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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]
Active exercises include the Pendulum exercise, which is used to strengthen the Supraspinatus, Infraspinatus, and Subscapularis. [9] External rotation of the shoulder with the arm at a 90-degree angle is an additional exercise done to increase control and range of motion of the Infraspinatus and Teres minor muscles.
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.
The face pull is a weight training exercise that primarily targets the musculature of the upper back and shoulders, namely the posterior deltoids, trapezius, rhomboids, Latissimus dorsi as well as the biceps. [1] The face pull is considered an important exercise for shoulder health and stability. [2]
While this slightly closes the angle between the clavicle and the scapula, it also widens the shoulder. [4]: 40 The scapula can be elevated and depressed from the neutral position to a total range of 10 to 12 centimetres (3.9 to 4.7 in); at its most elevated position the scapula is always tilted so that the glenoid cavity is facing superiorly.
The combination of scapulothoracic exercises and glenohumeral exercises allow for a more effective healing process. Scapulothoracic exercises focus on movements of the scapula relative to the thoracic ribcage. Muscle groups such as serratus anterior, trapezius, and rhomboid major/minor need to be strengthened to allow for shoulder function.