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Best Therapy for Torn Labrums? ~by Fitness Tester




    A torn labrum is not a death sentence, even for an athlete.  The average person as well as an athlete can reach a full recovery with professional therapy.  While someone with a torn labrum may not be the ideal candidate for weight lifting competitions, there is no reason why any person can not have a good recovery from such an injury.  A good therapy program such as outlined below has rendered excellent results.  Your professional rehab specialist may prescribe the following:
    The shoulder labrum improves shoulder stability. Consequently, a tear makes a shoulder joint unstable. Rotator cuff strengthening can help improve the dynamic stability to the joint. Exercises include:
    -Shoulder isometrics
    -Resistance band rotator cuff strengthening
    -Active range of motion exercises with a dumbbell
    -Shoulder weight bearing exercises

    Exercises start with rotator cuff strengthening with the arm at your side. As joint stability increases, progression to strengthening with your arm away from your body and up in the air occurs. This progression may be a necessary to achieve a full recovery from a shoulder labrum tear.
    Next the prone row is used to increase scapular stability. Scapular stability is necessary to normalize shoulder mobility and function. Exercise begins with lying on the stomach and side. A slow prone row is the staple of therapy. Thereafter, shoulder proprioception and general awareness of where your shoulder is in space as you move around is important, and this awareness—or proprioception—may be impaired after a shoulder labrum tear. Your physical therapist may give you some exercises to do to improve shoulder balance and proprioception is a must. Isometric, concentric and eccentric exercises are performed with a resistance band to make the patient aware of positioning of the arm and shoulder joint. For example, the patient lies on his back with his arm up toward the ceiling. While holding a resistance band in one hand, the therapist hold the other end and walks around the patient in all directions. The amount of resistance on the band varies as the patient attempts to hold his arm steady. Vibrating boards or wobble boards can also be used to improve shoulder joint balance. Fortunately, similar results may be obtained by practicing crawling on all fours.

    The goal of rehab is to return to normal function and activity. That is more difficult for an athlete such as a lineman than it is for a factory worker. While the lineman may fight off opponents with extended arms, a factory worker whose job does not involve constant overhead lifting may have an easier recovery. To the extent arms are extended overhead, the recovery process can be long and difficult. 

    Athletes use greater resistance in therapy then nonathletes because of the demand of their position. Quarterbacks use the "throwers exercise" protocol; whereas linebackers do not generally due so. Quarterbacks, including Drew Brees, have shown that they can recover from serious shoulder injuries. Factory workers can too. Being physically ready is only half of recovery.  A patient needs to also be mentally ready to put the injury behind him or her. If you have a torn labrum, seek the advice of a professional health care provider.  The results of therapy are in, and they are very favorable.

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