💥 Rehab for Pectoralis Tear(附中文) “ Isometrics “ - Let us revisit my latest case of pectoralis tear. Allan is experiencing pain trying to lift his arm up actively, and stretching out wide to the side can result in pain. When I ask him to relax and let me lift his arm up, still he would experience pain at 160º of flexion. - In an acute case of Grade I to II muscle tear, it is not advisable to conduct isotonic exercises. So what kind of exercises can we do ? Simple. Isometrics ! The safest way to exercise - Here are the exercises I gave him: 1️⃣ Banded Iso Flexion Hold 2️⃣ Foam Roller Extension Hold - There is nothing special about these exercises, especially when clinicians are unsure of the patient condition, start from easy and simple exercises might reap the best results for the patient - The point being, exercises do not have to be complicated ! I often tell my patients, there is no good or bad exercises, there is just LOAD, and all depends on how it is programmed. Put all the “ breathing quackery “ , “ fascial sling “ , “ ultra-functional training “ aside, I would suggest start with easy, simple, straightforward exercises —————————————— 💥 胸大肌拉傷治療 “ 等長訓練 “ - 我們再來看一下我最近胸大肌拉傷的案例。Allan主訴說拉傷後舉手會痛，手往外水平打開時也會痛。我請他手放鬆，再把他的手被動往上帶，在往上舉快160º依然也會感覺疼痛 - 第一到第二級肌肉拉傷的個案，急性期是不建議用等張運動來做治療或訓練。最安全的方式是做等長收縮訓練，以下是我給他的運動: 1️⃣ 彈力帶肩關節屈曲等長收縮 2️⃣ 滾筒肩關節伸直等長收縮 - 這些運動不是什麼特定系統的運動，就只是簡單遵守物理治療原則而設計的運動，特別當你對病人的狀況不確定時，更應該保守一點，為病人最大利益設想 - 最後，其實想帶出一個重點，運動不需要弄得很玄很複雜，運動也沒有所謂的好壞之分，只有運動的負荷多與少，按治療師的計劃跟訓練目的，沒有運動是不好的。我常建議其他治療師，先不要想著一來就要練「蛤蟆呼吸法」、「功能性筋膜訓練」，先從根本的動作出發，改變負荷，運動處方應該先從簡單開始 . #jamesthephysio signing out . #physicaltherapy #physiotherapy #rehab #dpt #prehab #physio #exercises #workout #functionalfitness #strengthandconditioning #functionaltraining #personaltraining #injuryprevention #fisio #fisioterapeutas #fitness #pectear #tendon #物理治療 #運動醫學 #肌腱拉傷 #重訓 #概念 #相信專業 #預防 #健康促進