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The serratus punch is an exercise that works scapular protraction using the serratus anterior muscle and to a lesser extent the pectoralis minor. [ 1 ] [ 2 ] The exercise even performed at maximum voluntary isometric contraction did not increase pain in one study in people with shoulder pain. [ 3 ]
Exercises that strengthen the back muscles include rows, pull-ups, and shoulder blade squeezes. Exercises like doorway stretches for the chest can help stretch out tension that contributes to rounded shoulders. Synergistically implementing muscle strengthening and stretching can effectively prevent the development of rounded shoulders. [47] [48]
Physical therapy for a winged scapula will usually incorporate exercises aimed at strengthening the serratus anterior. The push-up plus (PUP) exercise is one of the most commonly prescribed for strengthening the serratus anterior. The push-up plus is usually done in either a push-up position either against a wall or progressed to the floor.
These shoulder-strengthening exercises help improve posture and bike handling skills.
Cable pull-down exercise to the front with a medium-width overhand (pronated) grip. The pull-down exercise is a strength training exercise designed to develop the latissimus dorsi muscle. It performs the functions of downward rotation and depression of the scapulae combined with adduction and extension of the shoulder joint.
This reflects the need to strengthen the shoulders, particularly the rotatory cuff, in knuckle walking apes for the purpose of supporting the entire body weight. [3] The deltoid muscle is a main component of both the bat and pterosaur wing musculature, [17] but in crown-group birds it is strongly reduced, as they favour sternum attached muscles ...
In cursorial mammals (for example the horse and other quadrupeds), the scapula is hanging vertically on the side of the thorax and the clavicle is absent. Therefore, in climbing animals, the serratus anterior supports the scapula against the reaction forces of the free limb and exerts high bending forces on the ribs.
The scapula may also be misplaced if a rib deep to it is not moving correctly. Often in the case of Shoulder impingement syndrome, the scapula may be anteverted such that the shoulder on the affected side appears protracted. The ribs that may cause such an anteversion of the scapula include ribs 2–8.