Physiotherapy clinic in Tambaram Are you...

Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. The importance of serratus anterior! What is it for? Yes! It is an important muscle that helps your scapula upwardly rotate, right? What else involved? Yes! Upper trap and lower trap. They wire and fire together. Do not underestimate the importance of the upper trap. People often complain about pain in the upper trap. However, we know that releasing the upper trap tension only gets them temporary pain relief, right? They may come back with the same pain. Think a bit differently. Have a look at one of the pictures down below. Have a look at what is attached to the scapula? Yes! A lot, right? Have a look at where the levator scapula is. Yes! It is attached to the superior angle of the scapula. Picture if the scapula is depressed or downwardly rotated. This can increase tension through the levator scap and upper trap. This means that all these muscles are already placed in a lengthened position. Therefore, your patient may report a lot of tension during neck bending or rotation. What if you keep lengthening the lengthened muscles? Yes! It is not going to be helpful, right? You may need strength, control, and better tension in the upper trap to lift your scapula up. So, it can lessen the tension of the neck, right? What else do we have to look at? Yes! Serratus anterior! This muscle is extremely important but underestimated often. Why? Cuz it is a deep scapular muscle that you cannot see. However, its weakness is often easily observed during weight-bearing tests. As said above, it is one of the scapular upward rotators. Yes! Do not think of rotator cuff strengthening only in your shoulder rehab. What tests, then? There are many tests you can create to examine the strength of the serratus anterior. What are they? How do you assess? Yes! Let me list a few tests I utilize! 1. Wall push-ups: Basically, you do normal push-ups against the wall. Then, what? Yes! See if there is a winging scap! If yes! then strengthen it up!!! 2. What if no winging scap in No. 1 test? Yes! Do not just leave!! You are allowed to challenge your patient more! BUT how? Yes! Normal push-ups on the floor. More load through the hands!!! If winging scap, yes!! Strengthen it up!!! 3. What if the No.2 test is too sore?? Yes! Regress it a bit? How????? Listen up!! Be creative! The action of the serratus anterior is... scapular protraction. Yes! Push push push! Get him to stand up with his affected elbow bent! Then, get him to push his fist against your hand! Then what? Yes! You see if there is winging scap while you are resisting his fist! Does it make sense? Hope so! 4. What if he is so strong that you cannot resist his fist and cannot see a winging scap? Yes! Regress it a bit but make it easier for you to assess.... but how? Yes! Try it in supine. Get him in supine, then protract his affected shoulder with the elbow bent to 90 degs. Then, push his elbow down to the bed! you can place the other hand under the scapula and feel if the scapula is popping out! SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram #Physiotherapyclinicnearme DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI