george_97

I'm a 27-year-old lad from Sweden. I've watched your video on YouTube titled "Shoulder Case Study" several times, and I'm trying to understand why you include lat pulldowns as an exercise to rehab a shoulder injury. What I did understand from your anatomy lesson is that the top of the military press is in agreement with the rotator cuff's natural biomechanical role, which is compressing the top of the humerus against the glenoid and acting as a dynamic stabilizer. Another dynamic stabilizer for the shoulder joint is the long head of the biceps brachii. Is that the reason you include the lat pulldown? Because the biceps is a dynamic stabilizer for the shoulder? Or because it's rotating the scapula in the opposite direction?

Mark Rippetoe

What is the latissimus dorsi action on the shoulder?

george_97

The latissimus dorsi attaches anteriorly on the humerus and is active in the extension of the humerus. It also adducts and rotates the humerus ? I know if the lats become tight they internally rotate the shoulder. I'm trying to think why you asked me that question sir but my intuition is not kicking in. I don't understand. I don't understand the intuitive interplay between shoulder rehab and the function of the lats .. Help me understand sir.

george_97

Alright I think I get it now we need to strengthen the shoulder in its respective directions i.e. Flexion, extension, abduction, adduction + the collective function of the rotator cuff. In a military press we get the rotator cuff function + abduction, flexion. Left is adduction and extension, which you include in a lat pulldown and later chins + we get the biceps involved as well which is also a dynamic stabilizer for the shoulder. Am I overcomplicating things or on the right track Sir?

Mark Rippetoe

You've got it. The shoulder is arguably the most geometrically and anatomically complex articulation in the body, and all its functions must be employed in the rehab.

Eric Larousse

How do people that sell these templates manage to stay in business being that their programs are complete BS and do not work?

Mark Rippetoe

Do you remember the Pet Rock?

SouthernLifter

I think their business is selling to people who are afraid of big weights.

I've seen, for example, a relatively light man (I don't know, maybe 70kg) reach an "RPE 8" by doing 60kg squats and things like that.

I don't know exactly the whole theory of this, but RPE 8 would be like you're pushing yourself pretty hard, or so I think, and you're feeling pain.

RPE 9 or 10 maybe it would be 70 or 75 kg??? Don't know.

I have seen some of those videos and I have laughed. A nutritionist and """""trainer""""" from my community trains people with that. Obviously, they're also big promoters of kettlebells, bands, jumping rope and all that crap.

The man lifting those 60 or 70 kg is the most "powerful" thing you will see in that "gym".

Of course, she and her accomplice say they are "strength trainers."

What assholes...

Andrew Lewis

I think it's probably two parts. The first part is the novice effect. Any program will work if you are unadapted and put in effort. A lot of people have gotten strong doing less than optimal program just by working their asses off. The second part is that you can blame the lifter for not using it right if it's not working: "well you just don't know how to use RPE right. You implemented it incorrectly."