Sidelying External SHOULDER Rotations
How to Do Side Lying Dumbbell Shoulder External Rotations | In-Depth Guide [VISUAL LEARNERS]
Proper Form & Common Mistakes | Home Resistance Training
WHAT DO YOU WANT TO SEE?
MUSCLES THIS WORKS
MAIN MUSCLES WORKED IN the Sidelying Shoulder External Rotation
INFRASPINATUS AND TERES MINOR MUSCLES
These are 2 of your rotator cuff muscles.
OTHER MUSCLES WORKED:
- Scapular Muscles: Trapezius, Levator Scapulae, Rhomboids, Pectorals, Serratus Anterior, Latissimus Dorsi
WHAT WE'RE DOING TODAY
WHAT & WHY
BENEFITS OF TRAINING our rotator cuff muscles
WHAT WE'RE DOING TODAY
ALL WE'RE DOING:
Lay down on your side & get comfy. Then do a simple movement with you arm & a light weight. It's great.
TRAIN STABILITY & MOBILITY OF SHOULDER JOINT
These easy rotator cuff exercises train the smaller muscles of the shoulder joint to move the arm with control through a variety of rotational motions. In these exercises, the rotator cuff, and muscles of the shoulder blade and arm will be working together in coordination. Rotator cuff exercises are designed to train the muscles for both stability and mobility of the shoulder joint.
GREAT FOR BOTH WARMUP OR STAND-ALONE EXERCISES
The rotator cuff exercises can be used as a
- warm-up before upper body weight training
- as stand-alone exercises,
- in between arm strength training to increase blood flow and get the joints moving,
- or as a way to end a workout - giving the muscles just a bit more of a challenge and loosening up the joints.
Rotator cuff muscles are small muscles that need to be able to work at a low level for a long period of time. Think about how much you move your arms. Every time you move them all of the rotator cuff muscles need to work to help control the movement. This is important to think about when you are training the muscles.
USE LESS WEIGHT/RESISTANCE & MORE REPS
The rotator cuff exercises are done with lighter resistance and more repetitions - training the muscles to work at a lower level for a longer period of time. These exercises can be done daily. They are good exercises for when you take a break from sitting and working on a computer or after a long drive.
WHY BOTHER DOING IT?
WHY DO WE EVEN CARE?
ROTATOR CUFF EXERCISES ARE ALL ABOUT KEEPING HEALTHY SHOULDERS
The primary reason we have arms is to move the hand to different positions so you can use your hand. This means that the arm has to be able to move a lot and once the hand is where you want it to be, the arm is held still. The four rotator cuff muscles that surround the shoulder joint play a big role in making sure the way that the arm bone and shoulder blade are connected stay in healthy positions while we move the arm to prevent injury and long term damage to the joint. Strengthening these muscles with exercises like this one helps keep the shoulder joint healthy.
HOW ROTATOR CUFF EXERCISES CAN REALLY HELP US 40's AND UP LADIES SPECIFICALLY:
Much of the damage done to our bodies is when we are in our 20-30s, small amounts of damage over the years add up - examples are poor posture, working out with poor form, repetitive job tasks - repetitive lifting, too much sitting (desk jobs), especially when the chair, desk, computer set-up is incorrect and previous injuries - car accidents, falls, sports injuries. The body has an amazing way of compensating by using other muscles, or moving in different ways to accommodate for tight, weak or painful joints and muscles. Many times we are completely unaware of this, but eventually, it catches up.
Wear and tear over time, with the development of compensatory movement is the most common case for people to be in physical therapy, and mostly in people between the ages of 40 and 60. Fortunately, that is an age group that can still make a great difference in their physical abilities if they know what to do and what not to do.
Damage and weakness of the rotator cuff muscles can be caused by normal daily activities such as using a computer, texting, driving, reading, eating, cleaning, all involve using our arms in front of us, frequently with our shoulders rounded forward, slouched posture, and forward head. This position tightens the pectoralis muscles, and pulls the shoulders forward and into internal rotation, decreasing the space where one of the rotator cuff muscles travel through. Over time the joints of the upper back and ribs will become stiffer and the muscles of the back will weaken due to disuse. In the beginning you may not feel any restrictions, pain, or be aware of any weakness. If you continue down this path and don’t correct your posture, strengthen, and stretch, the joints will become even more restricted and the muscles weaker. The body has an amazing ability to compensate without awareness. You may begin to stand on your tiptoes to reach objects without realizing that your shoulder motion is limited.
As we age we do lose the elasticity of the soft tissues - the tendons and ligaments become stiffer. This makes them more prone to tearing (imagine a new rubber band that can easily be stretched, compared with an older one that may crack because it is not as stretchy). The production of the fluid in the joints can decrease (although it increases with movement). This reinforces the importance of taking time to warm up properly before exercise.
Additionally, disease processes can affect the rotator cuff muscles: for example, cardiovascular disease, diabetes, hypothyroidism all can affect the health of the tissues.
Stretching, strengthening, and correcting posture and movement can improve the health of the rotator cuff muscles and prevent future injury. With age you will lose muscle mass, beginning at 40. Exercise can prevent or reverse muscle loss - it is possible to gain strength even at 90 years of age. Bone density can decrease (with disease - osteoporosis/osteopenia) which can be slowed/reversed with exercise.
IDEAS FOR WHEN TO DO THESE MOVEMENTS:
PART OF DYNAMIC WARMUP: These are great to do as a part of a dynamic warm-up prior to working out. Warm-up movements increase blood and lymph (part of the immune system) flow, warms the connective tissue (muscle, tendons, ligaments, fascia) to improve their elasticity (will stretch instead of tearing), “wakes up” the muscles that will be worked - brings awareness to the muscles to improve the mind-body connection by actively contracting the muscles.
ON A REST DAY: Muscles get stronger by working them to the point of fatigue, this results in tiny tearing, called microtrauma of the tissue. The message sent to the brain is that the muscles are not strong enough to do the job that the body is trying to do. The response from the brain is to strengthen the muscle in order to improve its capability. Rest days are needed to allow the tissues to heal and grow. Part of the healing process is to remove the wastes and send in nutrients. Gentle movement will accomplish this.
END OF WORKOUT: If your goal is to improve the strength of the muscle it is important to fatigue the muscle. Adding these exercises to the end of a workout is a nice way of making sure that you have included some exercises that specifically address the rotator cuff muscles, in addition to making sure that you have properly fatigued the muscle.
WHEN SHOULDERS ARE FEELING “STICKY” DURING WORKOUT: Motion is Lotion - moving improves the mobility of the joints and soft tissues. “Sticky” areas in movements can be caused by a number of things - poor joint mobility which can be caused by insufficient joint lubrication (synovial fluid), stiff ligaments, or tightness or stiffness of the muscles, tendons, or fascia. Movement can help in all of these cases: increases the synovial fluid in the joints, increases the temperature and therefore the elasticity of the muscles, tendons, and fascia by increasing blood flow.
Fascia is a thin sheet of connective tissue running throughout the body between the muscle and the skin. The fascia allows the skin to be able to glide effortlessly over the muscle (you can feel this by taking your fingers and gently moving the skin over the underlying muscles. Sometimes you get restrictions in the fascia where it no longer glides smoothly with movement (frequently happens around scars). Tendons run in sheaths of connective tissue and are surrounded by a layer of fluid, sometimes the tendon can get hung up somewhere in the sheath and feel caught or stuck, movement can help to loosen this restriction. By warming up with larger, fluid, movements that combine many directions of motion you “floss” the tendons in the sheath and improve the ability to glide these soft tissues. Leading to freer, unrestricted movement.
HOW FREQUENTLY CAN THESE EXERCISES BE DONE?
Exercises that work the endurance muscles can be done daily. This includes core exercises, balance and stability training. The muscles work at a low level for a long period of time every day. The reason for giving a rest to the larger power muscles is that in order to strengthen those muscles you need to use heavy weights and push them to the point of failure - actually causing small tears in the tissue. The muscle needs a day to make the repairs to the tissues. The endurance muscles are worked at a low level for an extended period of time, the training is more focused on form and muscle re-education as opposed to muscle failure.
EVERYDAY LIFE &
HOW WE USE OUR ROTATOR CUFF MUSCLES IN EVERYDAY LIFE
1. SUPRASPINATUS [LIES ABOVE THE SPINE OF THE SCAPULA]
- Lifting and holding the arm out to the side (shoulder abduction)
- Pulling up pants
- Lifting and carrying a car seat at your side.
- Holding the arm in the socket against a downward pull on the arm (assisted by the deltoid)
- Lifting and carrying heavy items
2. INFRASPINATUS [LIES BELOW THE SPINE OF THE SCAPULA] AND TERES MINOR
- Rotates the upper arm outward - the soft underside turns outward (external rotation)
- Outstretched arm
- Turning the arm over to receive change
- Turning arms outward to carry a large tray or getting a roasting pan out of the oven
3. SUBSCAPULARIS [LIES ON THE UNDERSIDE OF THE SHOULDER BLADE - THE SIDE BY THE RIBCAGE]
- Rotates the upper arm inwards (internal rotation)
- Keeping the forearm still while pouring out a jug of water
This is one of the best exercises for really targeting the infraspinatus and teres minor muscles (the rotator cuff muscles that rotate the upper arm out)). This version of the shoulder external rotation is done lying on your side. This is a very stable position, you are able to relax the rest of your muscles and concentrate on the targeted muscles. The upper arm is supported by the side of the torso, all you need to do is to lift the hand up from being in front of the stomach to pointing up to the ceiling.
HOW TO FEEL WHAT MUSCLE IS WORKING
How to Feel What Muscle is Working
These are small, deep muscles that cross the shoulder joint. The best way to feel them working is to try to relax the larger muscles of the arm. Bend the elbow to 90 degrees and slowly the upper arm bone in and out - your forearm and hand moving in an arc-like a windshield wiper. You may not be able to feel the muscles working but you should be able to feel the upper arm bone rotating.
HOW TO DO THE EXERCISE
HOW THE Sidelying Shoulder External Rotation SHAPE OUR BODY
This exercise improves upright posture, decreases rounded shoulder posture.
Tones the shoulders and arms. The supraspinatus and infraspinatus can provide shape to your upper back and upper shoulder (under the upper trap).
PROPER FORM: Sidelying Shoulder External Rotations
EQUIPMENT, SETS & REPS
SUGGESTED STARTING WEIGHT FOR WOMEN:
2-5 lbs (1 dumbbell)
SETS & REPS:
2 sets of 8-10
Slow and controlled lifting up and lowering down.
BODY POSITION FOR THE Sidelying Shoulder External Rotation
BODY POSITION: Lying on your side. Bend both hips and knees to provide a stable base - it can help (puts the spine in a neutral position) to put a pillow or folded towel between your knees.
ARM: The position of the bottom arm (non-working arm) should be comfortable. You can bend your bottom arm, with the elbow pointing forward (you can rest your head in your hand). The position should be comfortable for your neck and the bottom arm. Adjust the position as needed. The top arm (working arm): shoulder blade is stabilized in and down your back. The entire upper arm (from shoulder to elbow) resting on the side of your torso, elbow bent at a right angle, with a hand resting over your stomach.
GRIP: Hold the dumbbell with a neutral grip, palm facing stomach.
NECK: Neutral and relaxed, looking straight ahead. In line with the rest of your spine. You may want to use a pillow or small towel folded to support your neck or something under the head.
HOW TO DO
HOW TO DO Sidelying Shoulder External Rotations
CUE: Concentrate on feeling the upper arm bone rotating in the shoulder socket. Avoid lifting your upper arm from your side.
Lift your hand up in an arc path, like a windshield wiper.
Continue rotating until the hand is in line with the side of your torso. If you have restricted motion just go as far as comfortable.
Hold at the end position for one second and slowly control the movement back to the starting position.
HOW TO SAFELY GET OUT OF THE EXERCISE
From the starting position, lower the weight to the floor. Press up to sitting.
WHAT TO AVOID WITH THE Sidelying Shoulder External Rotation
Guess what? Good news! Many avoids are the same for most movements. Once you learn the basics, there's really only a few extra avoids for each individual movement.
1. Avoid Elbows Moving Up
AVOID: Avoid lifting the arm away from the body.
- This is a common compensation
- It is an attempt to use the stronger shoulder abductors (deltoid) to compensate for the weaker rotators.
WHAT TO DO:
- Pulling a small towel roll between the elbow and the torso can help - if the arm lifts away then the towel will drop.
- Avoid squeezing the towel to your side, just hold it lightly.
2. Avoid Pinning Elbows to Sides
AVOID: Avoid squeezing the upper arm into your sides to hold it still.
- This can interfere with the rotation of the arm
SPIFFILICIOUS FACTS ABOUT MUSCLES & MOVES
SHOULDER IS MOST MOBILE JOINT IN BODY - UPSIDES & DOWNSIDES TO THAT
The shoulder joint is a ball and socket joint - meaning that one part of the joint is shaped like a ball and the other side of the joint is like a socket. The “ball” is the end of the upper arm bone (head of the humerus) and the “socket” is a small shallow cup on the shoulder blade (glenoid fossa of the scapula). The joint is the most mobile joint and the least stable joint in the body. This allows large movements of the arm. That is the upside to such a mobile joint.
The four rotator cuff muscles; the infraspinatus, supraspinatus, teres minor and subscapularis; lie on the shoulder blade and attach to the upper arm bone. They form a cuff around the joint to provide support and stabilize the arm during movement. All of the muscles work together to help keep the “ball” in the “socket”. This is commonly described as like trying to keep a golf ball balanced on the tee - that is approximately the size difference between the ball of the upper arm bone and the socket of the shoulder blade. When you move your arm, the rotator cuff muscles must keep the ball centered on the tee. This is complicated by the fact that the ball needs to move around in the socket as the arm moves.
A downside to such a mobile joint is that it can be more easily injured. Exercises to train and maintain the health of the four rotator cuff muscles protects the shoulder joint from injury and/or long term gradual damage.
PICTURE THE SHOULDER JOINT
Make a fist with 1 hand - that’s the ball head of the upper arm bone
SLIGHTLY cup the other palm - that’s the small cavity on the shoulder blade that the ball sits against/into. The rotator cuff muscles keep the ball pulled against this concave surface.
TRAINS THE MUSCLES THAT KEEP THE PARTS OF YOUR SHOULDER JOINT IN THE RIGHT PLACE WHILE YOU MOVE
The job of the rotator cuff muscles is to make sure the two main shoulder joint surfaces (ball and socket) are positioned correctly* so that the movement does not damage the labrum (soft cartilage), ligaments, or tendons as the arm moves. This is even more important when you are lifting, pulling, pushing, carrying any weight. When you are exercising it is a good idea to warm up/or “wake up” these muscles before upper bodyweight training.
* poor shoulder joint mechanics (this means that the joints and muscles that move the shoulder blade, collarbone and arm are not working together) can result in damage to the soft tissues that support the joint (tendonitis, tendonosis, muscle/tendon tears, glenoid labrum tears). This joint “sloppiness” (too much uncontrolled movement in the joint) can cause osteoarthritis (degenerative changes in the joint) - spurring and erosion of the bone surfaces.
NEGLECTING THESE MUSCLES CREATES IMBALANCE SETTING US UP FOR INJURY
It is important to include exercises for the rotator cuff muscles in your upper body training. The rotator cuff muscles are the support muscles, they need to be healthy and well trained in order for you to be able to lift heavy items.
If you neglect the rotator cuff muscles and only train the large muscles that move the arms you will be creating imbalances in the muscles - the big muscles can lift a lot of weight but the supporting muscles cannot. This sets the shoulder up for injury. To visualize this think of using a small slender and flexible fishing rod and catching a heavy fish. When you try to pull the fish in, the rod would just bend, and could possibly break. If the rod is more stable and stiffer you will be able to pull in the larger fish.
ALLLL MUSCLES & WHEN
ALL MUSCLES WORKING & WHEN DURING THE Sidelying Shoulder External Rotation
The scapular retractors do not have to work much in this position gravity is pulling the shoulder blade back. The lats, lower traps, pec major work, and serratus anterior work a bit to hold the shoulder blade down to prevent the working shoulder from rolling forward.
The infraspinatus and teres minor contract concentrically to externally rotate the upper arm.
The wrist muscles - extensor carpi radialis longus and brevis, and carpi ulnaris (sometimes extensor digitorum, extensor digiti minimi, extensor indicis, and extensor pollicis longus) will work to prevent the weight from pulling the wrist into flexion. The muscles will work the hardest when the forearm is parallel to the floor.
The infraspinatus and teres minor work eccentrically to control the movement as the arm rotates back to the starting position.