A Corrective Exercise Strategy for the Forward Shoulder Posture

by Evan Osar, D.C. |   Date Released : 14 Oct 2013
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Evan Osar, D.C.

About the author: Evan Osar, D.C.

Dr. Evan Osar is the developer of the Integrative Movement Specialist™ certification designed specifically to aid the fitness professional establish themselves as an invaluable part of their client’s health care team. In addition to his chiropractic degree, Dr. Osar has earned national certifications through the American Council on Exercise (ACE), National Academy of Sports Medicine (NASM), National Strength and Conditioning Association (NSCA), and The Soma Institute – National School for Clinical Massage Therapy.

He is the founder of Fitness Education Seminars, DBA: The Institute for Integrative Health and Fitness Education, an education company with the mission of helping trainers and therapist recognize their role as a part of the solution to the health care crisis. An internationally renowned speaker, Dr. Osar presents for several national and international organizations including American Council on Exercise, Club Industry, SCW ECA 360, IDEA, NSCA, Perform Better, Medical Fitness Association, Asia Fit, FILEX, AECC, British Chiropractic Association and Norwegian Chiropractic Association.

He specializes in bringing advanced training and rehabilitation strategies to the fitness and bodywork professional that works with the pre and post-rehabilitation and general population client. Additionally, he has developed over a dozen resources including courses, manuals, and DVD’s to support the educational needs of the next generation of health care professional. His mission is to help fitness professionals think bigger about their role in the lives of their clients.

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Comments (5)

Osar, D.C., Evan | 28 Sep 2014, 11:04 AM

Hi Bob,
Thank you for your question. With your client in supine, your hand will be placed directly over the pectoralis minor with your fingers resting over the anterior deltoid. Your bottom hand will be placed around the back side of the scapula. The client will lightly push up into your top hand for a count of 5 (they will be anteriorly tilting their scapula) and then slowly relax the contraction while you lightly guide their scapula down and back. This is a very light maneuver and should not cause any discomfort and/or change in your client's head position as you guide the shoulder. Of course always ask permission before you put your hands on your client and if you are not able to place your hands your client than have them perform a similar pattern on their own. In the supine position, they will palpate their short pec minor with their opposite hand. They contract and shorten the muscle for a count of 5 and then slowly release the contraction and relax the shoulder back down towards the floor. They think of opening wide through the front of the shoulder during the release. Hope that helps.

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Garn, Bob | 26 Sep 2014, 10:54 AM

Would it be possible to get a more detailed description of the release of the pec minor? Is the trainer applying resistance primarily to the anterior delt?

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Osar, D.C., Evan | 08 Jan 2014, 20:44 PM

Hi Mary,
Thank you for the question. 'Rolling the shoulders back' can work as a valid cue as long as the client maintains proper scapular positioning and control throughout their patterns. Take care.

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PTontheNet, Content Editor | 06 Jan 2014, 01:20 AM

HI Mary,
Thank you for your comment. The video below Figure 8 & 9 appears to be functioning. If you are unable to view the video from this article page, you can also view it in the PTontheNet video library ("Improving Forward Shoulder Posture" by author Evan Osar), or through this link: http://www.ptonthenet.com/videos/improving-forward-shoulder-posture-270

We'll contact the author regarding your other question.

Thanks, PTontheNet

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Patrzalek, Mary | 04 Jan 2014, 11:53 AM

Under images #8 and 9, the reader is prompted to view a video link. The link is missing. Can it please be provided?
Also, with the integration exercise (cable row) is it appropriate to cue for scapular adduction provided the shoulders 'roll back', that is, the client is cued to "open up the front of the shoulder’" (copied from article text). Thanks!

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