JEFF CUBOS
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Making seemingly random connections across disciplines

Non-Specific Elbow Rehab

10/31/2012

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Just a short post to share some ideas on "non-specific elbow rehabilitation". But before I proceed, I want to make it absolutely clear that I titled this "non-specific" simply because it can be incorporated in the rehab of several conditions...rather than suggesting that you diagnose elbow injury as "non-specific elbow injury".

Remember, as Andreo Spina suggests:

"Specificity of Diagnosis = Specificity of Treatment = Specificity of Results"

Anyway, several months ago I contacted James "Smitty" Smith to ask for his thoughts on grip training since he and his "crew" seem to be the go to guys when it comes to training this region of the body. My rationale for contacting him was not only for my own training but also because I felt that the commonly performed eccentric training of the flexors and extensors were just that, too commonly performed.

In approaching "elbow" rehab, much of my work lately - while specific for each individual and certainly dependent on the assessment - has transitioned to incorporate the use of bottoms up kettlebell work for glenohumeral rhythmic stability and DNS protocols for upper quadrant resetting.

However, thanks to Smitty's recommendations, I have now included the use of Fat Gripz, golf balls and thick rubber/elastic bands.

Since we know from Craig Purdham and Jill Cook that not all elbow injuries (e.g. tendinopathies) require eccentric strengthening, here is a point by point framework of specific objectives of rehab and an example of corresponding strategies that I may use.
Stability of the shoulder girdle

  • Open chain - bottoms up kettlebell screwdrivers and armbars
  • Closed chain - unilateral support (quadruped/triped - RNT Rockbacks, Thoracic rotations, etc)

Flexor and Extensor Endurance

  • Baoding ball & Golf ball rotations (clockwise and counterclockwise)

Grip strength
  • Heavy carries and pulls with Fat Grips

Cuff strength

  • Suitcase carries/Farmer Carries with and without Fat Grips

​Extensor Strength
  • Multi/Single Finger Extensions with rubber bands
  • Smitty suggests using broccoli bands
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I created this blog to share my thoughts with others. It is not intended to be used for medical diagnosis, medical treatment or to replace evaluation by a health practitioner. If you have an individual medical problem, you should seek medical advice from a professional in your community. Any of the images I do use in this blog I claim no ownership of.
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