Rounded Shoulders

Postural Dysfunction on November 10th, 2010 No Comments

Rounded shoulder posture usually accompanies Forward Head Posture (FHP). In this posture the scapula’s are abducting and the glenohumeral joints are medially rotating. The result is adaptively shortened pectoralis major, lats, teres major, subscapularis, anterior deltoid, corcobrachialis, serratus anterior and stretch weakened infraspinatus, teres minor, posterior deltoid, rhomboids, middle and lower trapezius. There may also be evident restriction in lateral rotation of glenohumeral joint and adduction of the scapula. Treatment focus should be directed towards lengthening the adaptively shortened (AS) muscles first and then work on strengthening the stretch weakened (SW) muscles. Sometimes the muscles are not weakened they are just neurologically inhibited by the adaptively shortened muscles and once you normalize the (AS) muscles normal strength often returns. That is why it is really important to know if the muscle is truly (SW) or neurologically inhibited, ongoing muscle testing can confirm the basic need for the integration of specific strengthening exercises.

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