IPHREHAB : Functional Training for Shoulder and Triceps

IPHREHAB 

Functional Training:

There are many definition for functional training but in simple sense functional training involves use of compound movement with body weight and also increment it with poundages. 

Exercises like squats with side kick , push up , mountain walk modified ,squats with shoulder press with or without weight etc. and many more help a person to train and adapt to functional training and this leads to increase in cardiopulmonary efficiency with improvement in strength and endurance.

Notes :

"Compound movement training is better then isolated joint movement training"

Compound movement means movement involving more then one joint movement.

Isolated movement means movement involving one joint .

Isolated movement Exercise program for normal population in safe environment in a normal gym set-up. 

Shoulder and Triceps exercise in same day (as both these muscle group work together as agonist and Synergist to each other). These muscles can be trained in different time durations and days, as it depend upon condition and goal required.

REST 30-60 SECONDS REST IN BETWEEN SETS.

Day one :

(Shoulder n Triceps)(core training)

1. Treadmill on incline and try to go to maximum (i.e 10) in a gradual manner with increase in inclination of two units after 2.5 mins. (Total 15 min)

REST 2 MINUTES

2. Shoulder dumbbell press three sets standing with increase in weight and abs contracted(stomach squeeze).

REST 2 MINS

3. Rear deltoids on machine three sets (or bent over shoulder fly for rear deltoids and trapezius )

REST 2 MINS

4. Lateral deltoid (lateral shoulder raise ) or side fly for shoulders.

REST 2 MINS

5. Barbell shoulder raise front (with core incorporated and stomach squeeze). 

REST 2 MINS

6. Standing overhead One arm triceps extension three sets with abs contracted.

REST 2 MINS

7. Bent over triceps extension on bench with abs contracted (single arm bent over rowing position for triceps extension )

REST 2 MINS

8. Overhead Double arm triceps extension with dumbbell.

REST 2 MINS

9. Abs - static leg raises or leg raise on bench and hold three sets ( hold more then 25 sec )

10. Bench cycling for 30 rep each set and three sets.

Contact and comment for more information in functional training . ck

IPHREHAB :TENNIS ELBOW TESTS AND EXAMINATION WITH CAUSES

IPHREHAB

TENNIS ELBOW TESTS ANS EXAMINATION WITH CAUSES

PHYSICAL EXAMINATION:

*point tenderness typically occurs over ECRB origin at the lateral epicondyle.

*tenderness may be more generalised over the common extensor wad insertion at the lateral epicondyle

*pain is often exacerbated by wrist extension against resistance with the forearm pronated

*elbow extension may be mildly limited

Mills test :

With this test, pain occurs over the lateral epicondyle when the wrist and fingers are completely flexed. This can be positive in tennis elbow case.

Maudsleys test:

The patient may feel pain on resisted extension of the middle finger at the MCP joint when the elbow is fully extended.

EVALUATION:

Note the sensory paresthesis in the superficial radial nerve distribution to rule out a radial tunnel syndrome.

Radial tunnel syndrome is the most common cause of refractory lateral pain and coexists with lateral epicondylitis in 10% of patients.

*Cervial nerve roots should be examined to rule out cervical radiculopathy .

OTHER CONDITIONS TO RULE OUT INCLUDES:

#bursitis of the bursa below the conjoined tendon,chronic irritation of the radiohumeral joint or capsule

#radiocapitellar chondromalacia or arthritis

#radial neck fracture

#panners disease

#little league elbow

#osteochondritis dissecans of the elbow

Tennis Elbow Causes 

Any repetitive motion of the wrist, including tennis, hedge clipping, excessive use of a hammer or screwdriver, painting, or any activity that requires excessive constant gripping or squeezing can cause the condition known as tennis elbow. 

IPHREHAB : TENNIS ELBOW OR LATERAL EPICONDYLITIS

IPHREHAB

What is Tennis Elbow ?

Tennis elbow is an injury to the muscles and tendons on the outside (lateral aspect) of the elbow that results from overuse or repetitive stress. The narrowing of the muscle bellies of the forearm as they merge into the tendons create highly focused stress where they insert into the bone of the elbow. If one hyper extends an elbow in any sport, this may be classified as tennis elbow. Anyone who does a lot of work involving lifting at the elbow or repetitive movements at the wrist is susceptible to tennis elbow. The medical term is lateral epicondylitis. 

TENNIS ELBOW

LATERAL  EPICONDYLITIS (TENNIS ELBOW)

Lateral Epicondylitis is defined as a pathologic condition of the wrist extensor muscles at their origin on the lateral humeral epicondyle. The tendinous origin of the extensor carpi radialis brevis (ECRB) is the area of most pathologic change.

Changes can also be found in the musculotendinous structures of the extensor carpi radialis longus,extensor carpi ulnaris and extensor digitorum communis. Overuse or repetitive trauma in this area causes fibrosis and microtears in involved tissues.

Nirschl referred to the microtears and the vascular ingrowth of the involved tissues as angiofibroblastic hyperplasia. Degenerative process should be termed tendinosis.

Most patients with lateral epicondylitis are between the ages of 30 and 55 years and many have poorly conditioned muscles. 95% of tennis elbow occurs in non-tennis players. 10 to 15 % of regular tennis players experience tennis elbow symptoms of varying degree in their tennis lives.

 The most common cause in tennis players is a "late" mechanically poor backhand that places excess force across the extensor wad i.e. the elbow "leads" the arm.

Other contributing factors includes-

1. incorrect  grip size

2. string  tension

3. poor  racquet "dampening"

4. underlying  weak muscles of the shoulder,elbow,and arm

Tennis grips that are too small often exacerbate or cause tennis elbow.

History of repetitive flexion-extension or pronation-supination activity and overuse is obtained.

Causes of lateral epiconylitis:

#Tightly gripping a heavy briefcase is a very common cause.

#raking leaves

#baseball

#golfing

#gardening

#bowling 

IPHREHAB :NPTE BOOKS TO PREPARE

IPHREHAB

Complete Names of books Needed For NPTE

Important Books:

Sullivan guide

Blue Book

Kisner

Magee

Red guide

kendall

Norkins

Joint structure and function- by pamela k. levangie and cynthia c. norkins.(biomechanics book)(reference book)

Physical Therapy board review by michael dunway(practice question book)

NPTE review and study guide by o'sullivan and siegelman.(main book for NPTE .also called red guide)

Physical Rehabilitation Assessment and treatment by o'sullivan Schmitz(reference book)

orthopedic Physical assessment by David J. Magee (vvvvvvvv imp for special tests pictures and xray pics)

Blue book U can only get after taking 2 days course from www.therapyed.com or old from from some student.(take latest 4.0 version)

Muscle testing and function by ~ Florence Peterson Kendall (Author), Elizabeth Kendall mccreary(read the compensatory movements)

PTEXAM, Physical Therapist: The Complete Study Guide (Paperback) by Scott M. GIles.

Exams needed to be solved:

Peat 200 questions : This is the closest to NPTE

Micheal Dunaway 400 Ques

Sullivan guide 600 Ques

Blue book 200 Ques

Therapyed online Exam 200 Ques

Scott and Gills 800 Ques