The Modified Sleeper Stretch and Modified Cross-body Stretch to Increase Shoulder Internal Rotation Range of Motion in the Overhead Throwing Athlete
Changes in shoulder rotational range of motion can be caused by osseous adaptations, posterior capsular tightness at the glenohumeral joint and tightness of the posterior rotator cuff. The authors propose slightly modified versions of both the sleeper’s as well as the cross-body adduction stretch:
- To reduce pain resulting from lying on the shoulder and to increase strain on the posterior capsule and rotator cuff, the modification to the sleeper’s stretch can be performed with the trunk rolled posteriorly 20 to 30 degrees;
- Scapular abduction during the cross-body adduction stretch can be restricted by using a side-lying position – limiting of external rotation of the humerus can be achieved by putting the opposite forearm on that of the stretched side.
Individuals without shoulder pain should stretch at least four times for 30 seconds. For persons with shoulder pain and posterior shoulder tightness eight to ten repetitions are recommended. > From: Wilk et al., J Orthop Sports Phys Ther 43 (2013) 891-894. All rights reserved to the Journal of Orthopaedic & Sports Physical Therapy.
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