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“δῶς μοι πᾶ στῶ καὶ τὰν γᾶν κινάσω”
“Give me a firm spot on which to stand, and I
shall move the Earth”
(Archimedes)








Anatomy of the Shoulder
Posture/Lifestyle
How/why you get injured or lack optimal
performance
Common problem areas with the shoulder
in CrossFit
What you can do


Practical Component
The shoulder complex consists
of three bones:
Scapula
Humerus
Clavicle
The joints of the Shoulder are:
 Sternoclavicular
 Acromioclavicular
 Glenohumeral
The shoulder attaches to the trunk through
muscle and connective tissue.
 Therefore the postural
position of the spine has
a huge influence on
shoulder position…

Our posture is important to consider during our
daily activity……

And during our sport & leisure time as well.
Consider this…. 8-9 hours sitting at desk
5days/week vs 1 hour of CrossFit 3 x/week!!!
Increased cervical spine extension (chin poke)
 Increased thoracic spine flexion
 Increased stiffness of costovertebral joints & the ribcage
 Increased protraction & elevation
of the scapula
 Increased anterior and superior
humeral head position
 Increased ACJ stiffness

Increased tightness & shortening of:
 Pecs, scalenes, upper trapezius, levator
scapulae, lats, suboccipitals
 Posterior rotator cuff & posterior joint capsule
 Connective tissue and
nerve tissue anteriorly
 C5/6 joint & nerve
Weakness or poor activation of:
 Lower traps, rhomboids, serratus anterior,
 Rotator Cuff (four muscle complex cuff)
 Deep abdominals & upper abdominals
 Deep neck stabilising muscles
Nerve roots exit the spinal cord at the lower
cervical spine to supply the shoulder girdle
 Stiffness or irritation of the nerve roots will
alter nerve firing times so alter muscle
activation timing.
 Nerve root irritation or stretch
can cause pain, P&N, numb,
weakness.







Pain!
Front, Back, Neck, „inside the joint‟, Armpit
area/under, referral into upper arm, sore
elbows/wrists

Unable to lock out the arms in an overhead
position
Excessive arching of the back when going into
the overhead position (lack of shoulder range)






Unable to get a good rack position and also to
keep this rack position at the bottom of a squat
Excessive internal rotation of shoulders and
rounding of the back
Unable to keep „active shoulders‟ during pulls
ups, toes to bar
MOBILITY
 Trunk Mobility & Flexibility exercises
 Chest/anterior stretching & flexibility and
release work

STABILITY
 Trunk Posture & Stability muscle retraining!
 Shoulder blade re-education
 Deep Neck Flexor retraining
 Rotator Cuff Activation & Strengthening
INTERGRATION OF MOVEMENT
 Glenohumeral Joint “Dissociation” movement
 Integrating Rotator Cuff muscle activation into
global weights exercises
 Combining Trunk stability + Shoulder blade
stability + Rotator Cuff Function into each
exercise
By permission, thanks Matt!
Jac
Annie
Alex
Ben

jacindagruebner@purephysio.com.au
anitamccrystal@purephysio.com.au
alex@crossfit-u.com
ben@crossfit-u.com

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CrossFit-U Shoulder Workshop

  • 1.
  • 2. “δῶς μοι πᾶ στῶ καὶ τὰν γᾶν κινάσω” “Give me a firm spot on which to stand, and I shall move the Earth” (Archimedes)
  • 3.      Anatomy of the Shoulder Posture/Lifestyle How/why you get injured or lack optimal performance Common problem areas with the shoulder in CrossFit What you can do  Practical Component
  • 4. The shoulder complex consists of three bones: Scapula Humerus Clavicle The joints of the Shoulder are:  Sternoclavicular  Acromioclavicular  Glenohumeral
  • 5. The shoulder attaches to the trunk through muscle and connective tissue.  Therefore the postural position of the spine has a huge influence on shoulder position… 
  • 6. Our posture is important to consider during our daily activity…… And during our sport & leisure time as well.
  • 7. Consider this…. 8-9 hours sitting at desk 5days/week vs 1 hour of CrossFit 3 x/week!!!
  • 8. Increased cervical spine extension (chin poke)  Increased thoracic spine flexion  Increased stiffness of costovertebral joints & the ribcage  Increased protraction & elevation of the scapula  Increased anterior and superior humeral head position  Increased ACJ stiffness 
  • 9. Increased tightness & shortening of:  Pecs, scalenes, upper trapezius, levator scapulae, lats, suboccipitals  Posterior rotator cuff & posterior joint capsule  Connective tissue and nerve tissue anteriorly  C5/6 joint & nerve
  • 10. Weakness or poor activation of:  Lower traps, rhomboids, serratus anterior,  Rotator Cuff (four muscle complex cuff)  Deep abdominals & upper abdominals  Deep neck stabilising muscles
  • 11. Nerve roots exit the spinal cord at the lower cervical spine to supply the shoulder girdle  Stiffness or irritation of the nerve roots will alter nerve firing times so alter muscle activation timing.  Nerve root irritation or stretch can cause pain, P&N, numb, weakness. 
  • 12.
  • 13.    Pain! Front, Back, Neck, „inside the joint‟, Armpit area/under, referral into upper arm, sore elbows/wrists Unable to lock out the arms in an overhead position Excessive arching of the back when going into the overhead position (lack of shoulder range)
  • 14.    Unable to get a good rack position and also to keep this rack position at the bottom of a squat Excessive internal rotation of shoulders and rounding of the back Unable to keep „active shoulders‟ during pulls ups, toes to bar
  • 15. MOBILITY  Trunk Mobility & Flexibility exercises  Chest/anterior stretching & flexibility and release work STABILITY  Trunk Posture & Stability muscle retraining!  Shoulder blade re-education  Deep Neck Flexor retraining  Rotator Cuff Activation & Strengthening
  • 16. INTERGRATION OF MOVEMENT  Glenohumeral Joint “Dissociation” movement  Integrating Rotator Cuff muscle activation into global weights exercises  Combining Trunk stability + Shoulder blade stability + Rotator Cuff Function into each exercise
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 25.