the prone flexion exercise. In fact, the upper trapezius activation during vector exercises was half that of prone flexion!
In patients with shoulder pain related to trapezius muscle imbalance, the lower trapezius vector exercise with Thera-Band elastic resistance may be better to bias the lower trapezius during rehabilitation exercises. Falsone plans to expand her pilot study with more subjects and publish her results next year.
Read the abstract of her study here: EMG analysis of the upper and lower trapezius during Thera‐Band® elastic resistance exercises
Click here to learn more about all the research at TRAC 2011.
Be sure and listen to a podcast interview with Sue about her project:</itunes:summary>
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		<title>Rotator cuff patients benefit from Thera-Band exercises</title>
		<link>http://www.hygenicblog.com/2011/06/29/rotator-cuff-patients-benefit-from-thera-band-exercises/</link>
		<comments>http://www.hygenicblog.com/2011/06/29/rotator-cuff-patients-benefit-from-thera-band-exercises/#comments</comments>
		<pubDate>Wed, 29 Jun 2011 10:46:20 +0000</pubDate>
		<dc:creator>Dr. Phil Page</dc:creator>
				<category><![CDATA[Research Updates]]></category>
		<category><![CDATA[Thera-Band Elastic Resistance]]></category>
		<category><![CDATA[rotator cuff tear]]></category>
		<category><![CDATA[rotator cuff tendinosis]]></category>
		<category><![CDATA[shoulder]]></category>
		<category><![CDATA[shoulder impingement]]></category>
		<category><![CDATA[shoulder pain]]></category>

		<guid isPermaLink="false">http://www.hygenicblog.com/?p=1919</guid>
		<description><![CDATA[Rotator cuff disease is the most common cause of shoulder pain in primary care (Ostor et al. 2005) and includes diagnoses such as bursitis, impingement, and rotator cuff tendinosis. Several studies featured in the Academy Blog have described how effective Thera-Band® exercises are in treating shoulder conditions, particularly when combined with manual therapy. Researchers in&#8230;]]></description>
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		<slash:comments>1</slash:comments>
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		<title>Long term benefits from Thera-Band exercises for shoulder pain</title>
		<link>http://www.hygenicblog.com/2011/02/09/long-term-benefits-from-thera-band-exercises-for-shoulder-pain/</link>
		<comments>http://www.hygenicblog.com/2011/02/09/long-term-benefits-from-thera-band-exercises-for-shoulder-pain/#comments</comments>
		<pubDate>Wed, 09 Feb 2011 11:48:20 +0000</pubDate>
		<dc:creator>Dr. Phil Page</dc:creator>
				<category><![CDATA[Research Updates]]></category>
		<category><![CDATA[Thera-Band Elastic Resistance]]></category>
		<category><![CDATA[impingement]]></category>
		<category><![CDATA[shoulder]]></category>

		<guid isPermaLink="false">http://www.hygenicblog.com/?p=1653</guid>
		<description><![CDATA[Last year, I reported on a study from Norway comparing elastic resistance exercises with shockwave therapy in patients with shoulder pain. In that 2009 study, the researchers reported on the outcomes of 194 patients randomly assigned to 12 weeks of exercise using elastic resistance or 4 to 6 treatments of radial extracorporeal shockwave treatment (RESWT).&#8230;]]></description>
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		<slash:comments>0</slash:comments>
		</item>
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		<title>Clinical management of “frozen shoulder” features Thera-Band products</title>
		<link>http://www.hygenicblog.com/2011/01/19/clinical-management-of-%e2%80%9cfrozen-shoulder%e2%80%9d-features-thera-band-products/</link>
		<comments>http://www.hygenicblog.com/2011/01/19/clinical-management-of-%e2%80%9cfrozen-shoulder%e2%80%9d-features-thera-band-products/#comments</comments>
		<pubDate>Wed, 19 Jan 2011 15:27:48 +0000</pubDate>
		<dc:creator>Dr. Phil Page</dc:creator>
				<category><![CDATA[Research Updates]]></category>
		<category><![CDATA[Thera-Band Elastic Resistance]]></category>
		<category><![CDATA[Thera-Band Loops]]></category>
		<category><![CDATA[adhesive capsulitis]]></category>
		<category><![CDATA[exercise prescription]]></category>
		<category><![CDATA[frozen shoulder]]></category>
		<category><![CDATA[shoulder]]></category>

		<guid isPermaLink="false">http://www.hygenicblog.com/?p=1534</guid>
		<description><![CDATA[Frozen shoulder, or “adhesive capsulitis,” affects nearly 5% of the population. It remains a painful, debilitating and difficult-to-treat diagnosis. Dr. Phil Page and Andre Labbe published a paper in the North American Journal of Sports Physical Therapy that reviewed the current concepts in physical therapy treatment for frozen shoulder patients. They reviewed interventions such as&#8230;]]></description>
		<wfw:commentRss>http://www.hygenicblog.com/2011/01/19/clinical-management-of-%e2%80%9cfrozen-shoulder%e2%80%9d-features-thera-band-products/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Rehabilitation for Shoulder Instability Update</title>
		<link>http://www.hygenicblog.com/2010/12/02/rehabilitation-for-shoulder-instability-update/</link>
		<comments>http://www.hygenicblog.com/2010/12/02/rehabilitation-for-shoulder-instability-update/#comments</comments>
		<pubDate>Thu, 02 Dec 2010 12:07:25 +0000</pubDate>
		<dc:creator>Dr. Phil Page</dc:creator>
				<category><![CDATA[Balance Boards]]></category>
		<category><![CDATA[Exercise Balls]]></category>
		<category><![CDATA[Research Updates]]></category>
		<category><![CDATA[Thera-Band Elastic Resistance]]></category>
		<category><![CDATA[Exercises]]></category>
		<category><![CDATA[physical therapy]]></category>
		<category><![CDATA[rehabilitation]]></category>
		<category><![CDATA[shoulder]]></category>
		<category><![CDATA[shoulder exercises]]></category>
		<category><![CDATA[shoulder instability]]></category>

		<guid isPermaLink="false">http://www.hygenicblog.com/?p=1444</guid>
		<description><![CDATA[Shoulder instability is a common cause of shoulder pain. Shoulder instability patients have been traditionally diagnosed from 2 groups: from traumatic, unilateral instability, resulting in surgery (TUBS), or atraumatic, bilateral multi-directional instability best managed with rehabilitation (AMBR). However, a new classification scheme suggests there are 3 groups of shoulder instability patients: 1. Traumatic structural; 2.&#8230;]]></description>
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		<slash:comments>0</slash:comments>
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