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Advanced Shoulder/Arms
1. Lat Pulldown: Seated facing the cable, grab bar with a slightly wider than shoulder width grip. Pull the bar down to your upper chest while making sure not to lean too far backward with your trunk during the pull. Control the weight as you return arms to the fully extended starting position. Repeat. This exercise can be modified with different types of grips or other equipment in place of the bar to target various other muscle groups.
2. Chest Press: Seated facing away from the cable, grab the two cable handles in each hand. Starting with elbows bent at your side with hands at chest height, press away from your body in a slow and controlled manner keeping arms parallel to each other and until fully extended. Repeat. Too much weight can cause you to jerk back in your chair and possibly tip. This exercise can be modified and done laying on your back while you press up towards the ceiling.
3. Butterfly: Similar setup as the chest press except the handles need to be wider apart to allow you the full range of motion. Grab the two handles in each hand and bring them together while keeping arms in a fixed extended (slightly flexed) position. The motion looks as if you are going to hug someone. Slowly control the weight back to the starting position and repeat.
4. Row: Similar to the lat pulldown except the cable is not beginning overhead. With this setup, the cable is at chest height. Pull the handle to your chest while making sure not to lean too far backward with your trunk during the pull and keeping elbows bent and close to the side of your body. Control the weight as you return arms to the fully extended starting position. Repeat. This exercise is often modified with different types of handles or could be done one arm at a time.
5. Internal/External Rotation: Similar setup to the row but this done one arm at a time. Grab the handle with the arm bent and at the side of your body. If keeping the elbow tight to the side, you can put a small towel roll and think of squeezing it with each rep. To perform external rotation, your hand will be moving away from your body. To perform internal rotation, your hand will be moving toward your body. This is a small range of motion so don’t get discouraged if you cannot make it as far as you thought. Similar, this is a small group of muscles performing this motion so start with low weight and progress up. Focus on quality of motion, not quantity.
6. Bench Press: Laying on your back with the bar/weight over your chest. Press with both arms straight away from your chest until arms are fully extended. Slowly lower the weight back to your chest and repeat. Focus on timing your breathing, inhale as you lower the bar to your chest and exhale as you press it away from your body. If you do not have a bar to press, you can put a weight in each hand and press up simultaneously for the same effect.
​Suggested sets/ reps for each exercise (Based on the Oddvar Holten Curve Diagram)15-25 reps x 2-3 sets when focusing on endurance6-10 reps x 2-3 sets when focusing on strength
Video Author:Â Gaylord Physical Therapy Orthopedics and Sports Medicine
Shoulder & Arms Advanced: Video
Floor Workout
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1. Reverse Tricep Pushup: Sit with legs extended out in front of you and arms propped up behind you. Slowly bend your elbows to lower your upper body toward the floor. Using your triceps, extend your elbows to lift your upper body and repeat. This may be a small range of motion so stay within your comfort zone. As long as you're feeling a burn in your triceps you are doing it correctly.
2. Side to Side: This is a progression of the tricep pushup. Using a wider arm position, this requires you to lift your bottom off the floor and shift your whole body toward each side.
3. Side to side with medicine ball: Seated with legs extended in front of you. Holding a weight or medicine ball, twist your truck side to side focusing on squeezing your abdominals. It is better to have a slow and controlled motion rather than fast as this may cause you to lose your balance.
4. Roll Ball Up and Down Leg: Seated with legs extended in front of you. This needs to be done with a ball, not necessarily weighted. Balance the ball between your two legs and roll it down towards your feet while keeping your arms on the ball to get a nice lower back stretch. To return, roll the ball back up your legs and into a slight abdominal crunch and hold for a few seconds to target the abs. Repeat.
5. Press up w/ Weight: Seated with a weight in each hand. Start with weights at shoulder height and elbows close to the body. Press the weight up over your head keeping the two arms parallel and until fully extended. Slowly control the weight back to the starting position. Repeat. Simply changing the elbow angle or position of the overhead press can target various other muscles in the shoulder so choose whichever you find most comfortable.
6. Push ups: Laying on your stomach. With legs fully extended. Place hands underneath your shoulders with elbows bent out to the side. Press your arms into the floor and fully extend your elbow to lift your upper body from the floor. Control your upper body as you lower back to the starting position, Repeat. This can be made easier by bending your knees and pressing up from there. You can also change with hand position; wide, narrow, out in front, etc. to challenge other muscles.
Suggested sets/ reps for each exercise (Based on the Oddvar Holten Curve Diagram)
15-25 reps x 2-3 sets when focusing on endurance
6-10 reps x 2-3 sets when focusing on strength
Video Author:Â Gaylord Physical Therapy Orthopedics and Sports Medicine
Shoulder & Arms Advanced: Video
Ropes
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Can be done seated or standing. If standing, have a slight bend in your knees. If seated, make sure the wheel locks are on or have someone hold the chair. Alternate arms lifting and slamming the rope back into the ground. Other variations include both arms at the same time or in and outs. This is a more advanced exercise therefore if it is your first time attempting these, it is best to have someone there to assist you.
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Try going for time when doing this exercise (i.e. 30 seconds on and 60 seconds off x 4)
Video Author: Gaylord Physical Therapy Orthopedics and Sports Medicine
Shoulder & Arms Advanced: Video
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