Table 3. Treatment Interventions and rationale.
Interventions | Rationale | |
Weeks 1-2 | Rotator cuff isometrics (starting with short lever arms and progressing to longer lever arms); pec minor stretching; prone I, Y, and T; Grade I and II posterior GH joint mobilizations; side-lying ER strengthening | Decrease pain, increase load capacity, improve neuromuscular control, address posterior capsule, improve muscular endurance |
Weeks 3-4 | Planks with scapular protection; overhead medicine ball rolls with perturbations; 90/90 ER/IR with TheraBand resistance; progression to holds with perturbations | Increase lever arms, increase overhead load capacity, increase functional neuromuscular control |
Weeks 5-6 | Shoulder-controlled articular rotations; body blade variations; overhead KB carries; CKC plank ½ bosu walkovers; landmine pressing; introduction to pitching variations including T’s and K’s | Increase strength, continue the progression of overhead loading |
Weeks 7-8 | PNF diagonal patterns with resistance and alternating intensities; a continuation of body blade progression’ overhead KB press walking with perturbations; full pitching progression | Neuromuscular control and sport-specific functional training |
Abbreviations: GH, glenohumeral; ER, external rotation; IR, internal rotation; KB, kettlebell; CKC, closed kinetic chain; PNF, Proprioceptive Neuromuscular Facilitation