HW: Post C6-C7 Fusion with Chest and Back of Shoulder Tightness/Pain: Week 1 (10-1-17)

Primary Complaints
- History of C6-C7 fusion
- Front of chest and back of shoulder constant tightness
- Tricep quivers
- Charlie horse in lat and chest with activity
- Right sided weakness with possible pec atrophy
Important Program Information LINK
This week the focus will be on adding one movement each day to assess your body’s response to activating distinct muscle groups
This week is meant to be easy and is meant as more of a test to identify missing links in the system and your ability to isolate activation of specific muscle groups
Each day a new movement will be added to successfully isolate your body’s response to each movement
Each movement should be done for 8-20reps or 30-90sec as specified
You should stop each movement when you have either reached the max rep/time, at onset of pain, or if you start to develop moderate fatigue
If you get to a movement that is painful during the exercise or you have significant pain the following day, hold on that movement in the next circuit progression
Goals: Assess your ability to isolate specific muscle groups
- isolate deep neck flexor activation
- attempt to control scapular depression to avoid excessive stress in the neck
- This week will attempt to establish a warm up sequence that will be used in future weeks prior to strengthening circuits
Day 1:
- Deep Neck Flexor Activation Head Supported Chin Tuck VIDEO
  - Hold each for 3-5 seconds
Day2
- Deep Neck Flexor Activation Head Supported Chin Tuck VIDEO
  - Hold each for 3-5 seconds
- Supine Pec/Median Nerve Mobilization 90 Degree Shoulder Abduction VIDEO
  - Light pec mobility
  - If this is too easy and more challenging option is listed below
    - Bridge with Pec Stretch to Reach Behind Back VIDEO
Day 3
- Deep Neck Flexor Activation Head Supported Chin Tuck VIDEO
  - Hold each for 3-5 seconds
- Supine Pec/Median Nerve Mobilization 90 Degree Shoulder Abduction VIDEO
  - Light pec mobility
  - If this is too easy and more challenging option is listed below
    - Bridge with Pec Stretch to Reach Behind Back VIDEO
- Posterior Shoulder Stretch Door Pull VIDEO
  - Try the basic position first and then you will notice some more challenging positions as the video progresses
Day 4
- Deep Neck Flexor Activation Head Supported Chin Tuck VIDEO
  - Hold each for 3-5 seconds
- Supine Pec/Median Nerve Mobilization 90 Degree Shoulder Abduction VIDEO
  - Light pec mobility
  - If this is too easy and more challenging option is listed below
    - Bridge with Pec Stretch to Reach Behind Back VIDEO
- Posterior Shoulder Stretch Door Pull VIDEO
  - Try the basic position first and then you will notice some more challenging positions as the video progresses
- Humeral Head Depression Isometric From Low Level->Overhead VIDEO
  - Start with the low position and progress to higher surfaces over the next couple days
Day 5
- Deep Neck Flexor Activation Head Supported Chin Tuck VIDEO
  - Hold each for 3-5 seconds
- Supine Pec/Median Nerve Mobilization 90 Degree Shoulder Abduction VIDEO
  - Light pec mobility
  - If this is too easy and more challenging option is listed below
    - Bridge with Pec Stretch to Reach Behind Back VIDEO
- Posterior Shoulder Stretch Door Pull VIDEO
  - Try the basic position first and then you will notice some more challenging positions as the video progresses
- Humeral Head Depression Isometric From Low Level->Overhead VIDEO
  - Start with the low position and progress to higher surfaces over the next couple days
- Prone Cervical and Scapula Positioning Drill VIDEO
  - Attempt to isolate scapular depression
Day 6
- Deep Neck Flexor Activation Head Supported Chin Tuck VIDEO
  - Hold each for 3-5 seconds
- Supine Pec/Median Nerve Mobilization 90 Degree Shoulder Abduction VIDEO
  - Light pec mobility
  - If this is too easy and more challenging option is listed below
    - Bridge with Pec Stretch to Reach Behind Back VIDEO
- Posterior Shoulder Stretch Door Pull VIDEO
  - Try the basic position first and then you will notice some more challenging positions as the video progresses
- Humeral Head Depression Isometric From Low Level->Overhead VIDEO
  - Start with the low position and progress to higher surfaces over the next couple days
- Prone Cervical and Scapula Positioning Drill VIDEO
  - Attempt to isolate scapular depression
- Prone Shoulder Extension Off Edge of Bed VIDEO
  - Slow and controlled shoulder extension
  - Try to avoid any tension in the neck
Day 7
- Rest and email me to let me know how the week went. Which movements seemed most helpful?
- Did any cause pain or irritation?