Thoracic Spine Mobilization and Shoulder Performance
We’ve known for a while that thoracic spine mobility was a factor in the performance of the shoulder. That’s why we stressed the importance of regular mobilization of the thoracic spine in Inside-Out.
We now have research in support of the influence of thoracic spine mobility, and it’s effect on shoulder range of motion. Here’s a segment of the abstract:
“Title: THE EFFECT OF THORACIC STRETCHING AND MOBILIZATION ON
Place: CPRS Physical Therapy,
Results : Improvements in AROM and PROM shoulder flexion, IR, and ER were demonstrated in all treatment groups with the most significant improvements being made in AROM and PROM shoulder IR. Group 1 (SS): AROM IR change in degrees=(mean ± SD) 4.2° ± 4.4°, PROM IR change in degrees= 6° ± 4° ;Group 2 (MS): AROM IR change in degrees= 8.6° ± 6.5°, PROM IR change in degrees= 8.5° ± 6.9°; Group 3 (PS): AROM IR change in degrees= 5.2° ± 7°, PROM IR change in degrees= 6.3° ± 7.4°; Group 4 (TJM): AROM IR change in degrees= 10° ± 7.6°, PROM IR change in degrees= 5.8° ± 5.1°.
Conclusions : Based on our findings, maneuvers for addressing thoracic mobility and thoracic ROM correlate with improvements in glenohumeral ROM in each plane, with the greatest changes being made in glenohumeral IR. The most significant gains in IR ROM were made after treatment with a grade V thoracic spine mobilization. Not all changes in ROM demonstrated statistically significant changes after one treatment, however 18% average improvements in IR ROM after one treatment demonstrate clinically significant changes and the need for further research.
Clinical Relevance : Assessment and treatment of thoracic spine mobility and thoracic extension should be considered in the evaluation and treatment of decreased glenohumeral joint
Bill
I just read the article about strong and healthy shoulders. I have been seeking information for a while now about my winging shoulder blades and feel like I have just learned so many things that apply to me exactly. The only problem is I am not sure about work load and how many varietys of the pushup to do for one workout. Its seems like maybe Inside-Out is somthing I need to look into to find more answers. If you ever need a lab rat I am sure I would a great candidate. Anyways I am just excited to have a lead on recovering and fixing this issue of mine. thank you Bill