♪ Bob and Brad ♪
♪ The two most famous physical therapists on the internet ♪
- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most famous physical therapists
on the internet.
- In our opinion of course, Bob.
- I'm not used to you being on this side Brad.
- Yeah, I know Bob.
- I'm always right.
- Ah, right.
(Bob laughs)
- Okay, shoulder. Dislocated shoulder.
We wanna talk about once you get it moving,
we've got a couple nice videos on strengthening-
- Strengthening, right, exercises.
- This one takes a component of how to get,
so that you have available range of motion.
- Get the motion back.
- Exactly.
- Which is really important.
- Right.
You know, you can take the other hand
and you can help stretch it this way.
And we're talking all by yourself without a therapist.
But if you use the ball,
it really makes this a nice,
easy job and really controllable too.
- I've got a patient right now,
she's in her 70s.
She fell down, dislocated her shoulder
and we use this exact same technique
and it's working wonderfully.
- To be honest you actually could use this exercise
to regain motion for almost any problem
that you're having with your shoulder.
- Yep, exactly,
not just a dislocated one, but it works great.
Let's say this is my involved shoulder,
so dislocated one,
it's starting to feel better.
- It's been put back in place.
- Yeah, it's, you know, week or two after the injury,
and it's ready to get it moving again, okay?
So you use the ball and you put this one on here,
you take your good one,
put it over that hand and then you simply move it forward.
- So you put it on a table?
- Yep.
And depending on the height of the table,
this table's a little short,
I'm only getting this far,
let's say I'm getting this far
and it's like,
oh, this is fine now after a couple days
and you wanted to get higher.
- Pain free, right?
- Yep, pain free.
Little stretch pain is okay.
- Sure, pain towards the end.
- But no sharp pain.
Now look at this,
this hand's doing the work here.
I'm gonna push it up and you can see it's getting higher.
- Yeah,
now we can see he's above a 90 degree angle here.
- Right.
And you're gonna do it 10 to 15 repetitions,
two to three times per day
if it doesn't get sore afterwards, okay?
Let's say you get done with that.
Then the next part is you're gonna stand up
and now without this hand,
you're gonna use just the involved hand
and let that do the work.
It's not doing much work, but it's doing a little.
- So you're getting a little bit of strengthening here too.
- Little bit.
Mostly range of motion, 'cause the weight of the arm
is through the ball here.
And then you're gonna go here
and that's a little bit harder
but you're still gonna do it.
- Now if you wanna really range out your shoulder
and you don't have any pain with this
and you want to get your arm up to here,
this is how you're gonna do it on the ball.
You're gonna let your hand come off the ball.
Don't let it wrap around down.
Let it come off,
and let your elbow go up to here.
And this is what you can get,
a full range of motion stretch out of it.
You can do this gently and it might take you a week
or two to get this.
- So why don't you stop right there Brad,
now stand up.
So you see it's a sneaky way of getting motion.
- Right, yep.
So I've got the available range to reach overhead
or to throw a ball again, going with this.
Once you get to that point and you can do this
and say, oh, this doesn't hurt anymore,
it's pretty easy,
the next phase is use the wall.
The ball on the wall I call.
- Wow.
- What do you think, Bob?
- I like it.
This is Dr. Seuss.
- There you go.
You may take this hand, the other hand
and just go up and down like this
and help with the strong hand.
Do that 10 to 15 repetitions.
Give it a break
and you might want to do it two or three sets like that
couple times a day, maybe three.
- You know Brad, I'm still looking at this
and I'm thinking these are the exact same exercises
you could do after a rotator cuff injury.
- And I do use 'em for that as well.
- So I think, you know,
we started off by saying this is for a dislocated shoulder
but it certainly could be for a rotator cuff injury too.
- Exactly.
Now once it gets easy like this,
then you're just gonna take one arm
and it becomes a little bit
of a strengthening exercise as well.
And on this too, if you really wanna,
if you need that full range of motion-
- Yeah, you can really stretch that, can't you Brad?
- Right, yep.
So if you're overhead working,
you have a job overhead,
or you're a thrower,
baseball thrower,
you're probably going to want to go
all the way up like this.
And this woman I work with now, like I said,
she's in her mid-70s,
she can do this.
- She can get all the way up there.
- Yeah, she's pretty fit,
she's pretty active for her age.
- 70 is the new 50,
or 50 is the new 70,
how do you say that?
- Oh, Bob.
- 70 is the new 50.
- You got me off my guard.
- So anyway, it's just a nice, simple way
to get that shoulder moving, huh?
- Range of motion.
Later on,
I'll put the videos on the end here
for strengthening after dislocation,
and how you can become
- Oh, strong-
- [Bob And Brad] Like bull.
- Yeah, strong like bull.
- And fast.
- And fast, there we go.
- Yeah, fast pitcher.