Thoracic extension is synchronized with shoulder movement, and thus contributes to the total range of motion during shoulder elevation. This is a transitional zone between the cervical and lumbar regions, where approximately 80% of axial rotation originates. One of the areas that swim and strength coaches should be mindful of is the thoracic spine. Though this will help them to achieve an improved streamline during the entry phase of a dive or the underwater kicking phase, it will cause lower back pain which may not immediately be attributed to a shoulder limitation. An example would be a swimmer with limited shoulder flexion whose lack of mobility causes them to engage in the compensatory strategy of hyperextending their lumbar region. It is important to always consider that the pathoanatomic location of the injury may be the result of limitations proximal or distal to that site. Though these are important areas to target, the upper body motions involved in swimming are very complex and require contributions from multiple joint segments. Shoulder injury prevention programs designed for swimmers are often focused only on the strength/endurance of the rotator cuff, and the rotational range of the glenohumeral. Jessie at the front desk is also wonderful and I love that they have direct billing.The importance of thoracic mobility for optimal shoulder functioning (Part 1) I would recommend Jack and Westcoast SCI Physio to anyone, especially those with long covid. Now I’m slowly getting back into running, my symptoms are better and I was able to increase my hours at work.He is so incredibly knowledgeable and thorough in his assessments and listened carefully to my concerns. He helped me identify triggers and return to exercise in a slow and safe way. Before I saw Jack I was stuck in a discouraging cycle of over doing it and then crashing hard.Exercise often gets a bad rap in the long covid community because it can make symptoms worse when overdone but Jack carefully adjusted my exercises to an intensity level that did not trigger my symptoms. I saw Jack for help returning to excercise while having long covid and he has helped me SO much, more than I could have ever expected.Before catching covid I could run 10+ km but after, a short walk would leave me with fatigue, brain fog and headaches. He will take care of you!Also, the receptionist (I unfortunately forgot her name) is very kind and helpful. I highly recommend Rajveer to anyone experiencing dizziness and imbalance. He suggested 3 movements my mom can do daily to help her with her dizziness, balance and and eye and head coordination. Rajveer was very patient and kind throughout the process and even added some humour in. He discovered that she probably has Vestibular neoritis (damage to her ears’ nerve endings that caused her imbalanced walking and dizziness) and not vertigo as the doctor and herbalist had said. Rajveer asked many questions about my mom’s situation and did exercises to find out what the issue was. Although she has gone to all sorts of people: her doctor, acupuncturist, massage therapist, and Chinese herbalist (and was prescribed herbs), we realized after seeing Rajveer that they probably didn’t properly diagnose my mom and she didn’t see much improvement. She has been experiencing dizziness when she walks and when she moves her head. Rajveer (or Rickey) Singh was great in working with my mom.
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