Serratus Anterior Exercises for Winging Scapula and Hypermobility | Tim Keeley | Physio REHAB

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  • เผยแพร่เมื่อ 18 ธ.ค. 2024

ความคิดเห็น • 112

  • @trish.x
    @trish.x ปีที่แล้ว +26

    THANK YOU so so so much for creating this video!!! I have spent years with impingement and scapular dyskinesis as a hyper mobile person and the multiple PTs I have gone to could never help me and just gave me the same old banded rotator cuff exercises that just ended up giving me more pain and dysfunction. This is exactly the information and visual explanation I needed that none of them could give me for some reason. Now I understand what my scapula *should* be doing. There are so many of us in the world who don't have access to proper PT, I'm so grateful for you creating this video!

  • @theadventuringzebra
    @theadventuringzebra 6 หลายเดือนก่อน +7

    This was a great video! I have EDS and have seen so many hypermobility specialists over the years but none have been able to explain it this way. This has always been my biggest problem muscle and has led to so much scapular instability and neck pain.

  • @jetonium
    @jetonium ปีที่แล้ว +58

    Tim, one observation: using the rubber band to generate resistance in hypermobile people also engages abs, psoas and quads as a side effect (as we rely on power muscles to keep our balance a lot more than "normal" people). It's a bit risky, as eventually that mind-muscle connection automatically starts engaging wrong muscles whenever the arm is moved. Thus it's important to have some support behind the back, e.g. a chair, or just a desktop's edge to compensate for that tension while doing this exercise.

    • @matthewtgp8213
      @matthewtgp8213 ปีที่แล้ว +3

      good point! PT?

    • @serendipity1273
      @serendipity1273 8 หลายเดือนก่อน +1

      Doesn’t the second option compensate for the first not being supported from behind? With the wall to slide on as a leveraging front?

    • @ojajebie
      @ojajebie 7 หลายเดือนก่อน +1

  • @ahughes9882
    @ahughes9882 ปีที่แล้ว +9

    Thank you so much. Very informative. I’m learning a lot from you as a Pilates Teacher of 28 years.

  • @hannuala-harja4335
    @hannuala-harja4335 2 หลายเดือนก่อน +1

    Thank you 🙏 - this has been my worst problem for the last 25 years (1972). I simply was not aware of the serratus anterior’s existence - it was just so numbed.

    • @physiorehab
      @physiorehab  2 หลายเดือนก่อน

      Thanks you so much that was very kind :) 💪🙏

  • @drkatiesmith
    @drkatiesmith ปีที่แล้ว +5

    Super helpful! Thank you. I'm also hypermobile, been working on strength but getting nowhere. This explains alot!

  • @ruthjane7856
    @ruthjane7856 ปีที่แล้ว +16

    Months I've been trying to sort out my own winging scap. This video has given me the visual explanation I was looking for. Thanks so much 😀

    • @dblmisterjokes2
      @dblmisterjokes2 ปีที่แล้ว

      How has it been so far

    • @ruthjane7856
      @ruthjane7856 ปีที่แล้ว +1

      @@dblmisterjokes2 worked a treat. Went down in weight for three weeks - kept focusing on the contraction. Bingo! Thanks so much 😀🏆

    • @dblmisterjokes2
      @dblmisterjokes2 ปีที่แล้ว

      @@ruthjane7856 I have bad kyphosis along with forward head posture and winged scapula will this help? Please I need the right guidance

    • @nammi895
      @nammi895 ปีที่แล้ว +1

      @@ruthjane7856 In the same boat sis, just treating my round shoulders

    • @ruthjane7856
      @ruthjane7856 ปีที่แล้ว

      Are you hypermobile? Work on your mid/low traps with Y raises x @@nammi895

  • @Janaely
    @Janaely 11 หลายเดือนก่อน +4

    God when she dropped her arm fast at 2:59 and her shoulder blade popped out my whole body flinched. From what little I’ve been told my winging is less noticeable than hers, but it feels like it does something similar on both sides. I’ve not been able to find proper healthcare for it, and basically get told I’m just deconditioned. I mean…duh 🙄. I got fat cuz I can’t lift or run like I used to cuz my body hasn’t ever been able to cooperate with itself properly, and it’s tired of dealing. If I push and hold my shoulder blades in place, I can move my arms properly; I can breathe; I can stand up straight; I wanna go running for the first time in about 7 dang years.
    Seeing such an obviously fit person with this problem is really encouraging, and especially a woman/female. Somehow we’re supposed to be more delicate, weaker, but also not have any problems at all?? It’s fucking mind boggling. 😶

  • @psr_m3
    @psr_m3 2 ปีที่แล้ว +11

    The best video on TH-cam for winging scapula explanation and exercises, Tim. I've been trying to watch all of your winging scap videos as I've had this issue for years and years without any improvement. I have the exact same issue as your client in this video.
    I've also recently developed a chronic case of tennis elbow/forearm tendonitis and I'm starting to think it could be related to the winging and weight lifting. I'll reach out to you directly as I'd love to schedule a session. Thanks from Vancouver, Canada!

  • @Anthony-ts1bj
    @Anthony-ts1bj 10 หลายเดือนก่อน +18

    Did she ever fix it? I've never seen a before and after video of someone resolving it. Just people who don't have it telling me how to fix it.

  • @hannuala-harja4335
    @hannuala-harja4335 2 หลายเดือนก่อน

    Kiitos!

  • @serendipity1273
    @serendipity1273 8 หลายเดือนก่อน

    Great explanation, and mobility exercises to help. Thank you. 🎉

  • @marilync8133
    @marilync8133 2 ปีที่แล้ว +2

    I love the technique w the band..you come up w great exercises

  • @fyzer874
    @fyzer874 5 หลายเดือนก่อน +2

    Very informative video … thank you! I have FSHD (type of muscular dystrophy) that causes winging bc of compromised muscles in that area. I stay active in gym 3x a week and going to try this … hoping it will help with adjacent muscles that compensate.for compromised !

  • @knowlegdedelightdynamite9430
    @knowlegdedelightdynamite9430 2 ปีที่แล้ว +6

    Tim this is gold for me because i was everytime asking myself what happends in the let go phase of the serratus thank you very much from Germany :)

    • @gotham2932
      @gotham2932 2 หลายเดือนก่อน

      Hast du es in den Gruff bekommen?

  • @guilhermesperanzini5526
    @guilhermesperanzini5526 10 หลายเดือนก่อน +1

    This was incredible. Thank you!

    • @physiorehab
      @physiorehab  10 หลายเดือนก่อน

      You're so welcome!

  • @AkinsVioletTv
    @AkinsVioletTv 29 วันที่ผ่านมา

    Thank you! This may help for brain injuries especially when using a computer. Ribs can slip out and rounded shoulders becomes a thing.

  • @happyhayot
    @happyhayot ปีที่แล้ว +2

    It almost looks like magic, impressive.

  • @Deuce7Off
    @Deuce7Off ปีที่แล้ว +8

    Well that explains a lot, years ago the PTs gave me rows as an exercise thinking my rhomboids were weak, they had me at 5lbs...I kept rowing and now I'm at 60lbs per dumbbell but still have issues with my serratus anterior. My pilates instructor believed I'm hypermobile in the ribcage. I'm guessing when I lie down my tight left serratus pulls my entire ribcage out of alignment. The issue ends up affecting my diaphragm, since I'm twisted the right diaphragm can't get a full contraction and over time ends up causes a car wreck throughout my kinetic chain.

    • @divkothari4339
      @divkothari4339 ปีที่แล้ว

      sounds like i have a very similar issue, let me know how you with it mate

    • @Deuce7Off
      @Deuce7Off ปีที่แล้ว

      @@divkothari4339 guessing it's arch and foot related. My therapist massaged one foot and it relaxed my neck still something lingering in the other but out of country.

  • @Add_Account485
    @Add_Account485 ปีที่แล้ว +6

    OH MY GOD!!!??
    WHERE DO I FIND SOMEONE LIKE YOU!??
    WHO completely understands everything..
    I've been to 2 very young P.T. and one didn't have a clue and the other made my other arm injured!!!!
    I don't know where to turn anymore except to do my own research.. but this guy gets it...
    Do you have any shops in South Australia or only Bondi?

    • @physiorehab
      @physiorehab  ปีที่แล้ว +1

      Only bondi! But we do Telehealth to assess and set you up on the right rehab program

  • @gem934
    @gem934 2 หลายเดือนก่อน

    I have scapula winging, I can get into a fairly good posture position, doing wall angels, helps to get into a better posture position, I guess rounded shoulders. But as soon as I do push ups for example, posture looks terrible again, looks like a lump on my back, scapulas sticking out. I will try this and look at your other videos. I’ve already watched a push-up one you did 7 years ago on correct shoulder movement during pushups.
    Thank you

    • @physiorehab
      @physiorehab  2 หลายเดือนก่อน

      Hope to helps you out!

  • @joynalpt
    @joynalpt 2 ปีที่แล้ว +3

    Thank you ❤️❤️

  • @KenanTurkiye
    @KenanTurkiye ปีที่แล้ว +1

    Ahha! so that's Scapular Winging, you're amazing with your instructions and detailed solutions Tim,
    wonderfull! thank you.

    • @KenanTurkiye
      @KenanTurkiye ปีที่แล้ว

      ....asking but not sure if it makes sense, can weak lower trap muscles cause this as well or is it mainly the serratus anterior inefficiency?

    • @Gaida98
      @Gaida98 ปีที่แล้ว +1

      @@KenanTurkiyeI’ve got the same thing and i think my upper traps turned off my lower ones

    • @KenanTurkiye
      @KenanTurkiye ปีที่แล้ว +1

      @@Gaida98 I managed to find an exercise or two that strengthens my lower traps.
      -doing Y dumbell raises but with thumbs pointing down, I do them in a rep range of 10-15
      -the other is cable thoracic rotation
      I also do ''thread the needle'' stretches 5 times a week, also ''cat camels''.
      All seems to have benefitted me.

    • @Gaida98
      @Gaida98 ปีที่แล้ว +2

      @@KenanTurkiye i have a winging scapula and my lower traps and serratus weren’t firing properly so i followed the other video named too much trap and a winging scapula and man what a relief i felt w and soreness in those muscles that needed feedback as he said.

    • @KenanTurkiye
      @KenanTurkiye ปีที่แล้ว

      @@Gaida98 👍

  • @thaveshenchetty
    @thaveshenchetty 2 ปีที่แล้ว +3

    Great video Tim! What brand of resistance bands do you use?

    • @physiorehab
      @physiorehab  ปีที่แล้ว

      They will all be available in a shop soon, stay tuned for the launch!

  • @anna3424
    @anna3424 8 วันที่ผ่านมา

    I try to understand
    Why pushing hand to the wall while rising arm up and down?
    Is it about teaching serratus anterior to keep stabilizing in every moment of movement?
    Thank you for your work! 🙏

  • @chezmalkin
    @chezmalkin 2 ปีที่แล้ว +2

    Thanks for posting this video. In the first exercise, would there be a difference between having the band at the shoulder and holding the band in her hand?

    • @physiorehab
      @physiorehab  ปีที่แล้ว +1

      Yes but you can do both

  • @daveknott4563
    @daveknott4563 ปีที่แล้ว +1

    I have almost 20 years of sports injuries from wrestling, and fractured 2nd rib etc. Still very active, IM70.3, labor work, mountain biking and more. Do you have info on the whole "complex" between shoulder, neck and thoracic pain? Often I get 2-3 ribs out and chiropractic on the weekly, but I'm looking to strengthen. Thanks for posting these.

  • @subhranshudas8862
    @subhranshudas8862 ปีที่แล้ว +3

    OMG poor soul, I know what she’s suffering from, I have that thing since few years, friggin hate it. Get strong soon dear.

    • @mortynorway691
      @mortynorway691 9 วันที่ผ่านมา

      you dont suffer.. just have it. i also have it, i dont suffer. its just that my shoulder blade pops when i lift my arm, and its not as mobile as the other arm

  • @vijaygambhir6092
    @vijaygambhir6092 2 ปีที่แล้ว +1

    Thanks

  • @MotherMissionary
    @MotherMissionary 2 หลายเดือนก่อน +1

    Just wondering what gym equipment might help in this way? I’ve just joined a gym and suffer with shoulder instability, winging scapula. Ty 🙏

    • @physiorehab
      @physiorehab  2 หลายเดือนก่อน

      Forget gym equipment for winging. Use floor, wall, bands, ball, weights. Check out the winging videos in the shoulder playlist

  • @benbenshalom9425
    @benbenshalom9425 2 ปีที่แล้ว +1

    Great exercise!
    Any ideas of OKC winging with flexion?
    Do you have experience with long thoracic palsy?

    • @physiorehab
      @physiorehab  ปีที่แล้ว

      Yep - have to work hard on as many exercises as possible

  • @ihsangerev2520
    @ihsangerev2520 2 ปีที่แล้ว +2

    Great content as always! Mr Keeley, I have got 2 questions for you, please.
    Sadly, my shoulder was dislocated by pushing it backwards in a horizontal position of 90 degrees in a football match and I have been diagnosed with Bankart Lesion and Hill-Sachs Deformation. I'm a bit lost about if I get surgery. 🤓This is my first dislocation and I am 26. If I strength rotator cuffs and get muscle balance related to the shoulder (chest & back) Is there a chance to swim or to do sports again without surgery? Does labral tear repair its own?
    Thank you.

    • @physiorehab
      @physiorehab  ปีที่แล้ว +1

      Labels tears usually don’t repair. But rehab is key. Perhaps have a look at my rehab program at physiorehab.com

    • @ihsangerev2520
      @ihsangerev2520 ปีที่แล้ว +1

      @@physiorehab thank you so much Mr Keeley

    • @Yotoblade
      @Yotoblade ปีที่แล้ว

      @@ihsangerev2520 im in the same boat. How are u going now?

  • @bobomomo3764
    @bobomomo3764 11 หลายเดือนก่อน +1

    What exercise do you recommend to isolate and strengthen serratus anterior, specifically (posterior tilt strength) not the upward rotation nor the protection 🤔

    • @physiorehab
      @physiorehab  11 หลายเดือนก่อน

      Have a look at my other scapula press videos

  • @lookintothesky123
    @lookintothesky123 6 หลายเดือนก่อน +1

    Is this enough to heal her? Wouldn't she benefit from also strengthening the Serratus Anterior muscle with other exercises? good video by the way.

    • @physiorehab
      @physiorehab  6 หลายเดือนก่อน

      Of course. You don’t just do one exercise

  • @i701
    @i701 2 ปีที่แล้ว +2

    Oh this is again a really good video....I am a physio student and would really love to know more about the muscle mind connection and the physiology behind it.......or why she,with her hypermobility, struggles with that ecxentric phase of the serratus so much.....is there any good literature out there or do you explain this in some videos of yours?

    • @nanoosh2177
      @nanoosh2177 ปีที่แล้ว +1

      Same here! I'm a physio student checking out content on TH-cam ✌️

  • @professionalcommenter
    @professionalcommenter ปีที่แล้ว +2

    I have this problem as I'm super hyper mobile.

  • @kubersharma6123
    @kubersharma6123 ปีที่แล้ว +2

    how much time it takes to get rid of winging of scapula

  • @GadgetyMV
    @GadgetyMV 2 ปีที่แล้ว +14

    It would be interesting to see the effect of this exercise without the band assisting in a couple of months.

    • @365daysgone
      @365daysgone 2 ปีที่แล้ว

      Not good. Just makes the shoulder impingement worse because the shoulder muscles take over

    • @gotama570
      @gotama570 ปีที่แล้ว

      He needs to stand on the opposite way not at back with elastic.
      Otherwise he gave me an idea

  • @kellypet3kids
    @kellypet3kids ปีที่แล้ว +2

    I have the exact same issue! Would you suggest training shoulder and back exercises on one side at a time then?

  • @laurensmith7507
    @laurensmith7507 ปีที่แล้ว +3

    If you are completing this at home without help how can you use the band? Do you tie it behind you and close it in a door?

  • @mattinfinity1623
    @mattinfinity1623 ปีที่แล้ว +2

    Hi there Tim, I have scapular winging but also have a condition called straight back syndrome aka hypokyphotic thoracic spine. Im sure that the lack of curvature in my thoracic spine would lead to more pronounced winging. Ive noticed that when I lift my arms overhead that the flattening worsens as the thoracic spine extends. Should I try to do upward rotation exercises of the scapulae while trying to push out the thoracic spine to improve my condition? I actually a reversed lumbar and throacic curve and wondering if you recommend any exercises for both of these condition. There is so much on lordosis of the lumbar but hardly any info out there on flattening of the lumbar spine. Please please please let me know if you would consider doing a video on either of these postural deviations. Many kind thanks. Matthew South Africa

  • @AlcatrazMeow
    @AlcatrazMeow 2 ปีที่แล้ว +3

    Any exercises that doesn't require a band...considering I dont have someone / something that can support that band?

    • @RobJacksonDesign
      @RobJacksonDesign 2 ปีที่แล้ว +2

      get a band and tie it to a door or close on something or tie it. there's always a way

    • @physiorehab
      @physiorehab  ปีที่แล้ว +1

      Just tie it to a door handle

  • @nnisa901
    @nnisa901 ปีที่แล้ว +2

    I will do it without any band

  • @alexvillafranco9030
    @alexvillafranco9030 ปีที่แล้ว

    One exercise to help would be a cable trap raise for lower traps

  • @matteo4260
    @matteo4260 6 หลายเดือนก่อน +1

    Hi Tim did she fix scapula winging eventually?

    • @physiorehab
      @physiorehab  6 หลายเดือนก่อน

      Yep but always needs work!

  • @yanyuke2990
    @yanyuke2990 3 หลายเดือนก่อน

    terrific

  • @nancyhope1675
    @nancyhope1675 หลายเดือนก่อน

    Would this be good for a scolios curve where 1 scapula protrude ls more than the other. And other scapula muscles feel weak?

  • @sportsstyle48
    @sportsstyle48 3 หลายเดือนก่อน

    Anyone know how I can search this concept up online? I will be doing the exercises because I do have this issue and this does help to a certain extent.

    • @sportsstyle48
      @sportsstyle48 3 หลายเดือนก่อน

      3:01 that’s exactly how I feel it looks like from that view

  • @Anna2657-m6l
    @Anna2657-m6l 6 หลายเดือนก่อน

    Not sure how many sets of each exercise to do?

  • @JC-un4bg
    @JC-un4bg 10 หลายเดือนก่อน +1

    I’ve get some winging. But also have T7,T8 herniation . I can control my scapular. I have to concentrate on it. Could it be related to the herniated disc

  • @juliannewman8720
    @juliannewman8720 ปีที่แล้ว +1

    I dislocated my shoulder a few years back doing a gainer for some stunt work. Ever since then, my scapula is super weak & my shoulder can easily dislocate now. Doctor said everything looked fine with no labrum tears. Any idea how to stengthen the scapula?

    • @physiorehab
      @physiorehab  9 หลายเดือนก่อน

      Sorry late to this comment - lot to get through! Head to physiorehab.com for the programs

  • @Kilcobert19
    @Kilcobert19 3 หลายเดือนก่อน

    I dont have a pole so close to a wall

  • @pedroraizo3872
    @pedroraizo3872 7 หลายเดือนก่อน

    Bonjour j'aurais une question

  • @anarosef
    @anarosef ปีที่แล้ว +2

    ❤❤❤

  • @paleyrene8823
    @paleyrene8823 7 หลายเดือนก่อน

    Why are you focusing on about 60 degree abduction? isn't the scapular meant to be neutrally horizontal at about 30 degree abduction?

  • @januarysteward9574
    @januarysteward9574 ปีที่แล้ว +1

    Does she have EDS?

  • @PerfodDk
    @PerfodDk ปีที่แล้ว

    no one can make that Exercises at home ,, need to personen to do it , so not so helpfull

    • @perpetualzen
      @perpetualzen ปีที่แล้ว +2

      Can tie it to a door handle. Should add this tip to video with text if possible

  • @shannon0057
    @shannon0057 2 หลายเดือนก่อน +1

    Good lord. this band w Wall Slides. brilliant. and your understanding of we hypermobile Brain- Muscle awareness.
    🥹tears.

    • @physiorehab
      @physiorehab  2 หลายเดือนก่อน

      Good stuff

  • @shannon0057
    @shannon0057 2 หลายเดือนก่อน +1

    i am 🤯🥳😭😊😭😊. I So so so wish i had you around me 5, 6, or
    20 years ago.
    But, better late than nevah 😉.
    Ive Really got to get those Wings on my back, & Fast. bc Dec 11
    gonna Fuse C0-T3 (4)
    yes you read that correctly.
    Skull - T3(4)
    Fuse.

  • @Condition_ONE
    @Condition_ONE 4 หลายเดือนก่อน

    RNT gem!