Birth injury, usually from a difficult vaginal birth.Traffic accidents, from a car, motorcycle or bike crash.Sports injuries, such as a direct blow to the shoulder on the field, rink or court.Falls, such as falling onto the shoulder or onto an outstretched arm.Go in reserve to get back to the start.Common causes of a broken collarbone include: Start with it going straight up, then out to the side, followed by the hand rotating down adn teh hand gooing behind the back. From there thinking the elbows cretes a big circle. Modifications can be done by pinning a ball in the elbow and squeezing the bicep tight. Take note that the arm should be fully extended and controlled the entire time.

Once back at the starting position a full shoulder CAR has been completed. Also, as the arm starts going back the hand should rotate from having the thumb facing upward to the thumb facing downward. As the arm gets further and back keep reaching back, putting the arm in the full ROM that it can. From here the arm is across the body and the bicep should almost wipe across the face until the arm is fully extended overhead.Now the arm should start to rotate behind the body. Start with the arm by the side and move across the body slowly, reaching to the other side. CARs are excellent at training and teaching the muscles around the joint to allow a higher ROM while also increasing the strength and stability of the joint while it is in its most vulnerable positions.įor the shoulder CAR the arm should be fully extended throughout the entire movement. Finding and focusing on the areas in the ROM that feel the most restrictive is beneficial because it is an active, rather than passive, stretch. Ryan Winslow, DC, FRC (Chiropractic Physician/Clinical Director)Ī controlled articular rotation or CAR is a movement that brings a joint through active stretch in full end-range ROM. Physical Therapy Leon Cherbukhovsky DPT.Pathogenesis of Common Foot Conditions Overview.Pathogenesis of Mechanical Back Pain Overview.Functional Range Conditioning (FRC) Overview.

Axial Traction (Spinal Decompression) & Non-Axial Traction Overview.

Ultrasound Guided Dry Needling Overview.

Extracorporeal Shockwave Therapy (ESWT) Overview.

Look over the shoulder car