Figure 2.

Standing isotonic scapular stabilization exercises. The patient stands upright and slightly contracts the abdominal and interscapular muscles for stability. An elastic therapy band is used to create resistance and the patient simulates the movement associated with shooting an arrow from a bow. These exercises employ 2-second concentric muscle contractions from the starting point to the point of tension, a 5-second isometric hold at the point of maximum tension, and a 5-second eccentric contractions back to the starting point. These can be performed with the leading arm parallel to the floor and also angled 45 degrees toward the ceiling and toward the floor. Ten repetitions of each exercise vector were prescribed.