Journal of Novel Physiotherapies
Open Access

Abstract

The shoulder presents a unique rehabilitation challenge, as arguably no other joint offers such movement diversity. It is structurally designed for extraordinary mobility, yet we also demand that it withstand high loads requiring great stability. How can we reconcile this dilemma in rehabilitation? The shoulder can only cope with these extremes if well integrated with the rest of the body, and this involves a fine interplay between multiple factors. Coordinated connections throughout the kinetic chain along with the balance across global myofascial relationships create a foundation of support for the shoulder which minimizes load, and maximizes effective upper limb function. Optimal force transference strategies in the upper zone will further determine whether this global support can be accessed and utilised effectively. Moving from a muscle focus to a movement focus, bridges the gap between rehabilitation and performance technique. The body has intelligent solutions for managing forces if fundamental foundations are laid and maintained throughout rehabilitation and training, yet these are frequently not present in many athletes, even at elite level. The principles of Functional Force Management® offer a simple but effective guide to global integration for detection of injury risk, rehabilitation and performance optimisation, elegantly connecting the medical, training and coaching realms.

Biography

Email: elphinstonperformance@yahoo.co.uk