These exercises involve movement and make up a large part of a shoulder rehab program. They can usually begin as soon as pain allows, although check with your therapist or trainer which are suitable for your specific injury. Working the medial or internal rotation muscles is important after shoulder injuries, especially dislocations and impingement syndromes.
Medial Rotation (play video)
Start with the band attached to a fixed point to your side. Hold other end of the band in one hand, with the elbow bent and upper arm by your side.
Keeping the elbow by your side, move your hand towards your stomach as far as is comfortable. Slowly return to the starting position.
Pec Fly (play video)
Attach the centre of the band to a stationary object behind you at chest height. Hold an end in each hand and start with your arms out to the side, just below shoulder height.
Keep a small bend in the elbows as you bring your arms forwards so that your hands meet in front of your chest. Slowly return to the starting position.
Lateral Raise (play video)
Hold one end of the band in one hand, and attach the other end to something sturdy on the other side of your body. Start with your hand by your side and the band under slight tension.
Raise your arm out to the side to just above shoulder height. Slowly return back to the starting position and repeat.
Pullover (play video)
With the band anchored behind the athletes head, the arms are pulled up and over the head.
Shoulder Press (play video)
The Shoulder Press is a very commonly used exercise which can be performed with dumbbells, a barbell, band (as shown here), or a resistance machine. This exercise works the deltoid muscles and triceps brachii.
Stand with the centre of the band under your feet and one end in each hand. Bend the elbows and position the hands just above shoulder height.
Push your hands above your head, straightening the elbows. Slowly return back to the starting position.
Standing Chest Press (play video)
Attach the centre of the band to a stationary object and hold one end in each hand. Stand with your back to the attachment, elbows bent and shoulders abducted to 90 degrees (upper arm level with shoulder) so that your hands are next to your chest.
Push forwards and straighten your arms out in front of you. Slowly return to the starting position.
Wood Chops (play video)
The athlete stands one meter in front of a rebound net with a medicine ball held in both hands, over one shoulder as shown. The ball is thrown down into the net using a chopping motion.
The athlete catches the rebound, absorbs the impact and then repeats the throw. This can also be performed using a partner to catch and return the ball and should be repeated on both sides.
Medicine Ball Alphabet (play video)
This Medicine Ball drawing exercise strengthens the deltoid and the rotator cuff muscles, infraspinatus, supraspinatus, subscapularis, and teres minor muscles.
With the arm straight in front and slightly to the side, the athlete holds a small ball in the hand.
They then spell out the alphabet with the ball.
90/90 Internal Rotation (play video)
The athlete rotates the arm so that the forearm moves forwards, to a horizontal position. They then slowly return to the starting position.
As strength develops the supporting hand can be removed.
90/90 External Rotation (play video)
The resistance band is anchored in front and the other end is held in the hand, with the arm raised and elbow bent as shown.
The athlete rotates the arm so that the fist points upwards. They then slowly return to the starting position and repeat.
The Plyometric Push-Up (play video)
This Plyometric Push-Up exercise is great for improving upper body strength and explosive power. This exercise strengthens many muscles, including primary muscles, which are the deltoids, triceps, and the pectoralis major.
This can be performed as a wall push-up or on the floor. The athlete assumes the push-up position, starting with the elbows bent.
The athlete pushes out with enough force so that the hands leave the surface of the wall or floor.
Two boxes of 10-15cm height are placed on either side of the athlete. The athlete starts with elbows bent and pushes upwards with enough force so the hands come off the floor and can be placed on the boxes.
Shoulder Step Ups (play video)
This exercise in the extended press up position places the shoulder blades into protraction, so increases muscle activation of the serratus anterior or punching muscle. This exercise strengthens the serratus anterior and triceps.
The athlete positions themselves ready for a push-up, with either the knees or feet on the floor, depending on strength.
A step of 20-30cm is positioned next to the athlete. They then raise one hand at a time onto the step, so that one is on top.
The back is then rounded upwards, similar to a cat stretch.
Serratus Punch (play video)
The athlete lies on their back with the arms pointing up, elbows straight and a medicine ball held between the hands.
The ball is pushed upwards by pushing the shoulder forwards and keeping the elbows straight.
Hold for 2 seconds, rest and repeat.
- Serratus Anterior
Seated Medicine Ball Rotation (play video)
The Medicine Ball Rotation shoulder exercise involves catching and throwing a ball, using internal shoulder rotation to strengthen the rotator cuff muscles, and increase the explosive internal rotation strength.
Start in a seated position, with the arm raised to 90 degrees and elbow bent.
The athlete catches the ball as thrown by the therapist, and immediately throws the ball back, maintaining the elevated arm position.
Extension In Prone With Dumbbell (play video)
The athlete lies on the table with the shoulder over the edge.
Keeping the scapula depressed the athlete moves the arm and weight into full hyperextension at the shoulder.
Scapula Upwards Rotation (play video)
With a weight in the hand and thumb facing forwards, the athlete raises the arm, at a 45 degree angle to the body.
The arm is lifted as high as position, ensuring the shoulders are not shrugged upwards, before slowly returning to the starting position.
Scapula Pull Down (play video)
Keep the shoulder and elbow joints in their start positions throughout the exercise.
The athlete depresses the scapula down the back as far as possible and returns to the starting position.
Bilateral Extension (play video)
Bilateral Extension using a resistance band to strengthen the scapula muscles. The aim of this shoulder exercise is to increase mobility, and strengthen downward rotators and extensors of the scapula.
Athlete holds both ends of a band at hip height with the elbows straight and palms facing inwards.
Starting just in front of the body, pull the arms backwards, keeping the elbows straight and squeezing the shoulder blades together and down.
External Rotation Retraction (play video)
With the arms by the sides and the elbows bent, the athlete holds a resistance or elastic band between their hands with the palms facing up.
Move the hands apart to rotate the shoulders, whilst squeezing the shoulder blades together and down the back.
Hold the end position for 2 seconds. Complete 3 sets consisting of 8-12 reps.
Front Raise (play video)
Athlete stands with legs shoulder width apart, placing one end of the elastic band under one foot.
Change foot position to adjust resistance holding the other end of the band with the hand.
Keeping your elbows straight, raise your arm in front of your torso until your arm raises just above shoulder height.
- Extension in prone position
- Hands up robbery
Prone Fly Shoulder (play video)
Athlete is on their front over a table or gym ball and raises the arms back, while squeezing the scapulae or shoulder blades.
Perform in a controlled manner and repeat 5 to 10 times per set.
Lateral Rotation Front Lying (play video)
Laying on their front (prone) with the arm out to the side and elbow bent as shown, the athlete rotates the shoulder to lift the weight towards the ceiling as far as is comfortable.
Lateral Rotation In Standing (play video)
This exercise uses a resistance band and targets the teres minor, infraspinatus, and posterior deltoid muscles. This is a very common shoulder rehabilitation exercise and an easy one to get started with.
The athlete stands holding the band with the elbow abducted in 90 degrees. They rotate the shoulder outwards as far as is comfortable and return to the centre.
This exercise must be done under control and pain-free.
Lateral Rotation Band Abduction (play video)
The athlete sits with the upper arm supported and elbow bent to a right angle as shown. The arm is rotated so that the fist points to the ceiling.
This exercise can be made more challenging by removing the support of the couch.
Lateral Rotation In Abduction (play video)
The athlete stands holding the band with the elbow abducted in 90 degrees. The athlete elevates the arm, ensuring the elbow is also elevated.
The shoulder is maintained at 90 degree abduction without horizontal adduction or abduction.