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Alright guys, so Tony Maritato here, licensed physical therapist, and in this video I'm going to show you how to use the doorway shoulder pulley system from Rangemaster to start to work on both improving range of motion for a frozen shoulder as well as strengthening and lengthening the tissue
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So we're going to hook it in right about elbow level. If you think about where my
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elbow would be, that's where the pulley system is going to line up. I'm going to
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go ahead and untangle myself and I'm going to shorten this just a little bit
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And so what we're going to do here is we're going to pretend for a minute that
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I've got some adhesive capsulitis, a frozen shoulder on my right side. I'm
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going to be limited with external rotation, I'm going to be limited with
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with internal rotation, limited with flexion. We want to strengthen and lengthen the tissue within the tolerance that we have available
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So some days I going to have more motion some days I going to have less motion It doesn matter how much you doing on a particular day as long as you working within the zone that intense enough to stimulate tissue repair
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but not so intense that it flares up and causes more pain and limitation later
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So what we're going to do, first one I'm going to demonstrate is external rotation against resistance
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So remember, it's my right shoulder that's limited. what I do is I use my left hand to provide the resistance. My right one is pulling out
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against the resistance of my left. It can be an abbreviated motion. It doesn't have to be full
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range of motion, but there is tension the entire time from when I'm pulling out till I'm pulling
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in. And the best way for you to see the tension is to look at the tension in the rope. If the rope
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Now there's no more tension in the system. So this would be a resisted external rotation exercise on the right shoulder
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Now if I wanted to do an assisted external rotation on the left what I doing is my right hand is away from the door My left involved side is close to the door
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As I pull the right one away, it's actually assisting pulling my left shoulder into external rotation
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So I relax. I pull against the resistance, which pulls my left into external rotation
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So we have two ways of using a pulley system. One is resisted external, one is assisted external
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Obviously, I'd turn around if I wanted to get one way or the other, but I'm recording the video
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so I want to keep facing you. The final one would be considered an isometric. And so if I go into
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this position where both my hands line up right over my belly button, I pull against the rope
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but I don't let the rope move anywhere. So this is an isometric external rotation on my right
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Usually we hit three positions So this might be position number one this might be position number two and this might be position number three But the idea is that we varying the way we stress the
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tissue to improve and gain range of motion. We do this at an intensity level that's high enough that
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we feel like we're doing something. We feel the tissue working, but not such a high intensity
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that it actually hurts worse and I'm more impaired later the same day. I should be fully recovered
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back to baseline by tomorrow. Guys, I hope this was helpful. If you have specific questions about
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any of the exercises related to using a shoulder pulley, adhesive capsulitis, frozen shoulder
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anything like that, just post them in the comments below and I'll catch you on the next video
