eddiefitot eddiefitot

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Eduardo C. Powell, OTR  Neuromuscular & Orthopedic Rehab Specialist Neuro IFRAH | Saebo Certified | TRX Black Rank Creator @trxblackranks | Ambassador @theragun Contact me👇🏾

Part 3:â €
Addressing the source of the problem is what it’s all about. Helping clients feel better, to facilitate postural integrity, fluidity of movement, & promoting optimal performance is the what we do.⠀
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Here are some of the simple & effective tools I like to use to help my clients: 👇🏾👇🏾⠀
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@sanddunestepperâ €
@trxtraining â €
@theragunâ €
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#theragun⠀⠀
#theragunG2proâ €
#occupationaltherapist⠀⠀
#occupationaltherapy⠀⠀
#trxblackranksâ €
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🎥 credit @lejimmy⠀⠀
Special thanks to @reachmypinnacle⠀⠀
Track: Real Friends, Kanye West

Part two:â €
Recovery, injury prevention & promoting functional movement is an integral part in what we as OT’s do to help people perform at their best.⠀
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#occupationaltherapistâ €
#occupationaltherapyâ €
#injurypreventionâ €
#functionalmovementâ €
#theragunG2proâ €
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🎥 credit @lejimmy⠀
Special thanks to @reachmypinnacleâ €
Track: Real Friends, Kanye West â €

Part one: â €
Helping people get back to their job of living with simple & effective tools like 👉🏾 @theragun! That’s what we do!⠀ ⠀
#theragunâ €
#theragunG2proâ €
#theragunambassador â €
#occupationaltherapyâ €
#occupationaionaltherapist â €
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Video by @lejimmy â €
Thank you @reachmypinnacle â €
Track: Real Friends, Kanye West

Our last portion of shoulder rehabilitation using a suspension trainer incorporates assisting the humerus into shoulder flexion while hip hinging seating and depressing the scapulas, as well as engaging the pectoralis group, latissimus dorsi, with palmar pressure on the straps.â €
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This can be utilized to engage the musculature surrounding the scapula, helping a client relearn what mindful activation feels like, assist them into getting into unloaded bending and reaching patterns, and can be graded up or down to meet their specify needs or challenges in real time. â €
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After moving the client through an array of soft tissue, ROM recovery, strengthening, and graded reaching tasks the key is to promote as much therapeutic functional activity as possible to prepare them for the task demands they will face daily, how to avoid injury and move confidently as they return their prior level of function. â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#occupationaltherapystudent

Moving into multiplanar movements with respect to shoulder rehabilitation using suspension training.â €
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Now that the adhesions at the scapula have been corrected, we’ve addressed tightness within the SITS and deltoid group, and worked on some isometric, concentric and eccentric strengthening, we can progress into multiplayer reaching and grasping.⠀
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Using suspension training is an easy way to do so while allowing the client opportunities to explore their effected extremity with respect to guided movement, length/tension relationships, fluidity of movement, speed and motor control.â €
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Here we are just working on moving the scapulars in conjunction with glenohumeral rhythms & thoracic rotation in a standing position.â €
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Once he feels comfortable simulating teaching in standing, lunging or other different positions we can graduate him to loaded work that mirror the demands of what he needs to complete in daily life.â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#occupationaltherapystudentâ €
â €
Special thanks to @lejimmy & @reachmypinnacleâ €
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Continuing with our shoulder rehabilitation series using the TRX suspension trainer in conjunction with the G2PRO from @theragun. â €
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Remember we've talked about doing manual scapular mobilizations, glenohumeral mobilizations, soft tissue work and breaking up adhesions to allow the scapula to ride along the rib cage properly, thus allowing the humerus to move about with it's full scope of degrees of freedomâ €
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We've also utilized suspension training to work on passive range of motion, active assisted range of motion, as well as isometric strengthening.â €
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We can now transition seamlessly into working with concentric & eccentric strengthening in a functional standing position while fully engaging the core (everything attached to the spine) while allowing ample opportunity for the client to get biofeedback & assess their level of function and confidence; the load can be adjusted simply by moving to & away from the anchor point, giving them autonomy.â €
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Here we work on 3 strengthening motor patterns for the shoulder girdle with the Y, W, & L fly's to engage the deltoids, SITS group, teach muscle activation, and glenohumeral spinning in the glenoid fossa.â €
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Give these & let me know what you think!â €
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Special thanks to @lejimmy for filmingâ €
& @reachmypinnacle for demonstratingâ €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#occupationaltherapystudent

Continuing with the shoulder rehabilitation series and discussing some active isometric strengthening utilizing a TRX wall slide, then layering active resisted concentric & eccentric movements in conjunction with squatting.â €
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When Dr Nino pulls back on the straps you can see his entire shoulder girdle becoming active simply by pressing the back of his hands firmly into the foot cradles. This is more demanding than it looks, especially for someone who is recovering from a shoulder injury of some kind. More importantly is the client can no get bio feedback and assess for themselves what active musculature feels like, have ample opportunity to learn from any compensatory movements they may exhibit, thus how to correct them.â €
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There are myriad of ways to grade exercises up or down, & one must be able to do this seamlessly in real time to empower the client to meet their just right challenge, but also to be moved along the continuum of movement as they improve. I always tell clients that as soon as they can execute something consistently well that we move on to more demanding tasks.â €
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It's not about reps and sets, its about teaching quality of movement, improving proprioceptions, gaining confidence in moving their effected extremity, establishing fluidity, avoiding injury, & empowering them so that they don't need therapy once they leave.â €
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That is my goal as a clinician. To get them the hell out of the office & doing what they need to do as quickly as possible but without rushing the process.â €
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Everyone presents differently. Some people needs hours of just scapular mobilizations, others need tons of physical agent modalities to decrease inflammation, some need lots of retrograde massage because of severe pitting edema, & others don't.â €
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Find their optimal zone of performance and stay within in it for as long as possible while they are improving. They will appreciate you for it, get results quickly & refer tons more business to you.â €
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If you have any questions leave them in the comment section.â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#shoulderrehab

Continuing with shoulder rehabilitation & moving into isometric activation of the scapular adductors using a suspension trainer.â €
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As I've stated before scapular mobility must come before glenohumeral mobility; if the scapula doesn't move the humerus won't either. An easy way to help someone who is relearning how to engage their scapular adductors (rhomboideus major, minor, and trapezius) is to use a suspension trainer and have them actively pinch them together.â €
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Often times people will compensate for weakness decreased brain body connection, or proprioception by elevating their shoulders (hiking) or bending their elbows. I like to film clients doing basic movements and talk to them while the move in such a way that not only teaches them, but that empowers them by welcoming failure & using it as a learning experience. I find that is much more effective as my goal is for them to no longer need me after a short time.â €
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You can take advantage of the vector resistance principle to build scapular adductor strength and endurance & then seamlessly transition into isometric, concentric or eccentric strengthening, & immediately transition right back into mobility or soft tissue work on the suspension trainer combining it with percussive therapy.â €
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The next videos will work on basic strengthening exercises to strengthen the shoulder girdle and associated musculature. There are numerous ways to do so effectively that require little to no equipment, but TRX offers great bang for your buck with respect to treatment options. It's all about using your tool kit intentionally, purposefully, & effectively. â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#occupationaltherapist

Continuing with shoulder rehab & transitioning from manual glenohumeral & scapular mobilizations, as well as soft tissue work utilizing 👉🏾 @theragun G2PRO & moving towards active assist range of motion using TRX suspension trainer. ⠀
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Often times in the clinic we use vibration therapy before after and during sessions depending on the patients presentation & their specific needs.â €
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Here we just work on some basic wall slide motor patterns for allowing the scapulas to move into elevation, depression, abduction/adduction, as well as upward & downward rotation.â €
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In conjunction with utilizing suspension training for the client to regain confidence in utilizing their effective extremity we can also assist in stretching and loosening tension further with static or movement based stretching as well as with percussive therapy.â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#occupationaltherapist

Continuing with shoulder rehab & briefly discussing scapular malalignment & winging. Key points are to make sure that the spine of the scapula and inferior borders are in alignment on R and L sides of the body, & if they are not to do simple mobilizations and soft tissue work to correct the issue.â €
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A go to for soft tissue work is of course the G2PRO from @theragun, but sometimes clients may need ultrasound or anodyne to quickly remove pitting edema or inflammation.â €
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Often times when clients have their arm immobilized for long periods of time atrophy, moderate to sever muscle tightness and possibly even signs of frozen shoulder can appear.â €
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It's always best to alleviate those deficits and focus on scapular mobility to ensure that the humerus can move properly with tremendous degrees of freedom.â €
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www.eddiefitot.comâ €
email: contact@eddiefitot.comâ €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#shoulderrehab

Continuing with some basic shoulder rehabilitation basics. Often times general population clients lack scapular mobility which of course will limit the amount the head of the humerus can move in the glenoid fossa. â €
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We must address scapular mobility and remove any misalignment, adhesions or stiffness there first before attempting to move the humerus to end ranges of motion.â €
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Often times when people have stiffness in that area I like to utilize high frequency vibrators to with pointed edges to break up tension, increase blood flow, reduce pain, and increase movement tolerance at the SITS, the deltoid group, latissimus dorsi, pectoralis major and minor, as well as the trapezius and rhomboids.â €
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The shoulder is a complex joint with tremendous degrees of freedom so it needs an assortment of musculature to assist in providing additional external support for the multiplanar and often times loaded movements daily life calls for.â €
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Often times after reducing inflammation with lots of anodyne therapy or ultrasound, we work on nothing but scapular mobilizations to ensure they are aligned properly, can glide smoothly around the ribs, and that head of the humerus can move about freely in conjunction scapular mobilizations.â €
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From there we graduate to humeral PROM, active assisted ROM, AROM, resisted exercises and graded activities and purpose drive exercises to meet the client at their specific level and help them reach their goals.â €
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This can be done in an assortment of ways. One of the go to modalities that I use on a daily basis is 👉🏾 @theragun as it's the best high frequency persucssive modality I have every utilized. ⠀
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I've actually pretty much retired the ones I've used in the past, & no I'm not being paid to say this shit. Our clients ask for it by name and they absolutely love how fast and effective it is in helping them get back to normal & get rid of (therapists) faster.â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapyâ €
#shoulderrehab

Talking shoulder recovery & using some very basic glenohumeral and scapular mobilizations to assess mobility.â €
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These are very simple movements I like to utilize when helping people recover from rotator cuff tears, shoulder replacement, frozen shoulder and an assortment of other shoulder related injuries.â €
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There are much more detail oriented mobilizations to utilize to maximize articulations at both the GH joint and scapula but these are some general ones that work well with respect to assessing mobility, function, improving isometric strength, and for educating clients.â €
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Each client is their own entity and presents differently thus specifics of treatments will vary from person to person. Variations may include they types of modalities that are used on them (IAST, electronic stimulation, anodyne therapy, ultrasound, massage, retrograde massage, cold or hot moist heat, etc).â €
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This is the first portion of a series of simple ways to assess and improve scapular mobility and strength in an effort to build upwards to full functional use in all planes of motion.â €
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Students ask me all the time via direct message if OT's do manual work & the answer is yes. If I'm being honest, less than 10% of the interventions I use on a day to day basis are occupation based. I do mainly manual therapy, neuromuscular rehab which incorporates a lot of hands on intervention, therapeutic exercise, graded therapeutic activities, & filming on my phone or Go Pro to teach quality of movement & have pre and post performance comparisons for the client.â €
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The next video will depict a bit more on how we utilize @theragun to break up tension within the shoulder girdle and rotator cuff to alleviate pain, tension, improve ROM and prepare the effected area for movement & therapeutic exercise. â €
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I know in school they say your therapy should be occupation based, but all things have context to them. Naturally, alleviating swelling pain, edema, adhesions, pitting edema, improving ROM, etc will need to take precedence with respect to helping someone engage in functional task with their injured upper extremity. â €
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#eddiefitotâ €
#createyourhypeâ €
#occupationaltherapistâ €
#occupationaltherapy

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