The SHIFT Show Helping Shoulder Pain and Labral Tears in Gymnasts with Mike Scaduto
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May 9, 2023 Mike Scaduto, a Doctor of Physical Therapy and expert on shoulder injuries, dives deep into the world of gymnastics and baseball. He explores the balance between hypermobility and adaptive stiffness, shedding light on the mechanics of common shoulder injuries like labral tears and rotator cuff strains. Listeners learn about effective treatment strategies, key rehab targets, and foundational exercises to enhance recovery. Mike even shares insights on return-to-sport timelines and the importance of personalized strengthening programs for overhead athletes.
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Why The Shoulder Is Prone To Injury
- The shoulder sacrifices stability for mobility because the humeral head is much larger than the glenoid socket.
- The labrum, capsule, ligaments and rotator cuff together trade mobility for stability and must be considered as a system.
Loose But Tight: The Paradox In Overhead Athletes
- Overhead athletes commonly combine generalized hypermobility with local adaptive soft-tissue stiffness.
- That mix creates end-range weaknesses and compensations that raise injury risk under high loads.
Avoid End-Range Stretching When Capsule Is Irritable
- Stop aggressive end-range stretching if the capsule is irritable; it may increase joint irritation.
- Use targeted soft-tissue work and specific mobilizations instead of generalized end-range stretches.