Rehab progression

Rehab progression šŸ“š PRACTICAL ACTIVE-REHAB EDUCATION;
šŸ’Ŗ Showing rehab phases of my clients

05/06/2026

ā­ļø Learn common sense active rehab phases of different lesions/issues in the human body! I am showing REAL PATIENTS WITH REAL ISSUES, AND THE REAL SOLUTIONS-RESULTS! Remember that I am showing only ONE PART of their current program!

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

Her main goal is health and playing racquet sports a little. She has a history of shoulder instability, so it makes sense that strengthening of active stabilizers is our main goal! Her supraspinatus repair reminds us though that we should approach very carefully first 6-8 weeks post-op! Mobility and isolated strength (the second part of the program) are the main goals in this stage. PS: The video is sped up 4-5x!

1. One of the best and safest options in the beginning - for mobility, movement, and confidence!

2. The same here, plus light activation!

3. Important to reach full (& a bit uncomfortable) ROM.

4. The same here (fully passive in the beginning).

5. Adding a slight elbow elevation at the end of forearm elevation will engage proximal biceps more.

6. Very safe stability drill in the beginning - a slight inclination first.

7. Mobilizing the joint this way will open space for future mobility gains (very safe at first, before moving on to the bed and wall vars…).

8. G force helps, even doing it a bit actively isn’t bad in the beginning…

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have aforementioned issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

03/06/2026

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied! THESE EXERCISES ARE NOT A JOKE!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

A constant stability demands in throwing-specific position is what gives the biggest value when it comes to these vars (particularly useful for throwing CONTACT sports). We are engaging all the cuff muscles in order to stabilize the shoulder joint (posterior cuff a bit more in probe pos., and subscap. a bit more in supine pos.)!

Light DB throw-catching moves is a natural way to increase cuff activity (particularly when holding heavier DB). Using a band and a plate is very useful because it’s less predictable (especially when intentionally pushing/pulling in different directions). It’s great for reactive cuff activation!

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have shoulder issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

02/06/2026

ā­ļø Learn common sense active rehab phases of different lesions/issues in the human body! I am showing REAL PATIENTS WITH REAL ISSUES, AND THE REAL SOLUTIONS-RESULTS! Remember that I am showing only ONE PART of their current program!

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

I was posting about him before… Quadriceps progressive overload is the most important goal of his rehab! This is the second part of his second stage rehab program. PS: The video is sped up 3-5x…

1. Safe walking pattern introduction (straight knee), reintroducing single-legged balance as well!

2. Important to work on quad strength in both long and short muscle length - both legs at the same time first because it’s easier (control the depth).

3. Straight knee eccentric calf strength first because it’s easier (and straight knee doesn’t load patellar tendon much…). Doing both conc/ecc. with non-injured leg. Negatives are very important!

4. Stretching (lightly) the injured quads the same time (most of BW over the front leg). Very important to keep strengthening the non-injured leg (cross-education is just 1 of many reasons).

5. Finding non-painful (or no more than 3 out of 10 pain) angle and go from there (3-5 sets of 1-2 min. holds is plenty in the beginning).

šŸ‘‰šŸ» Home program: Loading quads (ISO) while doing calf raises; The same while doing hip hinges; Loading quads (straight leg raises are not super hard for quads) and opposite leg GB the same time; Slightly loading quads while burning hams!

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 3+ out of 10 pain while performing the specific exercise (careful, it’s about tendon surgery).

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have aforementioned issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

31/05/2026

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

Sure, we are talking only about 2 exercises, many more things should be covered during rehab (reactive stability, overhead stuff, crawling, different angles…)! But, if you ask me to choose only 2 (with all the progression variations, and variations in general), I would probably choose these… PS: The video is sped up 2x!

1. Lower elbow position in the beginning (as well as finding the right angle at the moment). If you want to involve subscap as well, just place elbow fully in frontal plane (probably impossible in the beginning of rehab). Pressing elbow against wall (inclined body) will activate particularly posterior cuff very well (plus doing it in longer muscle length is a bit more effective - adjust the angle). Controlled ER on top of that šŸ”„!

2. Very safe exercise (G force helps stab.) that isolates targeted musculature well (neck/head relaxed - laying pos.). Slow and controlled ecc. (and conc.) IR (subscap.). Press with plus (scapular protraction for serratus ant. and extra posterior cuff activation), and include full ROM - controlled DB rotations (with straight arm) if you want stability component as well (all the cuff muscles activated šŸ”„).

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have shoulder issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

29/05/2026

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

Don’t underestimate anterior cuff and active/passive stabilizers (subscap. is the biggest rotator cuff muscle for the reason)! But, that’s for another post…

1. You are basically pushing against wall with elbow - inclined body (which fires up posterior cuff in this higher elbow angle/elevation, plus doing it in longer muscle length is a bit more effective). And, she is doing ER on top of that šŸ”„!

2. She is constantly pushing arm forward in order to keep touching my hand, which turns off traps and fires up the posterior cuff (scapular retractors cannot help). Sure, posterior delt is working as well (as any other horizontal ABD variation). Plus rhythmic stabilization is activating all the cuff muscles, in a safe and advantageous position in the beginning šŸ”„!

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 3-4+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have shoulder/cuff issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

27/05/2026

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

PS: My exercise video is sped up 2x! Shoulder pain is complex, and often not in corelation with the system weakness… Whether you have diagnosis or not, treat the person first. Anyways, whatever the diagnosis is, just start slow and safe - and progress from there (things will eventually calm down)! …Don’t forget that you also train upper and lower traps by lifting arms overhead, you don’t (and shouldn’t) do it solely by squeezing everything back! …Anyways, these unconventional examples work really well:

1. Supraspinatus is on fire here! Maintaining position while inclined (DB - G force pressing down, CKC for stability and great cuff activity - particularly while rotating arm). Plus, great serratus activity (scapular protraction)… More inclination towards wall = more stability but harder ex*****on! PS: Constant perturbation recruiting cuff even more.

2. Great for all the cuff muscles (particularly posterior cuff), and serratus ant. with press up. Constantly pushing off the wall with elbow and torso rotation will recruit serratus tremendously. More inclination towards wall = harder ex*****on (progressing over time).

3. Try to incline towards wall more to see how ā€œbrutalā€ this one is, the pure posterior cuff ā€œsufferingā€! When elbow is 70-90deg in elevation (pressing against wall), and adding ER on top of that = feeling cuff like never before. Incline more towards wall as you progress (widen feet position for stability).

4. The first variation (sagittal plane) is great for all the cuff (lifting arm in sagittal plane plus pressing forward will burn supraspinatus and posterior cuff, and pressing against wall as well - this will increase subscap. activity). The second variation is greatfor supeaspinatus (frontal plane), and for subscap. (pushing into wall with IR - bottom DB part lift off, as you can notice if looking closely). PS: One of the hardest ones I’ve ever felt!

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have shoulder issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

25/05/2026

ā­ļø Learn common sense active rehab phases of different lesions/issues in the human body! I am showing REAL PATIENTS WITH REAL ISSUES, AND THE REAL SOLUTIONS-RESULTS! Remember that I am showing only ONE PART of their current program!

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

If you follow me long enough, I already posted about him (multiple times), and this is just a small part of his rehab program 8 months post-op. The main goal is to start including very high-demand plyo and COD exercises (progression for sure, finishing with sport-specific demands - indoor football), as well as maintenance of strength (all the big muscle groups). PS: The video is 1.5-2 times sped up!

1. Loading quads (bending knee while keeping torso relatively upright, really charging the front leg) is the most important thing here! You can see when quad is not ready to receive load - usually with hip compensation (keep in mind that horizontal deceleration loads quad more though)!

2. Great position for loading almost solely quads (even more when you lift heel off the ground, as well as non-working leg - no help). Keep torso sticked on the wall!

3. Great exercise for reactive muscle (around knee) activation, making it a bit more unpredictable (closer to what’s happening in sport). We need to train risky positions, in order to be better prepared for sporting situations!

4. Great and very challenging hams exercise (running angles; fast ecc. is where the most hams injuries happen). We know that hams are great ACL protectors (besides soleus), so do not forget this one (particularly when graft is taken from there - his case). Just keep shin bone in IR. to load the affected area more! The exercise is way harder with full hip extension (less sport-spec. though)…

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

PS: Ask me anything, didn’t cover many things…

Yours in progressā¬†ļøon,
Luka

21/05/2026

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

Basically both exercises are phenomenal particularly for posterior cuff muscles (the area that produces so many issues; don’t forget subscap. though). Let me explain why these two are such a powerful tool:

1. We have posterior cuff (because she is constantly pushing into wall - ER) and supraspinatus activation (logically) with arm elevation in sagittal plane! Once she turns body (looks like frontal plane lift) it starts the real ā€œburnā€ of all the cuff muscles (subscap. as well because of arm elevation in frontal plane plus ER - which stretches both joint capsule and subscap., and this muscle logically activates in order to keep the humeral ball in the socket). PS: She is constantly pushing into a wall, which activates cuffs even more. Carefully with this one, because a client needs full or almost full mobility recuperated first!

2. It looks like a simple cable push, but when you add trunk rotation and scapular protraction at the end of push, it activates posterior cuff (including suprasp.) pretty good in order to prevent anterior humeral head translation (keeping the ball in the socket). You can see me pulling the cable in order to increase eccentric loading, which is good in order to increase the system load. Plus, not to mention that doing it this way is much closer to everyday and sporting activities…

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have shoulder issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

20/05/2026

ā­ļø Learn common sense active rehab phases of different lesions/issues in the human body! I am showing REAL PATIENTS WITH REAL ISSUES, AND THE REAL SOLUTIONS-RESULTS! Remember that I am showing only ONE PART of their current program!

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, do a good assessment, and choose if these exercises can (and should) be applied!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN EXERCISES?

Focus: Hand and fingers F. (& finger mobility), all directions (but more flexion and ext.), ISO F., light plyo (progressive overload for sure)… It was a ski accident. We also focused on all the arm joints, which is important for proper load sharing between them, to say the least… The video is 4-7 times sped up!

1. After shown warm up, you can see dynamic loaded mobility (controlled stretches of finger flexors - palm - front forearm)… Great for building tissue capacity to say the least!

2. Ring finger stretches (the biggest limitation in his case) while lightly working on triceps…

3. Increasing grip/finger and shoulder capacity (the most natural way).

4. Nice coordination work!

5. Relaxing flexors to do the following exercise better!

6. Passive finger loaded extension while distracting the client with one of the most valuable upper body exercise (push-up).

7. Finger flexion strength with dynamometer (reaching the cpecific % of max).

8. Another way to extend finger (working on shoulder loaded mobility as well).

šŸ™‹šŸ»ā€ā™‚ļø WHEN TO AVOID (or modify) SOME OF THESE?
If having 5+ out of 10 pain while performing the specific exercise.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have aforementioned issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things)!

Yours in progressā¬†ļøon,
Luka

19/05/2026

ā­ļø I am showing REAL PATIENTS WITH REAL ISSUES. Remember that I am showing only ONE PART of their assessment!

ā€¼ļø If you’re a rehab specialist, always look at the person in front of you first, and do a good assessment first!

šŸ™‹šŸ»ā€ā™‚ļø RATIONALE BEHIND THE CHOSEN ASSESSMENT?

He is a competitive powerlifter that has shoulder pain when doing bench press and holding a barbell when doing ā€œlow bar back squatā€. In one of the following videos, I will show you what was the problem and how he solved it! It was pretty quick and simple, as he’s a very active and obviously strong person… PS: It’s absolutely not necessary to do all these assessment protocols/details, particularly when you suspect something after a comprehensive anamnesis (that should be always done first). Anyways, if you have time, it’s useful in order to try to rule things out (even though we know that most tests aren’t that reliable - that’s why you should never use only 1 test for the specific thing you want to check, especially those ortho. special tests - you cannot isolate specific cuff muscle…). Last but not least, it’s not about solving painful sensations (even though it’s the most important thing for people), it’s about smooth movement patterns, strength, feeling everything easier and better…and pain will be gone during the process. Patience while doing good job is something so many clients are missing (particularly those non-active). …The video is 5-8 times sped up!

1. Static assessment is not a big deal if self-correct during dynamic assessment. Although useful if having shoulder girdle depression (the most important info for us here).

2. Checking if posterior cuff muscles are able to ER without helping with traps and rhombs. As well as painful angles of overhead arm lifts (in order to suspect the potential issue).

3. By bending over, we are checking T spine movement first and foremost.

4. Checking thoracoscapular and glenohumeral joint movements: Variability, tension, compensation…

5. Sagittal and frontal plane overhead arms lift is useful to see how the system behaves (joint variability, scapular UR, muscular behavior, ROM, pain…).

6. For us, it’s important to measure if scapular UR doesn’t reach at least 55deg, even though it’s not reliable to say that pain is coming from scap. UR limitation (anyways, we often solve painful sensations by simply increasing UR capacity, coincidentally or not - it’s a question…).

7. One of the most important test for us is checking if pain decreases after manual assistance when lifting arm overhead (humeral head, scapula, both). It usually means that scapular UR muscles and(or) cuff muscles don’t assist well…

8. Checking neck is important to rule out potential nerve/disc and other issues that can cause or contribute shoulder pain.

9. Already said about orthopeadic special tests (not that reliable but often useful for many reasons…).

10. Checking ROM is always important because limited ROM produces movement compensations that can often reproduce shoulder issues (if body is not adapting well to those compensations).

11. Always useful to rule out the long head biceps tendon issues (including SLAP tear), even though not reliable (use more tests as shown in the video, and there are even more)…

12. Walking pattern, also important part of assessment. It’s useful to see how everything moves during walking. Many people display significant stiffness in 1, 2, or often all the 3 planes of motion, which often causes painful sensations in the area.

šŸ“¢ My friend, if you liked the post, I want you to share it with friend(s) who have shoulder issues. Feel free to comment, suggest, or ask anything (I didn’t cover many things, neither showed all the important tests)!

Yours in progressā¬†ļøon,
Luka

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